minimal Common Oncology Data Elements (mCODE) Implementation Guide
4.0.0-ballot - STU4 Ballot
minimal Common Oncology Data Elements (mCODE) Implementation Guide
4.0.0-ballot - STU4 Ballot
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
@prefix fhir: <http://hl7.org/fhir/> . @prefix loinc: <https://loinc.org/rdf/> . @prefix owl: <http://www.w3.org/2002/07/owl#> . @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> . @prefix sct: <http://snomed.info/id/> . @prefix xsd: <http://www.w3.org/2001/XMLSchema#> . # - resource ------------------------------------------------------------------- a fhir:Bundle ; fhir:nodeRole fhir:treeRoot ; fhir:id [ fhir:v "mcode-patient-bundle-jenny-m"] ; # fhir:meta [ ( fhir:profile [ fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-patient-bundle"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-patient-bundle> ] ) ] ; # fhir:type [ fhir:v "collection"] ; # fhir:entry ( [ fhir:fullUrl [ fhir:v "http://example.org/fhir/Patient/cancer-patient-jenny-m"^^xsd:anyURI ] ; ( fhir:resource <http://example.org/fhir/Patient/cancer-patient-jenny-m> ) ] [ fhir:fullUrl [ fhir:v "http://example.org/fhir/Condition/primary-cancer-condition-jenny-m"^^xsd:anyURI ] ; ( fhir:resource <http://example.org/fhir/Condition/primary-cancer-condition-jenny-m> ) ] [ fhir:fullUrl [ fhir:v "http://example.org/fhir/MedicationRequest/cancer-related-medication-request-cyclophosphamide-jenny-m"^^xsd:anyURI ] ; ( fhir:resource <http://example.org/fhir/MedicationRequest/cancer-related-medication-request-cyclophosphamide-jenny-m> ) ] [ fhir:fullUrl [ fhir:v "http://example.org/fhir/MedicationRequest/cancer-related-medication-request-doxorubicin-jenny-m"^^xsd:anyURI ] ; ( fhir:resource <http://example.org/fhir/MedicationRequest/cancer-related-medication-request-doxorubicin-jenny-m> ) ] [ fhir:fullUrl [ fhir:v "http://example.org/fhir/MedicationRequest/cancer-related-medication-request-paclitaxel-jenny-m"^^xsd:anyURI ] ; ( fhir:resource <http://example.org/fhir/MedicationRequest/cancer-related-medication-request-paclitaxel-jenny-m> ) ] [ fhir:fullUrl [ fhir:v "http://example.org/fhir/MedicationRequest/cancer-related-medication-request-anastrozole-jenny-m"^^xsd:anyURI ] ; ( fhir:resource <http://example.org/fhir/MedicationRequest/cancer-related-medication-request-anastrozole-jenny-m> ) ] [ fhir:fullUrl [ fhir:v "http://example.org/fhir/Observation/cancer-disease-status-jenny-m"^^xsd:anyURI ] ; ( fhir:resource <http://example.org/fhir/Observation/cancer-disease-status-jenny-m> ) ] [ fhir:fullUrl [ fhir:v "http://example.org/fhir/Observation/genomic-variant-jenny-m"^^xsd:anyURI ] ; ( fhir:resource <http://example.org/fhir/Observation/genomic-variant-jenny-m> ) ] [ fhir:fullUrl [ fhir:v "http://example.org/fhir/DiagnosticReport/genomics-report-jenny-m"^^xsd:anyURI ] ; ( fhir:resource <http://example.org/fhir/DiagnosticReport/genomics-report-jenny-m> ) ] [ fhir:fullUrl [ fhir:v "http://example.org/fhir/Procedure/cancer-related-surgical-procedure-jenny-m"^^xsd:anyURI ] ; ( fhir:resource <http://example.org/fhir/Procedure/cancer-related-surgical-procedure-jenny-m> ) ] [ fhir:fullUrl [ fhir:v "http://example.org/fhir/Observation/cancer-related-comorbidities-jenny-m"^^xsd:anyURI ] ; ( fhir:resource <http://example.org/fhir/Observation/cancer-related-comorbidities-jenny-m> ) ] [ fhir:fullUrl [ fhir:v "http://example.org/fhir/Procedure/radiotherapy-treatment-summary-chest-wall-jenny-m"^^xsd:anyURI ] ; ( fhir:resource <http://example.org/fhir/Procedure/radiotherapy-treatment-summary-chest-wall-jenny-m> ) ] [ fhir:fullUrl [ fhir:v "http://example.org/fhir/Observation/tnm-clinical-stage-group-jenny-m"^^xsd:anyURI ] ; ( fhir:resource <http://example.org/fhir/Observation/tnm-clinical-stage-group-jenny-m> ) ] [ fhir:fullUrl [ fhir:v "http://example.org/fhir/Observation/tnm-clinical-primary-tumor-category-jenny-m"^^xsd:anyURI ] ; ( fhir:resource <http://example.org/fhir/Observation/tnm-clinical-primary-tumor-category-jenny-m> ) ] [ fhir:fullUrl [ fhir:v "http://example.org/fhir/Observation/tnm-clinical-regional-nodes-category-jenny-m"^^xsd:anyURI ] ; ( fhir:resource <http://example.org/fhir/Observation/tnm-clinical-regional-nodes-category-jenny-m> ) ] [ fhir:fullUrl [ fhir:v "http://example.org/fhir/Observation/tnm-clinical-distant-metastases-category-jenny-m"^^xsd:anyURI ] ; ( fhir:resource <http://example.org/fhir/Observation/tnm-clinical-distant-metastases-category-jenny-m> ) ] [ fhir:fullUrl [ fhir:v "http://example.org/fhir/Specimen/human-specimen-left-breast-jenny-m"^^xsd:anyURI ] ; ( fhir:resource <http://example.org/fhir/Specimen/human-specimen-left-breast-jenny-m> ) ] [ fhir:fullUrl [ fhir:v "http://example.org/fhir/Observation/genomic-region-studied-jenny-m"^^xsd:anyURI ] ; ( fhir:resource <http://example.org/fhir/Observation/genomic-region-studied-jenny-m> ) ] [ fhir:fullUrl [ fhir:v "http://example.org/fhir/Observation/ecog-performance-status-jenny-m"^^xsd:anyURI ] ; ( fhir:resource <http://example.org/fhir/Observation/ecog-performance-status-jenny-m> ) ] [ fhir:fullUrl [ fhir:v "http://example.org/fhir/Observation/tumor-marker-test-er-jenny-m"^^xsd:anyURI ] ; ( fhir:resource <http://example.org/fhir/Observation/tumor-marker-test-er-jenny-m> ) ] [ fhir:fullUrl [ fhir:v "http://example.org/fhir/Observation/tumor-marker-test-pr-jenny-m"^^xsd:anyURI ] ; ( fhir:resource <http://example.org/fhir/Observation/tumor-marker-test-pr-jenny-m> ) ] [ fhir:fullUrl [ fhir:v "http://example.org/fhir/Observation/tumor-marker-test-her2-jenny-m"^^xsd:anyURI ] ; ( fhir:resource <http://example.org/fhir/Observation/tumor-marker-test-her2-jenny-m> ) ] [ fhir:fullUrl [ fhir:v "http://example.org/fhir/Observation/tumor-marker-test-oncotype-dx-jenny-m"^^xsd:anyURI ] ; ( fhir:resource <http://example.org/fhir/Observation/tumor-marker-test-oncotype-dx-jenny-m> ) ] [ fhir:fullUrl [ fhir:v "http://example.org/fhir/Observation/tumor-size-jenny-m"^^xsd:anyURI ] ; ( fhir:resource <http://example.org/fhir/Observation/tumor-size-jenny-m> ) ] [ fhir:fullUrl [ fhir:v "http://example.org/fhir/Procedure/us-core-procedure-biopsy-jenny-m"^^xsd:anyURI ] ; ( fhir:resource <http://example.org/fhir/Procedure/us-core-procedure-biopsy-jenny-m> ) ] [ fhir:fullUrl [ fhir:v "http://example.org/fhir/Observation/bodyweight-jenny-m-2018-03-16"^^xsd:anyURI ] ; ( fhir:resource <http://example.org/fhir/Observation/bodyweight-jenny-m-2018-03-16> ) ] [ fhir:fullUrl [ fhir:v "http://example.org/fhir/Observation/us-core-observation-lab-neutrophils-jenny-m"^^xsd:anyURI ] ; ( fhir:resource <http://example.org/fhir/Observation/us-core-observation-lab-neutrophils-jenny-m> ) ] [ fhir:fullUrl [ fhir:v "http://example.org/fhir/Organization/us-core-organization-physician-services-inc"^^xsd:anyURI ] ; ( fhir:resource <http://example.org/fhir/Organization/us-core-organization-physician-services-inc> ) ] [ fhir:fullUrl [ fhir:v "http://example.org/fhir/Observation/us-core-smokingstatus-jenny-m"^^xsd:anyURI ] ; ( fhir:resource <http://example.org/fhir/Observation/us-core-smokingstatus-jenny-m> ) ] [ fhir:fullUrl [ fhir:v "http://example.org/fhir/Procedure/us-core-procedure-mammogram-jenny-m"^^xsd:anyURI ] ; ( fhir:resource <http://example.org/fhir/Procedure/us-core-procedure-mammogram-jenny-m> ) ] [ fhir:fullUrl [ fhir:v "http://example.org/fhir/FamilyMemberHistory/family-member-history-aunt-jenny-m"^^xsd:anyURI ] ; ( fhir:resource <http://example.org/fhir/FamilyMemberHistory/family-member-history-aunt-jenny-m> ) ] [ fhir:fullUrl [ fhir:v "http://example.org/fhir/FamilyMemberHistory/family-member-history-uncle-jenny-m"^^xsd:anyURI ] ; ( fhir:resource <http://example.org/fhir/FamilyMemberHistory/family-member-history-uncle-jenny-m> ) ] [ fhir:fullUrl [ fhir:v "http://example.org/fhir/DiagnosticReport/us-core-diagnosticreport-lab-jenny-m"^^xsd:anyURI ] ; ( fhir:resource <http://example.org/fhir/DiagnosticReport/us-core-diagnosticreport-lab-jenny-m> ) ] [ fhir:fullUrl [ fhir:v "http://example.org/fhir/Observation/observation-smoking-pack-years-jenny-m"^^xsd:anyURI ] ; ( fhir:resource <http://example.org/fhir/Observation/observation-smoking-pack-years-jenny-m> ) ] [ fhir:fullUrl [ fhir:v "http://example.org/fhir/Observation/us-core-observation-lab-tumor-invasion-jenny-m"^^xsd:anyURI ] ; ( fhir:resource <http://example.org/fhir/Observation/us-core-observation-lab-tumor-invasion-jenny-m> ) ] [ fhir:fullUrl [ fhir:v "http://example.org/fhir/Observation/us-core-observation-lab-tumor-margins-jenny-m"^^xsd:anyURI ] ; ( fhir:resource <http://example.org/fhir/Observation/us-core-observation-lab-tumor-margins-jenny-m> ) ] [ fhir:fullUrl [ fhir:v "http://example.org/fhir/Observation/us-core-observation-lab-sentinel-nodes-jenny-m"^^xsd:anyURI ] ; ( fhir:resource <http://example.org/fhir/Observation/us-core-observation-lab-sentinel-nodes-jenny-m> ) ] [ fhir:fullUrl [ fhir:v "http://example.org/fhir/Observation/us-core-observation-lab-tumor-dcis-jenny-m"^^xsd:anyURI ] ; ( fhir:resource <http://example.org/fhir/Observation/us-core-observation-lab-tumor-dcis-jenny-m> ) ] [ fhir:fullUrl [ fhir:v "http://example.org/fhir/Practitioner/us-core-practitioner-owen-oncologist"^^xsd:anyURI ] ; ( fhir:resource <http://example.org/fhir/Practitioner/us-core-practitioner-owen-oncologist> ) ] [ fhir:fullUrl [ fhir:v "http://example.org/fhir/Practitioner/us-core-practitioner-peter-pathologist"^^xsd:anyURI ] ; ( fhir:resource <http://example.org/fhir/Practitioner/us-core-practitioner-peter-pathologist> ) ] ) . # <http://example.org/fhir/Patient/cancer-patient-jenny-m> a fhir:Patient ; fhir:id [ fhir:v "cancer-patient-jenny-m"] ; # fhir:meta [ ( fhir:profile [ fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-patient"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-patient> ] ) ] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_cancer-patient-jenny-m\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient cancer-patient-jenny-m</b></p><a name=\"cancer-patient-jenny-m\"> </a><a name=\"hccancer-patient-jenny-m\"> </a><a name=\"cancer-patient-jenny-m-en-US\"> </a><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Jenny M Female, DoB: 1965-01-01 ( Medical Record Number: MRN1234 (use: usual, ))</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the Patient\">Contact Detail</td><td colspan=\"3\">123 Main St Anytown 12345 United States </td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Language spoken\">Language:</td><td colspan=\"3\"><span title=\"Codes:{urn:ietf:bcp:47 en-US}\">English</span></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Patient contact\">Contact:</td><td colspan=\"3\"><ul><li>ph: 555-867-5309(Home)</li><li><a href=\"mailto:example@example.com\">example@example.com</a></li></ul></td></tr><tr><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:</td><td colspan=\"3\"><ul><li>ombCategory: <a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-CDCREC.html#CDCREC-2186-5\">CDC Race and Ethnicity 2186-5</a>: Not Hispanic or Latino</li><li>text: Not Hispanic or Latino</li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"A code classifying the person's sex assigned at birth as specified by the [Office of the National Coordinator for Health IT (ONC)](https://www.healthit.gov/newsroom/about-onc). This extension aligns with the C-CDA Birth Sex Observation (LOINC 76689-9). After version 6.0.0, this extension is no longer a *USCDI Requirement*.\"><a href=\"http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-birthsex.html\">US Core Birth Sex Extension</a></td><td colspan=\"3\">F</td></tr><tr><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:\n\n - American Indian or Alaska Native\n - Asian\n - Black or African American\n - Native Hawaiian or Other Pacific Islander\n - White.\">US Core Race Extension:</td><td colspan=\"3\"><ul><li>ombCategory: <a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-CDCREC.html#CDCREC-2106-3\">CDC Race and Ethnicity 2106-3</a>: White</li><li>text: White</li></ul></td></tr></table></div>" ] ; # fhir:extension ( [ ( fhir:extension [ fhir:url [ fhir:v "ombCategory"^^xsd:anyURI ] ; fhir:value [ a fhir:Coding ; fhir:system [ fhir:v "urn:oid:2.16.840.1.113883.6.238"^^xsd:anyURI ] ; fhir:code [ fhir:v "2106-3" ] ; fhir:display [ fhir:v "White" ] ] ] [ fhir:url [ fhir:v "text"^^xsd:anyURI ] ; fhir:value [ fhir:v "White" ] ] ) ; fhir:url [ fhir:v "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"^^xsd:anyURI ] ] [ ( fhir:extension [ fhir:url [ fhir:v "ombCategory"^^xsd:anyURI ] ; fhir:value [ a fhir:Coding ; fhir:system [ fhir:v "urn:oid:2.16.840.1.113883.6.238"^^xsd:anyURI ] ; fhir:code [ fhir:v "2186-5" ] ; fhir:display [ fhir:v "Not Hispanic or Latino" ] ] ] [ fhir:url [ fhir:v "text"^^xsd:anyURI ] ; fhir:value [ fhir:v "Not Hispanic or Latino" ] ] ) ; fhir:url [ fhir:v "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"^^xsd:anyURI ] ] [ fhir:url [ fhir:v "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex"^^xsd:anyURI ] ; fhir:value [ fhir:v "F" ] ] ) ; # fhir:identifier ( [ fhir:use [ fhir:v "usual" ] ; fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ] ; fhir:code [ fhir:v "MR" ] ; fhir:display [ fhir:v "Medical Record Number" ] ] ) ] ; fhir:system [ fhir:v "http://hospital.example.org"^^xsd:anyURI ] ; fhir:value [ fhir:v "MRN1234" ] ] ) ; # fhir:name ( [ fhir:family [ fhir:v "M" ] ; ( fhir:given [ fhir:v "Jenny" ] ) ] ) ; # fhir:gender [ fhir:v "female"] ; # fhir:birthDate [ fhir:v "1965-01-01"^^xsd:date] ; # fhir:address ( [ ( fhir:line [ fhir:v "123 Main St" ] ) ; fhir:city [ fhir:v "Anytown" ] ; fhir:postalCode [ fhir:v "12345" ] ; fhir:country [ fhir:v "United States" ] ] ) ; # fhir:contact ( [ ( fhir:telecom [ fhir:system [ fhir:v "phone" ] ; fhir:value [ fhir:v "555-867-5309" ] ; fhir:use [ fhir:v "home" ] ] [ fhir:system [ fhir:v "email" ] ; fhir:value [ fhir:v "example@example.com" ] ] ) ] ) ; # fhir:communication ( [ fhir:language [ ( fhir:coding [ fhir:system [ fhir:v "urn:ietf:bcp:47"^^xsd:anyURI ] ; fhir:code [ fhir:v "en-US" ] ] ) ; fhir:text [ fhir:v "English" ] ] ] ) . # <http://example.org/fhir/Condition/primary-cancer-condition-jenny-m> a fhir:Condition ; fhir:id [ fhir:v "primary-cancer-condition-jenny-m"] ; # fhir:meta [ ( fhir:profile [ fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-primary-cancer-condition"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-primary-cancer-condition> ] ) ] ; # fhir:text [ fhir:status [ fhir:v "extensions" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_primary-cancer-condition-jenny-m\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Condition primary-cancer-condition-jenny-m</b></p><a name=\"primary-cancer-condition-jenny-m\"> </a><a name=\"hcprimary-cancer-condition-jenny-m\"> </a><a name=\"primary-cancer-condition-jenny-m-en-US\"> </a><p><b>Histology-Morphology-Behavior Extension</b>: <span title=\"Codes:{http://snomed.info/sct 82711006}\">Infiltrating duct carcinoma (morphologic abnormality)</span></p><p><b>clinicalStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical remission}\">Remission</span></p><p><b>verificationStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-ver-status confirmed}\">Confirmed</span></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-category problem-list-item}\">Problem List Item</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 353431000119107}\">Primary malignant neoplasm of female left breast (disorder)</span></p><p><b>subject</b>: <a href=\"Patient-cancer-patient-jenny-m.html\">Jenny M Female, DoB: 1965-01-01 ( Medical Record Number: MRN1234 (use: usual, ))</a></p><p><b>onset</b>: 2018-03-16</p><p><b>asserter</b>: <a href=\"Practitioner-us-core-practitioner-owen-oncologist.html\">Practitioner Owen Oncologist </a></p><h3>Stages</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Summary</b></td><td><b>Assessment</b></td><td><b>Type</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://snomed.info/sct 1222806003}\">American Joint Committee on Cancer stage IIIC (qualifier value)</span></td><td><a href=\"Observation-tnm-clinical-stage-group-jenny-m.html\">Observation Clinical TNM stage grouping</a></td><td><span title=\"Codes:{http://snomed.info/sct 897275008}\">American Joint Commission on Cancer, Cancer Staging Manual, 8th edition neoplasm staging system (tumor staging)</span></td></tr></table></div>" ] ; # fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-histology-morphology-behavior"^^xsd:anyURI ] ; fhir:value [ a fhir:CodeableConcept ; ( fhir:coding [ a sct:82711006 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ; fhir:code [ fhir:v "82711006" ] ; fhir:display [ fhir:v "Infiltrating duct carcinoma (morphologic abnormality)" ] ] ) ] ] ) ; # fhir:clinicalStatus [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/condition-clinical"^^xsd:anyURI ] ; fhir:code [ fhir:v "remission" ] ] ) ] ; # fhir:verificationStatus [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/condition-ver-status"^^xsd:anyURI ] ; fhir:code [ fhir:v "confirmed" ] ] ) ] ; # fhir:category ( [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/condition-category"^^xsd:anyURI ] ; fhir:code [ fhir:v "problem-list-item" ] ] ) ] ) ; # fhir:code [ ( fhir:coding [ a sct:353431000119107 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ; fhir:code [ fhir:v "353431000119107" ] ; fhir:display [ fhir:v "Primary malignant neoplasm of female left breast (disorder)" ] ] ) ] ; # fhir:subject [ fhir:reference [ fhir:v "Patient/cancer-patient-jenny-m" ] ] ; # fhir:onset [ fhir:v "2018-03-16"^^xsd:date] ; # fhir:asserter [ fhir:reference [ fhir:v "Practitioner/us-core-practitioner-owen-oncologist" ] ] ; # fhir:stage ( [ fhir:summary [ ( fhir:coding [ a sct:1222806003 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ; fhir:code [ fhir:v "1222806003" ] ; fhir:display [ fhir:v "American Joint Committee on Cancer stage IIIC (qualifier value)" ] ] ) ] ; ( fhir:assessment [ fhir:reference [ fhir:v "Observation/tnm-clinical-stage-group-jenny-m" ] ] ) ; fhir:type [ ( fhir:coding [ a sct:897275008 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ; fhir:code [ fhir:v "897275008" ] ; fhir:display [ fhir:v "American Joint Commission on Cancer, Cancer Staging Manual, 8th edition neoplasm staging system (tumor staging)" ] ] ) ] ] ) . # <http://example.org/fhir/MedicationRequest/cancer-related-medication-request-cyclophosphamide-jenny-m> a fhir:MedicationRequest ; fhir:id [ fhir:v "cancer-related-medication-request-cyclophosphamide-jenny-m"] ; # fhir:meta [ ( fhir:profile [ fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-related-medication-request"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-related-medication-request> ] ) ] ; # fhir:text [ fhir:status [ fhir:v "extensions" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationRequest_cancer-related-medication-request-cyclophosphamide-jenny-m\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationRequest cancer-related-medication-request-cyclophosphamide-jenny-m</b></p><a name=\"cancer-related-medication-request-cyclophosphamide-jenny-m\"> </a><a name=\"hccancer-related-medication-request-cyclophosphamide-jenny-m\"> </a><a name=\"cancer-related-medication-request-cyclophosphamide-jenny-m-en-US\"> </a><p><b>Procedure Intent Extension</b>: <span title=\"Codes:{http://snomed.info/sct 373808002}\">Curative - procedure intent (qualifier value)</span></p><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/medicationrequest-category outpatient}\">Outpatient</span></p><p><b>medication</b>: <span title=\"Codes:{http://www.nlm.nih.gov/research/umls/rxnorm 3002}\">cyclophosphamide</span></p><p><b>subject</b>: <a href=\"Patient-cancer-patient-jenny-m.html\">Jenny M Female, DoB: 1965-01-01 ( Medical Record Number: MRN1234 (use: usual, ))</a></p><p><b>authoredOn</b>: 2018-04-12</p><p><b>requester</b>: <a href=\"Practitioner-us-core-practitioner-owen-oncologist.html\">Practitioner Owen Oncologist </a></p><p><b>reasonReference</b>: <a href=\"Condition-primary-cancer-condition-jenny-m.html\">Condition Primary malignant neoplasm of female left breast (disorder)</a></p><blockquote><p><b>dosageInstruction</b></p><p><b>text</b>: cyclophosphamide (600 mg/m² IV), 932.59mg</p><p><b>timing</b>: Once</p><p><b>route</b>: <span title=\"Codes:{http://snomed.info/sct 47625008}\">Intravenous route (qualifier value)</span></p><h3>DoseAndRates</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Dose[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>932.59 mg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codemg = 'mg')</span></td></tr></table><p><b>maxDosePerPeriod</b>: 1/3 week<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codewk = 'wk')</span></p></blockquote></div>" ] ; # fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-procedure-intent"^^xsd:anyURI ] ; fhir:value [ a fhir:CodeableConcept ; ( fhir:coding [ a sct:373808002 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ; fhir:code [ fhir:v "373808002" ] ; fhir:display [ fhir:v "Curative - procedure intent (qualifier value)" ] ] ) ] ] ) ; # fhir:status [ fhir:v "active"] ; # fhir:intent [ fhir:v "order"] ; # fhir:category ( [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/medicationrequest-category"^^xsd:anyURI ] ; fhir:code [ fhir:v "outpatient" ] ] ) ] ) ; # fhir:medication [ a fhir:CodeableConcept ; ( fhir:coding [ fhir:system [ fhir:v "http://www.nlm.nih.gov/research/umls/rxnorm"^^xsd:anyURI ] ; fhir:code [ fhir:v "3002" ] ; fhir:display [ fhir:v "cyclophosphamide" ] ] ) ] ; # fhir:subject [ fhir:reference [ fhir:v "Patient/cancer-patient-jenny-m" ] ] ; # fhir:authoredOn [ fhir:v "2018-04-12"^^xsd:date] ; # fhir:requester [ fhir:reference [ fhir:v "Practitioner/us-core-practitioner-owen-oncologist" ] ] ; # fhir:reasonReference ( [ fhir:reference [ fhir:v "Condition/primary-cancer-condition-jenny-m" ] ] ) ; # fhir:dosageInstruction ( [ fhir:text [ fhir:v "cyclophosphamide (600 mg/m² IV), 932.59mg" ] ; fhir:timing [ fhir:repeat [ fhir:bounds [ a fhir:Period ; fhir:start [ fhir:v "2018-04-01"^^xsd:date ] ] ] ] ; fhir:route [ ( fhir:coding [ a sct:47625008 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ; fhir:code [ fhir:v "47625008" ] ; fhir:display [ fhir:v "Intravenous route (qualifier value)" ] ] ) ] ; ( fhir:doseAndRate [ fhir:dose [ a fhir:Quantity ; fhir:value [ fhir:v "932.59"^^xsd:decimal ] ; fhir:unit [ fhir:v "mg" ] ; fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "mg" ] ] ] ) ; fhir:maxDosePerPeriod [ fhir:numerator [ fhir:value [ fhir:v "1"^^xsd:decimal ] ] ; fhir:denominator [ fhir:value [ fhir:v "3"^^xsd:decimal ] ; fhir:unit [ fhir:v "week" ] ; fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "wk" ] ] ] ] ) . # <http://example.org/fhir/MedicationRequest/cancer-related-medication-request-doxorubicin-jenny-m> a fhir:MedicationRequest ; fhir:id [ fhir:v "cancer-related-medication-request-doxorubicin-jenny-m"] ; # fhir:meta [ ( fhir:profile [ fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-related-medication-request"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-related-medication-request> ] ) ] ; # fhir:text [ fhir:status [ fhir:v "extensions" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationRequest_cancer-related-medication-request-doxorubicin-jenny-m\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationRequest cancer-related-medication-request-doxorubicin-jenny-m</b></p><a name=\"cancer-related-medication-request-doxorubicin-jenny-m\"> </a><a name=\"hccancer-related-medication-request-doxorubicin-jenny-m\"> </a><a name=\"cancer-related-medication-request-doxorubicin-jenny-m-en-US\"> </a><p><b>Procedure Intent Extension</b>: <span title=\"Codes:{http://snomed.info/sct 373808002}\">Curative - procedure intent (qualifier value)</span></p><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/medicationrequest-category outpatient}\">Outpatient</span></p><p><b>medication</b>: <span title=\"Codes:{http://www.nlm.nih.gov/research/umls/rxnorm 3639}\">DOXOrubicin</span></p><p><b>subject</b>: <a href=\"Patient-cancer-patient-jenny-m.html\">Jenny M Female, DoB: 1965-01-01 ( Medical Record Number: MRN1234 (use: usual, ))</a></p><p><b>authoredOn</b>: 2018-04-12</p><p><b>requester</b>: <a href=\"Practitioner-us-core-practitioner-owen-oncologist.html\">Practitioner Owen Oncologist </a></p><p><b>reasonReference</b>: <a href=\"Condition-primary-cancer-condition-jenny-m.html\">Condition Primary malignant neoplasm of female left breast (disorder)</a></p><blockquote><p><b>dosageInstruction</b></p><p><b>text</b>: doxorubicin (60 mg/m² IV)</p><p><b>timing</b>: Once</p><p><b>route</b>: <span title=\"Codes:{http://snomed.info/sct 47625008}\">Intravenous route (qualifier value)</span></p><h3>DoseAndRates</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Rate[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>60 mg/m2<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codemg/m2 = 'mg/m2')</span></td></tr></table><p><b>maxDosePerPeriod</b>: 1/3 week<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codewk = 'wk')</span></p></blockquote></div>" ] ; # fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-procedure-intent"^^xsd:anyURI ] ; fhir:value [ a fhir:CodeableConcept ; ( fhir:coding [ a sct:373808002 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ; fhir:code [ fhir:v "373808002" ] ; fhir:display [ fhir:v "Curative - procedure intent (qualifier value)" ] ] ) ] ] ) ; # fhir:status [ fhir:v "active"] ; # fhir:intent [ fhir:v "order"] ; # fhir:category ( [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/medicationrequest-category"^^xsd:anyURI ] ; fhir:code [ fhir:v "outpatient" ] ] ) ] ) ; # fhir:medication [ a fhir:CodeableConcept ; ( fhir:coding [ fhir:system [ fhir:v "http://www.nlm.nih.gov/research/umls/rxnorm"^^xsd:anyURI ] ; fhir:code [ fhir:v "3639" ] ; fhir:display [ fhir:v "DOXOrubicin" ] ] ) ] ; # fhir:subject [ fhir:reference [ fhir:v "Patient/cancer-patient-jenny-m" ] ] ; # fhir:authoredOn [ fhir:v "2018-04-12"^^xsd:date] ; # fhir:requester [ fhir:reference [ fhir:v "Practitioner/us-core-practitioner-owen-oncologist" ] ] ; # fhir:reasonReference ( [ fhir:reference [ fhir:v "Condition/primary-cancer-condition-jenny-m" ] ] ) ; # fhir:dosageInstruction ( [ fhir:text [ fhir:v "doxorubicin (60 mg/m² IV)" ] ; fhir:timing [ fhir:repeat [ fhir:bounds [ a fhir:Period ; fhir:start [ fhir:v "2018-04-01"^^xsd:date ] ] ] ] ; fhir:route [ ( fhir:coding [ a sct:47625008 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ; fhir:code [ fhir:v "47625008" ] ; fhir:display [ fhir:v "Intravenous route (qualifier value)" ] ] ) ] ; ( fhir:doseAndRate [ fhir:rate [ a fhir:Quantity ; fhir:value [ fhir:v "60"^^xsd:decimal ] ; fhir:unit [ fhir:v "mg/m2" ] ; fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "mg/m2" ] ] ] ) ; fhir:maxDosePerPeriod [ fhir:numerator [ fhir:value [ fhir:v "1"^^xsd:decimal ] ] ; fhir:denominator [ fhir:value [ fhir:v "3"^^xsd:decimal ] ; fhir:unit [ fhir:v "week" ] ; fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "wk" ] ] ] ] ) . # <http://example.org/fhir/MedicationRequest/cancer-related-medication-request-paclitaxel-jenny-m> a fhir:MedicationRequest ; fhir:id [ fhir:v "cancer-related-medication-request-paclitaxel-jenny-m"] ; # fhir:meta [ ( fhir:profile [ fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-related-medication-request"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-related-medication-request> ] ) ] ; # fhir:text [ fhir:status [ fhir:v "extensions" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationRequest_cancer-related-medication-request-paclitaxel-jenny-m\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationRequest cancer-related-medication-request-paclitaxel-jenny-m</b></p><a name=\"cancer-related-medication-request-paclitaxel-jenny-m\"> </a><a name=\"hccancer-related-medication-request-paclitaxel-jenny-m\"> </a><a name=\"cancer-related-medication-request-paclitaxel-jenny-m-en-US\"> </a><p><b>Procedure Intent Extension</b>: <span title=\"Codes:{http://snomed.info/sct 373808002}\">Curative - procedure intent (qualifier value)</span></p><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/medicationrequest-category outpatient}\">Outpatient</span></p><p><b>medication</b>: <span title=\"Codes:{http://www.nlm.nih.gov/research/umls/rxnorm 56946}\">PACLitaxel</span></p><p><b>subject</b>: <a href=\"Patient-cancer-patient-jenny-m.html\">Jenny M Female, DoB: 1965-01-01 ( Medical Record Number: MRN1234 (use: usual, ))</a></p><p><b>authoredOn</b>: 2018-04-12</p><p><b>requester</b>: <a href=\"Practitioner-us-core-practitioner-owen-oncologist.html\">Practitioner Owen Oncologist </a></p><p><b>reasonReference</b>: <a href=\"Condition-primary-cancer-condition-jenny-m.html\">Condition Primary malignant neoplasm of female left breast (disorder)</a></p><blockquote><p><b>dosageInstruction</b></p><p><b>text</b>: PACLitaxel (175 mg/m² IV), 272.01mg</p><p><b>timing</b>: Once</p><p><b>route</b>: <span title=\"Codes:{http://snomed.info/sct 47625008}\">Intravenous route (qualifier value)</span></p><h3>DoseAndRates</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Dose[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>272.01 mg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codemg = 'mg')</span></td></tr></table><p><b>maxDosePerPeriod</b>: 1/3 week<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codewk = 'wk')</span></p></blockquote></div>" ] ; # fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-procedure-intent"^^xsd:anyURI ] ; fhir:value [ a fhir:CodeableConcept ; ( fhir:coding [ a sct:373808002 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ; fhir:code [ fhir:v "373808002" ] ; fhir:display [ fhir:v "Curative - procedure intent (qualifier value)" ] ] ) ] ] ) ; # fhir:status [ fhir:v "active"] ; # fhir:intent [ fhir:v "order"] ; # fhir:category ( [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/medicationrequest-category"^^xsd:anyURI ] ; fhir:code [ fhir:v "outpatient" ] ] ) ] ) ; # fhir:medication [ a fhir:CodeableConcept ; ( fhir:coding [ fhir:system [ fhir:v "http://www.nlm.nih.gov/research/umls/rxnorm"^^xsd:anyURI ] ; fhir:code [ fhir:v "56946" ] ; fhir:display [ fhir:v "PACLitaxel" ] ] ) ] ; # fhir:subject [ fhir:reference [ fhir:v "Patient/cancer-patient-jenny-m" ] ] ; # fhir:authoredOn [ fhir:v "2018-04-12"^^xsd:date] ; # fhir:requester [ fhir:reference [ fhir:v "Practitioner/us-core-practitioner-owen-oncologist" ] ] ; # fhir:reasonReference ( [ fhir:reference [ fhir:v "Condition/primary-cancer-condition-jenny-m" ] ] ) ; # fhir:dosageInstruction ( [ fhir:text [ fhir:v "PACLitaxel (175 mg/m² IV), 272.01mg" ] ; fhir:timing [ fhir:repeat [ fhir:bounds [ a fhir:Period ; fhir:start [ fhir:v "2018-04-12"^^xsd:date ] ] ] ] ; fhir:route [ ( fhir:coding [ a sct:47625008 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ; fhir:code [ fhir:v "47625008" ] ; fhir:display [ fhir:v "Intravenous route (qualifier value)" ] ] ) ] ; ( fhir:doseAndRate [ fhir:dose [ a fhir:Quantity ; fhir:value [ fhir:v "272.01"^^xsd:decimal ] ; fhir:unit [ fhir:v "mg" ] ; fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "mg" ] ] ] ) ; fhir:maxDosePerPeriod [ fhir:numerator [ fhir:value [ fhir:v "1"^^xsd:decimal ] ] ; fhir:denominator [ fhir:value [ fhir:v "3"^^xsd:decimal ] ; fhir:unit [ fhir:v "week" ] ; fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "wk" ] ] ] ] ) . # <http://example.org/fhir/MedicationRequest/cancer-related-medication-request-anastrozole-jenny-m> a fhir:MedicationRequest ; fhir:id [ fhir:v "cancer-related-medication-request-anastrozole-jenny-m"] ; # fhir:meta [ ( fhir:profile [ fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-related-medication-request"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-related-medication-request> ] ) ] ; # fhir:text [ fhir:status [ fhir:v "extensions" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationRequest_cancer-related-medication-request-anastrozole-jenny-m\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationRequest cancer-related-medication-request-anastrozole-jenny-m</b></p><a name=\"cancer-related-medication-request-anastrozole-jenny-m\"> </a><a name=\"hccancer-related-medication-request-anastrozole-jenny-m\"> </a><a name=\"cancer-related-medication-request-anastrozole-jenny-m-en-US\"> </a><p><b>Procedure Intent Extension</b>: <span title=\"Codes:{http://snomed.info/sct 373808002}\">Curative - procedure intent (qualifier value)</span></p><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/medicationrequest-category community}\">Community</span></p><p><b>medication</b>: <span title=\"Codes:{http://www.nlm.nih.gov/research/umls/rxnorm 84857}\">anastrozole</span></p><p><b>subject</b>: <a href=\"Patient-cancer-patient-jenny-m.html\">Jenny M Female, DoB: 1965-01-01 ( Medical Record Number: MRN1234 (use: usual, ))</a></p><p><b>authoredOn</b>: 2018-09-30</p><p><b>requester</b>: <a href=\"Practitioner-us-core-practitioner-owen-oncologist.html\">Practitioner Owen Oncologist </a></p><p><b>reasonReference</b>: <a href=\"Condition-primary-cancer-condition-jenny-m.html\">Condition Primary malignant neoplasm of female left breast (disorder)</a></p><blockquote><p><b>dosageInstruction</b></p><p><b>text</b>: 1mg orally once daily</p><p><b>timing</b>: Once</p><p><b>route</b>: <span title=\"Codes:{http://snomed.info/sct 26643006}\">Oral route (qualifier value)</span></p><h3>DoseAndRates</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Dose[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>1 mg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codemg = 'mg')</span></td></tr></table><p><b>maxDosePerPeriod</b>: 1/1 day<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM coded = 'd')</span></p></blockquote></div>" ] ; # fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-procedure-intent"^^xsd:anyURI ] ; fhir:value [ a fhir:CodeableConcept ; ( fhir:coding [ a sct:373808002 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ; fhir:code [ fhir:v "373808002" ] ; fhir:display [ fhir:v "Curative - procedure intent (qualifier value)" ] ] ) ] ] ) ; # fhir:status [ fhir:v "active"] ; # fhir:intent [ fhir:v "order"] ; # fhir:category ( [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/medicationrequest-category"^^xsd:anyURI ] ; fhir:code [ fhir:v "community" ] ] ) ] ) ; # fhir:medication [ a fhir:CodeableConcept ; ( fhir:coding [ fhir:system [ fhir:v "http://www.nlm.nih.gov/research/umls/rxnorm"^^xsd:anyURI ] ; fhir:code [ fhir:v "84857" ] ; fhir:display [ fhir:v "anastrozole" ] ] ) ] ; # fhir:subject [ fhir:reference [ fhir:v "Patient/cancer-patient-jenny-m" ] ] ; # fhir:authoredOn [ fhir:v "2018-09-30"^^xsd:date] ; # fhir:requester [ fhir:reference [ fhir:v "Practitioner/us-core-practitioner-owen-oncologist" ] ] ; # fhir:reasonReference ( [ fhir:reference [ fhir:v "Condition/primary-cancer-condition-jenny-m" ] ] ) ; # fhir:dosageInstruction ( [ fhir:text [ fhir:v "1mg orally once daily" ] ; fhir:timing [ fhir:repeat [ fhir:bounds [ a fhir:Period ; fhir:start [ fhir:v "2018-09-30"^^xsd:date ] ] ] ] ; fhir:route [ ( fhir:coding [ a sct:26643006 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ; fhir:code [ fhir:v "26643006" ] ; fhir:display [ fhir:v "Oral route (qualifier value)" ] ] ) ] ; ( fhir:doseAndRate [ fhir:dose [ a fhir:Quantity ; fhir:value [ fhir:v "1"^^xsd:decimal ] ; fhir:unit [ fhir:v "mg" ] ; fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "mg" ] ] ] ) ; fhir:maxDosePerPeriod [ fhir:numerator [ fhir:value [ fhir:v "1"^^xsd:decimal ] ] ; fhir:denominator [ fhir:value [ fhir:v "1"^^xsd:decimal ] ; fhir:unit [ fhir:v "day" ] ; fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "d" ] ] ] ] ) . # <http://example.org/fhir/Observation/cancer-disease-status-jenny-m> a fhir:Observation ; fhir:id [ fhir:v "cancer-disease-status-jenny-m"] ; # fhir:meta [ ( fhir:profile [ fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-disease-status"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-disease-status> ] ) ] ; # fhir:text [ fhir:status [ fhir:v "extensions" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_cancer-disease-status-jenny-m\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation cancer-disease-status-jenny-m</b></p><a name=\"cancer-disease-status-jenny-m\"> </a><a name=\"hccancer-disease-status-jenny-m\"> </a><a name=\"cancer-disease-status-jenny-m-en-US\"> </a><p><b>Cancer Disease Status Evidence Type Extension</b>: <span title=\"Codes:{http://snomed.info/sct 363679005}\">Imaging (procedure)</span></p><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 97509-4}\">Cancer Disease Progression</span></p><p><b>subject</b>: <a href=\"Patient-cancer-patient-jenny-m.html\">Jenny M Female, DoB: 1965-01-01 ( Medical Record Number: MRN1234 (use: usual, ))</a></p><p><b>focus</b>: <a href=\"Condition-primary-cancer-condition-jenny-m.html\">Condition Primary malignant neoplasm of female left breast (disorder)</a></p><p><b>effective</b>: 2018-11-01</p><p><b>performer</b>: <a href=\"Practitioner-us-core-practitioner-owen-oncologist.html\">Practitioner Owen Oncologist </a></p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 268910001}\">Patient's condition improved (finding)</span></p></div>" ] ; # fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-disease-status-evidence-type"^^xsd:anyURI ] ; fhir:value [ a fhir:CodeableConcept ; ( fhir:coding [ a sct:363679005 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ; fhir:code [ fhir:v "363679005" ] ; fhir:display [ fhir:v "Imaging (procedure)" ] ] ) ] ] ) ; # fhir:status [ fhir:v "final"] ; # fhir:code [ ( fhir:coding [ a loinc:97509-4 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "97509-4" ] ; fhir:display [ fhir:v "Cancer Disease Progression" ] ] ) ] ; # fhir:subject [ fhir:reference [ fhir:v "Patient/cancer-patient-jenny-m" ] ] ; # fhir:focus ( [ fhir:reference [ fhir:v "Condition/primary-cancer-condition-jenny-m" ] ] ) ; # fhir:effective [ fhir:v "2018-11-01"^^xsd:date] ; # fhir:performer ( [ fhir:reference [ fhir:v "Practitioner/us-core-practitioner-owen-oncologist" ] ] ) ; # fhir:value [ a fhir:CodeableConcept ; ( fhir:coding [ a sct:268910001 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ; fhir:code [ fhir:v "268910001" ] ; fhir:display [ fhir:v "Patient's condition improved (finding)" ] ] ) ] . # <http://example.org/fhir/Observation/genomic-variant-jenny-m> a fhir:Observation ; fhir:id [ fhir:v "genomic-variant-jenny-m"] ; # fhir:meta [ ( fhir:profile [ fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-genomic-variant"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-genomic-variant> ] ) ] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_genomic-variant-jenny-m\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation genomic-variant-jenny-m</b></p><a name=\"genomic-variant-jenny-m\"> </a><a name=\"hcgenomic-variant-jenny-m\"> </a><a name=\"genomic-variant-jenny-m-en-US\"> </a><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 69548-6}\">Genetic variant assessment</span></p><p><b>subject</b>: <a href=\"Patient-cancer-patient-jenny-m.html\">Jenny M Female, DoB: 1965-01-01 ( Medical Record Number: MRN1234 (use: usual, ))</a></p><p><b>effective</b>: 2018-03-15</p><p><b>performer</b>: <a href=\"Practitioner-us-core-practitioner-owen-oncologist.html\">Practitioner Owen Oncologist </a></p><p><b>value</b>: <span title=\"Codes:{http://loinc.org LA9633-4}\">Present</span></p><p><b>method</b>: <span title=\"Codes:{http://loinc.org LA26398-0}\">Sequencing</span></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 48018-6}\">Gene studied [ID]</span></p><p><b>value</b>: <span title=\"Codes:{http://www.genenames.org HGNC:26144}\">PALB2</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 81252-9}\">Discrete genetic variant</span></p><p><b>value</b>: <span title=\"Codes:{http://www.ncbi.nlm.nih.gov/clinvar 128144}\">NM_024675.3(PALB2):c.3549C>A (p.Tyr1183Ter)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 81290-9}\">Genomic DNA change (gHGVS)</span></p><p><b>value</b>: <span title=\"Codes:{http://varnomen.hgvs.org NC_000016.10:g.23603471G>T}\">NC_000016.10:g.23603471G>T</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 48002-0}\">Genomic source class [Type]</span></p><p><b>value</b>: <span title=\"Codes:{http://loinc.org LA6684-0}\">Somatic</span></p></blockquote></div>" ] ; # fhir:status [ fhir:v "final"] ; # fhir:category ( [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/observation-category"^^xsd:anyURI ] ; fhir:code [ fhir:v "laboratory" ] ] ) ] ) ; # fhir:code [ ( fhir:coding [ a loinc:69548-6 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "69548-6" ] ; fhir:display [ fhir:v "Genetic variant assessment" ] ] ) ] ; # fhir:subject [ fhir:reference [ fhir:v "Patient/cancer-patient-jenny-m" ] ] ; # fhir:effective [ fhir:v "2018-03-15"^^xsd:date] ; # fhir:performer ( [ fhir:reference [ fhir:v "Practitioner/us-core-practitioner-owen-oncologist" ] ] ) ; # fhir:value [ a fhir:CodeableConcept ; ( fhir:coding [ a loinc:LA9633-4 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "LA9633-4" ] ; fhir:display [ fhir:v "Present" ] ] ) ] ; # fhir:method [ ( fhir:coding [ a loinc:LA26398-0 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "LA26398-0" ] ; fhir:display [ fhir:v "Sequencing" ] ] ) ] ; # fhir:component ( [ fhir:code [ ( fhir:coding [ a loinc:48018-6 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "48018-6" ] ] ) ] ; fhir:value [ a fhir:CodeableConcept ; ( fhir:coding [ fhir:system [ fhir:v "http://www.genenames.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "HGNC:26144" ] ; fhir:display [ fhir:v "PALB2" ] ] ) ] ] [ fhir:code [ ( fhir:coding [ a loinc:81252-9 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "81252-9" ] ] ) ] ; fhir:value [ a fhir:CodeableConcept ; ( fhir:coding [ fhir:system [ fhir:v "http://www.ncbi.nlm.nih.gov/clinvar"^^xsd:anyURI ] ; fhir:code [ fhir:v "128144" ] ; fhir:display [ fhir:v "NM_024675.3(PALB2):c.3549C>A (p.Tyr1183Ter)" ] ] ) ] ] [ fhir:code [ ( fhir:coding [ a loinc:81290-9 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "81290-9" ] ] ) ] ; fhir:value [ a fhir:CodeableConcept ; ( fhir:coding [ fhir:system [ fhir:v "http://varnomen.hgvs.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "NC_000016.10:g.23603471G>T" ] ] ) ] ] [ fhir:code [ ( fhir:coding [ a loinc:48002-0 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "48002-0" ] ] ) ] ; fhir:value [ a fhir:CodeableConcept ; ( fhir:coding [ a loinc:LA6684-0 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "LA6684-0" ] ; fhir:display [ fhir:v "Somatic" ] ] ) ] ] ) . # <http://example.org/fhir/DiagnosticReport/genomics-report-jenny-m> a fhir:DiagnosticReport ; fhir:id [ fhir:v "genomics-report-jenny-m"] ; # fhir:meta [ ( fhir:profile [ fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-genomics-report"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-genomics-report> ] ) ] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"DiagnosticReport_genomics-report-jenny-m\"> </a><p class=\"res-header-id\"><b>Generated Narrative: DiagnosticReport genomics-report-jenny-m</b></p><a name=\"genomics-report-jenny-m\"> </a><a name=\"hcgenomics-report-jenny-m\"> </a><a name=\"genomics-report-jenny-m-en-US\"> </a><h2><span title=\"Codes:{http://loinc.org 51969-4}\">Genetic analysis report</span> (<span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v2-0074 GE}\">Genetics</span>) </h2><table class=\"grid\"><tr><td>Subject</td><td>Jenny M Female, DoB: 1965-01-01 ( Medical Record Number: MRN1234 (use: usual, ))</td></tr><tr><td>When For</td><td>2018-03-15</td></tr><tr><td>Reported</td><td>2020-03-15 00:00:01+0000</td></tr><tr><td>Performer</td><td> <a href=\"Practitioner-us-core-practitioner-owen-oncologist.html\">Practitioner Owen Oncologist </a></td></tr></table><p><b>Report Details</b></p><table class=\"grid\"><tr><td><b>Code</b></td><td><b>Value</b></td><td><b>Flags</b></td><td><b>Reported</b></td></tr><tr><td><a href=\"Observation-genomic-variant-jenny-m.html\"><span title=\"Codes:{http://loinc.org 69548-6}\">Genetic variant assessment</span></a></td><td><span title=\"Codes:{http://loinc.org LA9633-4}\">Present</span></td><td>Final</td><td/></tr><tr><td><a href=\"Observation-genomic-region-studied-jenny-m.html\"><span title=\"Codes:{http://loinc.org 53041-0}\">DNA region of interest panel</span></a></td><td/><td>Final</td><td>2018-03-15 00:00:01+0000</td></tr></table></div>" ] ; # fhir:status [ fhir:v "final"] ; # fhir:category ( [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0074"^^xsd:anyURI ] ; fhir:code [ fhir:v "GE" ] ] ) ] ) ; # fhir:code [ ( fhir:coding [ a loinc:51969-4 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "51969-4" ] ; fhir:display [ fhir:v "Genetic analysis report" ] ] ) ] ; # fhir:subject [ fhir:reference [ fhir:v "Patient/cancer-patient-jenny-m" ] ] ; # fhir:effective [ fhir:v "2018-03-15"^^xsd:date] ; # fhir:issued [ fhir:v "2020-03-15T00:00:01+00:00"^^xsd:dateTime] ; # fhir:performer ( [ fhir:reference [ fhir:v "Practitioner/us-core-practitioner-owen-oncologist" ] ] ) ; # fhir:specimen ( [ fhir:reference [ fhir:v "Specimen/human-specimen-left-breast-jenny-m" ] ] ) ; # fhir:result ( [ fhir:reference [ fhir:v "Observation/genomic-variant-jenny-m" ] ] [ fhir:reference [ fhir:v "Observation/genomic-region-studied-jenny-m" ] ] ) . # <http://example.org/fhir/Procedure/cancer-related-surgical-procedure-jenny-m> a fhir:Procedure ; fhir:id [ fhir:v "cancer-related-surgical-procedure-jenny-m"] ; # fhir:meta [ ( fhir:profile [ fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-related-surgical-procedure"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-related-surgical-procedure> ] ) ] ; # fhir:text [ fhir:status [ fhir:v "extensions" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Procedure_cancer-related-surgical-procedure-jenny-m\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Procedure cancer-related-surgical-procedure-jenny-m</b></p><a name=\"cancer-related-surgical-procedure-jenny-m\"> </a><a name=\"hccancer-related-surgical-procedure-jenny-m\"> </a><a name=\"cancer-related-surgical-procedure-jenny-m-en-US\"> </a><p><b>Procedure Intent Extension</b>: <span title=\"Codes:{http://snomed.info/sct 373808002}\">Curative - procedure intent (qualifier value)</span></p><p><b>status</b>: Completed</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 64368001}\">Excision of part of breast (procedure)</span></p><p><b>subject</b>: <a href=\"Patient-cancer-patient-jenny-m.html\">Jenny M Female, DoB: 1965-01-01 ( Medical Record Number: MRN1234 (use: usual, ))</a></p><p><b>performed</b>: 2018-04-01</p><p><b>asserter</b>: <a href=\"Practitioner-us-core-practitioner-owen-oncologist.html\">Practitioner Owen Oncologist </a></p><p><b>reasonReference</b>: <a href=\"Condition-primary-cancer-condition-jenny-m.html\">Condition Primary malignant neoplasm of female left breast (disorder)</a></p><p><b>bodySite</b>: <span title=\"Codes:{http://snomed.info/sct 80248007}\">Left breast structure (body structure)</span></p></div>" ] ; # fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-procedure-intent"^^xsd:anyURI ] ; fhir:value [ a fhir:CodeableConcept ; ( fhir:coding [ a sct:373808002 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ; fhir:code [ fhir:v "373808002" ] ; fhir:display [ fhir:v "Curative - procedure intent (qualifier value)" ] ] ) ] ] ) ; # fhir:status [ fhir:v "completed"] ; # fhir:code [ ( fhir:coding [ a sct:64368001 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ; fhir:code [ fhir:v "64368001" ] ; fhir:display [ fhir:v "Excision of part of breast (procedure)" ] ] ) ] ; # fhir:subject [ fhir:reference [ fhir:v "Patient/cancer-patient-jenny-m" ] ] ; # fhir:performed [ fhir:v "2018-04-01"^^xsd:date] ; # fhir:asserter [ fhir:reference [ fhir:v "Practitioner/us-core-practitioner-owen-oncologist" ] ] ; # fhir:reasonReference ( [ fhir:reference [ fhir:v "Condition/primary-cancer-condition-jenny-m" ] ] ) ; # fhir:bodySite ( [ ( fhir:coding [ a sct:80248007 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ; fhir:code [ fhir:v "80248007" ] ; fhir:display [ fhir:v "Left breast structure (body structure)" ] ] ) ] ) . # <http://example.org/fhir/Observation/cancer-related-comorbidities-jenny-m> a fhir:Observation ; fhir:id [ fhir:v "cancer-related-comorbidities-jenny-m"] ; # fhir:meta [ ( fhir:profile [ fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbidities"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbidities> ] ) ] ; # fhir:text [ fhir:status [ fhir:v "extensions" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_cancer-related-comorbidities-jenny-m\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation cancer-related-comorbidities-jenny-m</b></p><a name=\"cancer-related-comorbidities-jenny-m\"> </a><a name=\"hccancer-related-comorbidities-jenny-m\"> </a><a name=\"cancer-related-comorbidities-jenny-m-en-US\"> </a><p><b>Related Condition Extension</b>: <a href=\"Condition-us-core-condition-depression-jenny-m.html\">Condition Depressive disorder (disorder)</a></p><p><b>Related Condition Extension</b>: <a href=\"Condition-us-core-condition-anxiety-jenny-m.html\">Condition Anxiety (finding)</a></p><p><b>Related Condition Extension</b>: <a href=\"Condition-us-core-condition-hypertension-jenny-m.html\">Condition Benign hypertensive heart disease without congestive heart failure (disorder)</a></p><p><b>Related Condition Absent Extension</b>: <span title=\"Codes:{http://snomed.info/sct 414916001}\">Obesity (disorder)</span></p><p><b>Related Condition Absent Extension</b>: <span title=\"Codes:{http://snomed.info/sct 19829001}\">Disorder of lung (disorder)</span></p><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category social-history}\">Social History</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 398192003}\">Co-morbid conditions (finding)</span></p><p><b>subject</b>: <a href=\"Patient-cancer-patient-jenny-m.html\">Jenny M Female, DoB: 1965-01-01 ( Medical Record Number: MRN1234 (use: usual, ))</a></p><p><b>focus</b>: <a href=\"Condition-primary-cancer-condition-jenny-m.html\">Condition Primary malignant neoplasm of female left breast (disorder)</a></p><p><b>effective</b>: 2018-03-16</p><p><b>performer</b>: <a href=\"Practitioner-us-core-practitioner-owen-oncologist.html\">Practitioner Owen Oncologist </a></p></div>" ] ; # fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition"^^xsd:anyURI ] ; fhir:value [ a fhir:Reference ; fhir:reference [ fhir:v "Condition/us-core-condition-depression-jenny-m" ] ] ] [ fhir:url [ fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition"^^xsd:anyURI ] ; fhir:value [ a fhir:Reference ; fhir:reference [ fhir:v "Condition/us-core-condition-anxiety-jenny-m" ] ] ] [ fhir:url [ fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition"^^xsd:anyURI ] ; fhir:value [ a fhir:Reference ; fhir:reference [ fhir:v "Condition/us-core-condition-hypertension-jenny-m" ] ] ] [ fhir:url [ fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition-absent"^^xsd:anyURI ] ; fhir:value [ a fhir:CodeableConcept ; ( fhir:coding [ a sct:414916001 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ; fhir:code [ fhir:v "414916001" ] ; fhir:display [ fhir:v "Obesity (disorder)" ] ] ) ] ] [ fhir:url [ fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition-absent"^^xsd:anyURI ] ; fhir:value [ a fhir:CodeableConcept ; ( fhir:coding [ a sct:19829001 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ; fhir:code [ fhir:v "19829001" ] ; fhir:display [ fhir:v "Disorder of lung (disorder)" ] ] ) ] ] ) ; # fhir:status [ fhir:v "final"] ; # fhir:category ( [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/observation-category"^^xsd:anyURI ] ; fhir:code [ fhir:v "social-history" ] ; fhir:display [ fhir:v "Social History" ] ] ) ] ) ; # fhir:code [ ( fhir:coding [ a sct:398192003 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ; fhir:code [ fhir:v "398192003" ] ] ) ] ; # fhir:subject [ fhir:reference [ fhir:v "Patient/cancer-patient-jenny-m" ] ] ; # fhir:focus ( [ fhir:reference [ fhir:v "Condition/primary-cancer-condition-jenny-m" ] ] ) ; # fhir:effective [ fhir:v "2018-03-16"^^xsd:date] ; # fhir:performer ( [ fhir:reference [ fhir:v "Practitioner/us-core-practitioner-owen-oncologist" ] ] ) . # <http://example.org/fhir/Procedure/radiotherapy-treatment-summary-chest-wall-jenny-m> a fhir:Procedure ; fhir:id [ fhir:v "radiotherapy-treatment-summary-chest-wall-jenny-m"] ; # fhir:meta [ ( fhir:profile [ fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-course-summary"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-course-summary> ] ) ] ; # fhir:text [ fhir:status [ fhir:v "extensions" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Procedure_radiotherapy-treatment-summary-chest-wall-jenny-m\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Procedure radiotherapy-treatment-summary-chest-wall-jenny-m</b></p><a name=\"radiotherapy-treatment-summary-chest-wall-jenny-m\"> </a><a name=\"hcradiotherapy-treatment-summary-chest-wall-jenny-m\"> </a><a name=\"radiotherapy-treatment-summary-chest-wall-jenny-m-en-US\"> </a><p><b>Radiotherapy Number of Sessions Extension</b>: 31</p><p><b>Procedure Intent Extension</b>: <span title=\"Codes:{http://snomed.info/sct 373808002}\">Curative - procedure intent</span></p><blockquote><p><b>Radiotherapy Modality And Technique Extension</b></p><ul><li>http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality: <span title=\"Codes:{http://snomed.info/sct 1156506007}\">External beam radiation therapy using photons (procedure)</span></li><li>http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-technique: <span title=\"Codes:{http://snomed.info/sct 1156530009}\">Volumetric Modulated Arc Therapy (procedure)</span></li></ul></blockquote><blockquote><p><b>Radiotherapy Modality And Technique Extension</b></p><ul><li>http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality: <span title=\"Codes:{http://snomed.info/sct 45643008}\">Teleradiotherapy using electrons</span></li><li>http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-technique: <span title=\"Codes:{http://snomed.info/sct 1162782007}\">Three dimensional external beam radiation therapy (procedure)</span></li></ul></blockquote><blockquote><p><b>Radiotherapy Dose Delivered To Volume Extension</b></p><ul><li>volume: <a href=\"BodyStructure-jenny-m-chest-wall-treatment-volume.html\">BodyStructure: identifier = 1.2.246.352…1 (use: usual, ); location = Chest wall structure (body structure); locationQualifier = Entire (qualifier value); description = Chest Wall</a></li><li>totalDoseDelivered: 6000 cGy<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codecGy = 'cGy')</span></li><li>fractionsDelivered: 30</li></ul></blockquote><blockquote><p><b>Radiotherapy Dose Delivered To Volume Extension</b></p><ul><li>volume: <a href=\"BodyStructure-jenny-m-chest-wall-lymph-nodes-treatment-volume.html\">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</a></li><li>totalDoseDelivered: 5000 cGy<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codecGy = 'cGy')</span></li><li>fractionsDelivered: 25</li></ul></blockquote><p><b>status</b>: Completed</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 1217123003}\">Radiotherapy course of treatment</span></p><p><b>subject</b>: <a href=\"Patient-cancer-patient-jenny-m.html\">Jenny M Female, DoB: 1965-01-01 ( Medical Record Number: MRN1234 (use: usual, ))</a></p><p><b>performed</b>: 2018-08-15 --> 2018-10-25</p><p><b>asserter</b>: <a href=\"Practitioner-us-core-practitioner-kyle-anydoc.html\">Practitioner Kyle Anydoc </a></p><p><b>reasonCode</b>: <span title=\"Codes:{http://hl7.org/fhir/sid/icd-10-cm C50.811}\">Malignant neoplasm of overlapping sites of right female breast</span></p><p><b>bodySite</b>: <span title=\"Codes:{http://snomed.info/sct 78904004}\">Chest Wall Structure (body structure)</span></p></div>" ] ; # fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-sessions"^^xsd:anyURI ] ; fhir:value [ fhir:v "31"^^xsd:nonNegativeInteger ] ] [ fhir:url [ fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-procedure-intent"^^xsd:anyURI ] ; fhir:value [ a fhir:CodeableConcept ; ( fhir:coding [ a sct:373808002 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ; fhir:code [ fhir:v "373808002" ] ; fhir:display [ fhir:v "Curative - procedure intent" ] ] ) ] ] [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality"^^xsd:anyURI ] ; fhir:value [ a fhir:CodeableConcept ; ( fhir:coding [ a sct:1156506007 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ; fhir:code [ fhir:v "1156506007" ] ; fhir:display [ fhir:v "External beam radiation therapy using photons (procedure)" ] ] ) ] ] [ fhir:url [ fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-technique"^^xsd:anyURI ] ; fhir:value [ a fhir:CodeableConcept ; ( fhir:coding [ a sct:1156530009 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ; fhir:code [ fhir:v "1156530009" ] ; fhir:display [ fhir:v "Volumetric Modulated Arc Therapy (procedure)" ] ] ) ] ] ) ; fhir:url [ fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality-and-technique"^^xsd:anyURI ] ] [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality"^^xsd:anyURI ] ; fhir:value [ a fhir:CodeableConcept ; ( fhir:coding [ a sct:45643008 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ; fhir:code [ fhir:v "45643008" ] ; fhir:display [ fhir:v "Teleradiotherapy using electrons" ] ] ) ] ] [ fhir:url [ fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-technique"^^xsd:anyURI ] ; fhir:value [ a fhir:CodeableConcept ; ( fhir:coding [ a sct:1162782007 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ; fhir:code [ fhir:v "1162782007" ] ; fhir:display [ fhir:v "Three dimensional external beam radiation therapy (procedure)" ] ] ) ] ] ) ; fhir:url [ fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality-and-technique"^^xsd:anyURI ] ] [ ( fhir:extension [ fhir:url [ fhir:v "volume"^^xsd:anyURI ] ; fhir:value [ a fhir:Reference ; fhir:reference [ fhir:v "BodyStructure/jenny-m-chest-wall-treatment-volume" ] ] ] [ fhir:url [ fhir:v "totalDoseDelivered"^^xsd:anyURI ] ; fhir:value [ a fhir:Quantity ; fhir:value [ fhir:v "6000"^^xsd:decimal ] ; fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "cGy" ] ] ] [ fhir:url [ fhir:v "fractionsDelivered"^^xsd:anyURI ] ; fhir:value [ fhir:v "30"^^xsd:nonNegativeInteger ] ] ) ; fhir:url [ fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-dose-delivered-to-volume"^^xsd:anyURI ] ] [ ( fhir:extension [ fhir:url [ fhir:v "volume"^^xsd:anyURI ] ; fhir:value [ a fhir:Reference ; fhir:reference [ fhir:v "BodyStructure/jenny-m-chest-wall-lymph-nodes-treatment-volume" ] ] ] [ fhir:url [ fhir:v "totalDoseDelivered"^^xsd:anyURI ] ; fhir:value [ a fhir:Quantity ; fhir:value [ fhir:v "5000"^^xsd:decimal ] ; fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "cGy" ] ] ] [ fhir:url [ fhir:v "fractionsDelivered"^^xsd:anyURI ] ; fhir:value [ fhir:v "25"^^xsd:nonNegativeInteger ] ] ) ; fhir:url [ fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-dose-delivered-to-volume"^^xsd:anyURI ] ] ) ; # fhir:status [ fhir:v "completed"] ; # fhir:code [ ( fhir:coding [ a sct:1217123003 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ; fhir:code [ fhir:v "1217123003" ] ] ) ] ; # fhir:subject [ fhir:reference [ fhir:v "Patient/cancer-patient-jenny-m" ] ] ; # fhir:performed [ a fhir:Period ; fhir:start [ fhir:v "2018-08-15"^^xsd:date ] ; fhir:end [ fhir:v "2018-10-25"^^xsd:date ] ] ; # fhir:asserter [ fhir:reference [ fhir:v "Practitioner/us-core-practitioner-kyle-anydoc" ] ] ; # fhir:reasonCode ( [ ( fhir:coding [ fhir:system [ fhir:v "http://hl7.org/fhir/sid/icd-10-cm"^^xsd:anyURI ] ; fhir:code [ fhir:v "C50.811" ] ; fhir:display [ fhir:v "Malignant neoplasm of overlapping sites of right female breast" ] ] ) ] ) ; # fhir:bodySite ( [ ( fhir:coding [ a sct:78904004 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ; fhir:code [ fhir:v "78904004" ] ; fhir:display [ fhir:v "Chest Wall Structure (body structure)" ] ] ) ] ) . # <http://example.org/fhir/Observation/tnm-clinical-stage-group-jenny-m> a fhir:Observation ; fhir:id [ fhir:v "tnm-clinical-stage-group-jenny-m"] ; # fhir:meta [ ( fhir:profile [ fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tnm-stage-group"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tnm-stage-group> ] ) ] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_tnm-clinical-stage-group-jenny-m\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation tnm-clinical-stage-group-jenny-m</b></p><a name=\"tnm-clinical-stage-group-jenny-m\"> </a><a name=\"hctnm-clinical-stage-group-jenny-m\"> </a><a name=\"tnm-clinical-stage-group-jenny-m-en-US\"> </a><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category imaging}\">Imaging</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 399537006}\">Clinical TNM stage grouping</span></p><p><b>subject</b>: <a href=\"Patient-cancer-patient-jenny-m.html\">Jenny M Female, DoB: 1965-01-01 ( Medical Record Number: MRN1234 (use: usual, ))</a></p><p><b>focus</b>: <a href=\"Condition-primary-cancer-condition-jenny-m.html\">Condition Primary malignant neoplasm of female left breast (disorder)</a></p><p><b>effective</b>: 2018-03-16</p><p><b>performer</b>: <a href=\"Practitioner-us-core-practitioner-owen-oncologist.html\">Practitioner Owen Oncologist </a></p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 1222769001}\">American Joint Committee on Cancer stage IIB (qualifier value)</span></p><p><b>method</b>: <span title=\"Codes:{http://snomed.info/sct 897275008}\">American Joint Commission on Cancer, Cancer Staging Manual, 8th edition neoplasm staging system (tumor staging)</span></p><p><b>hasMember</b>: </p><ul><li><a href=\"Observation-tnm-pathologic-primary-tumor-category-jenny-m.html\">Observation pT category</a></li><li><a href=\"Observation-tnm-pathologic-regional-nodes-category-jenny-m.html\">Observation pN category</a></li><li><a href=\"Observation-tnm-pathologic-distant-metastases-category-jenny-m.html\">Observation pM category</a></li></ul></div>" ] ; # fhir:status [ fhir:v "final"] ; # fhir:category ( [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/observation-category"^^xsd:anyURI ] ; fhir:code [ fhir:v "imaging" ] ; fhir:display [ fhir:v "Imaging" ] ] ) ] ) ; # fhir:code [ ( fhir:coding [ a sct:399537006 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ; fhir:code [ fhir:v "399537006" ] ; fhir:display [ fhir:v "Clinical TNM stage grouping" ] ] ) ] ; # fhir:subject [ fhir:reference [ fhir:v "Patient/cancer-patient-jenny-m" ] ] ; # fhir:focus ( [ fhir:reference [ fhir:v "Condition/primary-cancer-condition-jenny-m" ] ] ) ; # fhir:effective [ fhir:v "2018-03-16"^^xsd:date] ; # fhir:performer ( [ fhir:reference [ fhir:v "Practitioner/us-core-practitioner-owen-oncologist" ] ] ) ; # fhir:value [ a fhir:CodeableConcept ; ( fhir:coding [ a sct:1222769001 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ; fhir:code [ fhir:v "1222769001" ] ; fhir:display [ fhir:v "American Joint Committee on Cancer stage IIB (qualifier value)" ] ] ) ] ; # fhir:method [ ( fhir:coding [ a sct:897275008 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ; fhir:code [ fhir:v "897275008" ] ; fhir:display [ fhir:v "American Joint Commission on Cancer, Cancer Staging Manual, 8th edition neoplasm staging system (tumor staging)" ] ] ) ] ; # fhir:hasMember ( [ fhir:reference [ fhir:v "Observation/tnm-pathologic-primary-tumor-category-jenny-m" ] ] [ fhir:reference [ fhir:v "Observation/tnm-pathologic-regional-nodes-category-jenny-m" ] ] [ fhir:reference [ fhir:v "Observation/tnm-pathologic-distant-metastases-category-jenny-m" ] ] ) . # <http://example.org/fhir/Observation/tnm-clinical-primary-tumor-category-jenny-m> a fhir:Observation ; fhir:id [ fhir:v "tnm-clinical-primary-tumor-category-jenny-m"] ; # fhir:meta [ ( fhir:profile [ fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tnm-primary-tumor-category"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tnm-primary-tumor-category> ] ) ] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_tnm-clinical-primary-tumor-category-jenny-m\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation tnm-clinical-primary-tumor-category-jenny-m</b></p><a name=\"tnm-clinical-primary-tumor-category-jenny-m\"> </a><a name=\"hctnm-clinical-primary-tumor-category-jenny-m\"> </a><a name=\"tnm-clinical-primary-tumor-category-jenny-m-en-US\"> </a><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category imaging}\">Imaging</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 399504009}\">cT category</span></p><p><b>subject</b>: <a href=\"Patient-cancer-patient-jenny-m.html\">Jenny M Female, DoB: 1965-01-01 ( Medical Record Number: MRN1234 (use: usual, ))</a></p><p><b>effective</b>: 2018-03-16</p><p><b>performer</b>: <a href=\"Practitioner-us-core-practitioner-owen-oncologist.html\">Practitioner Owen Oncologist </a></p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 1228938002}\">American Joint Committee on Cancer cT3 (qualifier value)</span></p><p><b>method</b>: <span title=\"Codes:{http://snomed.info/sct 897275008}\">American Joint Commission on Cancer, Cancer Staging Manual, 8th edition neoplasm staging system (tumor staging)</span></p></div>" ] ; # fhir:status [ fhir:v "final"] ; # fhir:category ( [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/observation-category"^^xsd:anyURI ] ; fhir:code [ fhir:v "imaging" ] ; fhir:display [ fhir:v "Imaging" ] ] ) ] ) ; # fhir:code [ ( fhir:coding [ a sct:399504009 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ; fhir:code [ fhir:v "399504009" ] ; fhir:display [ fhir:v "cT category" ] ] ) ] ; # fhir:subject [ fhir:reference [ fhir:v "Patient/cancer-patient-jenny-m" ] ] ; # fhir:effective [ fhir:v "2018-03-16"^^xsd:date] ; # fhir:performer ( [ fhir:reference [ fhir:v "Practitioner/us-core-practitioner-owen-oncologist" ] ] ) ; # fhir:value [ a fhir:CodeableConcept ; ( fhir:coding [ a sct:1228938002 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ; fhir:code [ fhir:v "1228938002" ] ; fhir:display [ fhir:v "American Joint Committee on Cancer cT3 (qualifier value)" ] ] ) ] ; # fhir:method [ ( fhir:coding [ a sct:897275008 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ; fhir:code [ fhir:v "897275008" ] ; fhir:display [ fhir:v "American Joint Commission on Cancer, Cancer Staging Manual, 8th edition neoplasm staging system (tumor staging)" ] ] ) ] . # <http://example.org/fhir/Observation/tnm-clinical-regional-nodes-category-jenny-m> a fhir:Observation ; fhir:id [ fhir:v "tnm-clinical-regional-nodes-category-jenny-m"] ; # fhir:meta [ ( fhir:profile [ fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tnm-regional-nodes-category"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tnm-regional-nodes-category> ] ) ] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_tnm-clinical-regional-nodes-category-jenny-m\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation tnm-clinical-regional-nodes-category-jenny-m</b></p><a name=\"tnm-clinical-regional-nodes-category-jenny-m\"> </a><a name=\"hctnm-clinical-regional-nodes-category-jenny-m\"> </a><a name=\"tnm-clinical-regional-nodes-category-jenny-m-en-US\"> </a><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category imaging}\">Imaging</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 399534004}\">cN category</span></p><p><b>subject</b>: <a href=\"Patient-cancer-patient-jenny-m.html\">Jenny M Female, DoB: 1965-01-01 ( Medical Record Number: MRN1234 (use: usual, ))</a></p><p><b>effective</b>: 2018-03-16</p><p><b>performer</b>: <a href=\"Practitioner-us-core-practitioner-owen-oncologist.html\">Practitioner Owen Oncologist </a></p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 1229967007}\">American Joint Committee on Cancer cN0 (qualifier value)</span></p><p><b>method</b>: <span title=\"Codes:{http://snomed.info/sct 897275008}\">American Joint Commission on Cancer, Cancer Staging Manual, 8th edition neoplasm staging system (tumor staging)</span></p></div>" ] ; # fhir:status [ fhir:v "final"] ; # fhir:category ( [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/observation-category"^^xsd:anyURI ] ; fhir:code [ fhir:v "imaging" ] ; fhir:display [ fhir:v "Imaging" ] ] ) ] ) ; # fhir:code [ ( fhir:coding [ a sct:399534004 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ; fhir:code [ fhir:v "399534004" ] ; fhir:display [ fhir:v "cN category" ] ] ) ] ; # fhir:subject [ fhir:reference [ fhir:v "Patient/cancer-patient-jenny-m" ] ] ; # fhir:effective [ fhir:v "2018-03-16"^^xsd:date] ; # fhir:performer ( [ fhir:reference [ fhir:v "Practitioner/us-core-practitioner-owen-oncologist" ] ] ) ; # fhir:value [ a fhir:CodeableConcept ; ( fhir:coding [ a sct:1229967007 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ; fhir:code [ fhir:v "1229967007" ] ; fhir:display [ fhir:v "American Joint Committee on Cancer cN0 (qualifier value)" ] ] ) ] ; # fhir:method [ ( fhir:coding [ a sct:897275008 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ; fhir:code [ fhir:v "897275008" ] ; fhir:display [ fhir:v "American Joint Commission on Cancer, Cancer Staging Manual, 8th edition neoplasm staging system (tumor staging)" ] ] ) ] . # <http://example.org/fhir/Observation/tnm-clinical-distant-metastases-category-jenny-m> a fhir:Observation ; fhir:id [ fhir:v "tnm-clinical-distant-metastases-category-jenny-m"] ; # fhir:meta [ ( fhir:profile [ fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tnm-distant-metastases-category"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tnm-distant-metastases-category> ] ) ] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_tnm-clinical-distant-metastases-category-jenny-m\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation tnm-clinical-distant-metastases-category-jenny-m</b></p><a name=\"tnm-clinical-distant-metastases-category-jenny-m\"> </a><a name=\"hctnm-clinical-distant-metastases-category-jenny-m\"> </a><a name=\"tnm-clinical-distant-metastases-category-jenny-m-en-US\"> </a><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category imaging}\">Imaging</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 399387003}\">cM category</span></p><p><b>subject</b>: <a href=\"Patient-cancer-patient-jenny-m.html\">Jenny M Female, DoB: 1965-01-01 ( Medical Record Number: MRN1234 (use: usual, ))</a></p><p><b>effective</b>: 2018-03-16</p><p><b>performer</b>: <a href=\"Practitioner-us-core-practitioner-owen-oncologist.html\">Practitioner Owen Oncologist </a></p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 1229901006}\">American Joint Committee on Cancer cM0 (qualifier value)</span></p><p><b>method</b>: <span title=\"Codes:{http://snomed.info/sct 897275008}\">American Joint Commission on Cancer, Cancer Staging Manual, 8th edition neoplasm staging system (tumor staging)</span></p></div>" ] ; # fhir:status [ fhir:v "final"] ; # fhir:category ( [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/observation-category"^^xsd:anyURI ] ; fhir:code [ fhir:v "imaging" ] ; fhir:display [ fhir:v "Imaging" ] ] ) ] ) ; # fhir:code [ ( fhir:coding [ a sct:399387003 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ; fhir:code [ fhir:v "399387003" ] ; fhir:display [ fhir:v "cM category" ] ] ) ] ; # fhir:subject [ fhir:reference [ fhir:v "Patient/cancer-patient-jenny-m" ] ] ; # fhir:effective [ fhir:v "2018-03-16"^^xsd:date] ; # fhir:performer ( [ fhir:reference [ fhir:v "Practitioner/us-core-practitioner-owen-oncologist" ] ] ) ; # fhir:value [ a fhir:CodeableConcept ; ( fhir:coding [ a sct:1229901006 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ; fhir:code [ fhir:v "1229901006" ] ; fhir:display [ fhir:v "American Joint Committee on Cancer cM0 (qualifier value)" ] ] ) ] ; # fhir:method [ ( fhir:coding [ a sct:897275008 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ; fhir:code [ fhir:v "897275008" ] ; fhir:display [ fhir:v "American Joint Commission on Cancer, Cancer Staging Manual, 8th edition neoplasm staging system (tumor staging)" ] ] ) ] . # <http://example.org/fhir/Specimen/human-specimen-left-breast-jenny-m> a fhir:Specimen ; fhir:id [ fhir:v "human-specimen-left-breast-jenny-m"] ; # fhir:meta [ ( fhir:profile [ fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-human-specimen"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-human-specimen> ] ) ] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Specimen_human-specimen-left-breast-jenny-m\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Specimen human-specimen-left-breast-jenny-m</b></p><a name=\"human-specimen-left-breast-jenny-m\"> </a><a name=\"hchuman-specimen-left-breast-jenny-m\"> </a><a name=\"human-specimen-left-breast-jenny-m-en-US\"> </a><p><b>status</b>: Available</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v2-0487 TISS}\">Tissue</span></p><p><b>subject</b>: <a href=\"Patient-cancer-patient-jenny-m.html\">Jenny M Female, DoB: 1965-01-01 ( Medical Record Number: MRN1234 (use: usual, ))</a></p><h3>Collections</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Collector</b></td><td><b>BodySite</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Practitioner-us-core-practitioner-owen-oncologist.html\">Practitioner Owen Oncologist </a></td><td><span title=\"Codes:{http://snomed.info/sct 80248007}\">Left breast structure (body structure)</span></td></tr></table><h3>Processings</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Time[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>2018-03-06</td></tr></table></div>" ] ; # fhir:status [ fhir:v "available"] ; # fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0487"^^xsd:anyURI ] ; fhir:code [ fhir:v "TISS" ] ] ) ] ; # fhir:subject [ fhir:reference [ fhir:v "Patient/cancer-patient-jenny-m" ] ] ; # fhir:collection [ fhir:collector [ fhir:reference [ fhir:v "Practitioner/us-core-practitioner-owen-oncologist" ] ] ; fhir:bodySite [ ( fhir:coding [ a sct:80248007 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ; fhir:code [ fhir:v "80248007" ] ; fhir:display [ fhir:v "Left breast structure (body structure)" ] ] ) ] ] ; # fhir:processing ( [ fhir:time [ fhir:v "2018-03-06"^^xsd:date ] ] ) . # <http://example.org/fhir/Observation/genomic-region-studied-jenny-m> a fhir:Observation ; fhir:id [ fhir:v "genomic-region-studied-jenny-m"] ; # fhir:meta [ ( fhir:profile [ fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-genomic-region-studied"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-genomic-region-studied> ] ) ] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_genomic-region-studied-jenny-m\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation genomic-region-studied-jenny-m</b></p><a name=\"genomic-region-studied-jenny-m\"> </a><a name=\"hcgenomic-region-studied-jenny-m\"> </a><a name=\"genomic-region-studied-jenny-m-en-US\"> </a><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 53041-0}\">DNA region of interest panel</span></p><p><b>subject</b>: <a href=\"Patient-cancer-patient-jenny-m.html\">Jenny M Female, DoB: 1965-01-01 ( Medical Record Number: MRN1234 (use: usual, ))</a></p><p><b>effective</b>: 2018-03-15</p><p><b>issued</b>: 2018-03-15 00:00:01+0000</p><p><b>performer</b>: <a href=\"Practitioner-us-core-practitioner-owen-oncologist.html\">Practitioner Owen Oncologist </a></p><h3>Components</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td><td><b>Value[x]</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://loinc.org 48018-6}\">Gene studied [ID]</span></td><td><span title=\"Codes:{http://www.genenames.org 1100}, {http://www.genenames.org 1101}, {http://www.genenames.org 1748}, {http://www.genenames.org 26144}, {http://www.genenames.org 9588}, {http://www.genenames.org 11389}, {http://www.genenames.org 11998}\">BRCA1</span></td></tr></table></div>" ] ; # fhir:status [ fhir:v "final"] ; # fhir:category ( [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/observation-category"^^xsd:anyURI ] ; fhir:code [ fhir:v "laboratory" ] ] ) ] ) ; # fhir:code [ ( fhir:coding [ a loinc:53041-0 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "53041-0" ] ; fhir:display [ fhir:v "DNA region of interest panel" ] ] ) ] ; # fhir:subject [ fhir:reference [ fhir:v "Patient/cancer-patient-jenny-m" ] ] ; # fhir:effective [ fhir:v "2018-03-15"^^xsd:date] ; # fhir:issued [ fhir:v "2018-03-15T00:00:01+00:00"^^xsd:dateTime] ; # fhir:performer ( [ fhir:reference [ fhir:v "Practitioner/us-core-practitioner-owen-oncologist" ] ] ) ; # fhir:component ( [ fhir:code [ ( fhir:coding [ a loinc:48018-6 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "48018-6" ] ; fhir:display [ fhir:v "Gene studied [ID]" ] ] ) ] ; fhir:value [ a fhir:CodeableConcept ; ( fhir:coding [ fhir:system [ fhir:v "http://www.genenames.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "1100" ] ; fhir:display [ fhir:v "BRCA1" ] ] [ fhir:system [ fhir:v "http://www.genenames.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "1101" ] ; fhir:display [ fhir:v "BRCA2" ] ] [ fhir:system [ fhir:v "http://www.genenames.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "1748" ] ; fhir:display [ fhir:v "CDH1" ] ] [ fhir:system [ fhir:v "http://www.genenames.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "26144" ] ; fhir:display [ fhir:v "PALB2" ] ] [ fhir:system [ fhir:v "http://www.genenames.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "9588" ] ; fhir:display [ fhir:v "PTEN" ] ] [ fhir:system [ fhir:v "http://www.genenames.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "11389" ] ; fhir:display [ fhir:v "STK11" ] ] [ fhir:system [ fhir:v "http://www.genenames.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "11998" ] ; fhir:display [ fhir:v "TP53" ] ] ) ] ] ) . # <http://example.org/fhir/Observation/ecog-performance-status-jenny-m> a fhir:Observation ; fhir:id [ fhir:v "ecog-performance-status-jenny-m"] ; # fhir:meta [ ( fhir:profile [ fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-ecog-performance-status"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-ecog-performance-status> ] ) ] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_ecog-performance-status-jenny-m\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation ecog-performance-status-jenny-m</b></p><a name=\"ecog-performance-status-jenny-m\"> </a><a name=\"hcecog-performance-status-jenny-m\"> </a><a name=\"ecog-performance-status-jenny-m-en-US\"> </a><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category survey}\">Survey</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 89247-1}\">ECOG Performance Status score</span></p><p><b>subject</b>: <a href=\"Patient-cancer-patient-jenny-m.html\">Jenny M Female, DoB: 1965-01-01 ( Medical Record Number: MRN1234 (use: usual, ))</a></p><p><b>effective</b>: 2018-04-12</p><p><b>performer</b>: <a href=\"Practitioner-us-core-practitioner-owen-oncologist.html\">Practitioner Owen Oncologist </a></p><p><b>value</b>: 0</p><p><b>interpretation</b>: <span title=\"Codes:{http://loinc.org LA9622-7}\">Fully active, able to carry on all pre-disease performance without restriction</span></p><p><b>method</b>: <span title=\"Codes:{http://snomed.info/sct 5880005}\">Physical examination procedure (procedure)</span></p></div>" ] ; # fhir:status [ fhir:v "final"] ; # fhir:category ( [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/observation-category"^^xsd:anyURI ] ; fhir:code [ fhir:v "survey" ] ; fhir:display [ fhir:v "Survey" ] ] ) ] ) ; # fhir:code [ ( fhir:coding [ a loinc:89247-1 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "89247-1" ] ] ) ] ; # fhir:subject [ fhir:reference [ fhir:v "Patient/cancer-patient-jenny-m" ] ] ; # fhir:effective [ fhir:v "2018-04-12"^^xsd:date] ; # fhir:performer ( [ fhir:reference [ fhir:v "Practitioner/us-core-practitioner-owen-oncologist" ] ] ) ; # fhir:value [ fhir:v "0"^^xsd:integer] ; # fhir:interpretation ( [ ( fhir:coding [ a loinc:LA9622-7 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "LA9622-7" ] ; fhir:display [ fhir:v "Fully active, able to carry on all pre-disease performance without restriction" ] ] ) ] ) ; # fhir:method [ ( fhir:coding [ a sct:5880005 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ; fhir:code [ fhir:v "5880005" ] ; fhir:display [ fhir:v "Physical examination procedure (procedure)" ] ] ) ] . # <http://example.org/fhir/Observation/tumor-marker-test-er-jenny-m> a fhir:Observation ; fhir:id [ fhir:v "tumor-marker-test-er-jenny-m"] ; # fhir:meta [ ( fhir:profile [ fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tumor-marker-test"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tumor-marker-test> ] ) ] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_tumor-marker-test-er-jenny-m\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation tumor-marker-test-er-jenny-m</b></p><a name=\"tumor-marker-test-er-jenny-m\"> </a><a name=\"hctumor-marker-test-er-jenny-m\"> </a><a name=\"tumor-marker-test-er-jenny-m-en-US\"> </a><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 85337-4}\">Estrogen receptor Ag [Presence] in Breast cancer specimen by Immune stain</span></p><p><b>subject</b>: <a href=\"Patient-cancer-patient-jenny-m.html\">Jenny M Female, DoB: 1965-01-01 ( Medical Record Number: MRN1234 (use: usual, ))</a></p><p><b>effective</b>: 2018-03-10</p><p><b>performer</b>: <a href=\"Practitioner-us-core-practitioner-owen-oncologist.html\">Practitioner Owen Oncologist </a></p><p><b>value</b>: <span title=\"Codes:{http://loinc.org LA6576-8}\">Positive</span></p></div>" ] ; # fhir:status [ fhir:v "final"] ; # fhir:category ( [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/observation-category"^^xsd:anyURI ] ; fhir:code [ fhir:v "laboratory" ] ] ) ] ) ; # fhir:code [ ( fhir:coding [ a loinc:85337-4 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "85337-4" ] ; fhir:display [ fhir:v "Estrogen receptor Ag [Presence] in Breast cancer specimen by Immune stain" ] ] ) ] ; # fhir:subject [ fhir:reference [ fhir:v "Patient/cancer-patient-jenny-m" ] ] ; # fhir:effective [ fhir:v "2018-03-10"^^xsd:date] ; # fhir:performer ( [ fhir:reference [ fhir:v "Practitioner/us-core-practitioner-owen-oncologist" ] ] ) ; # fhir:value [ a fhir:CodeableConcept ; ( fhir:coding [ a loinc:LA6576-8 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "LA6576-8" ] ; fhir:display [ fhir:v "Positive" ] ] ) ] . # <http://example.org/fhir/Observation/tumor-marker-test-pr-jenny-m> a fhir:Observation ; fhir:id [ fhir:v "tumor-marker-test-pr-jenny-m"] ; # fhir:meta [ ( fhir:profile [ fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tumor-marker-test"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tumor-marker-test> ] ) ] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_tumor-marker-test-pr-jenny-m\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation tumor-marker-test-pr-jenny-m</b></p><a name=\"tumor-marker-test-pr-jenny-m\"> </a><a name=\"hctumor-marker-test-pr-jenny-m\"> </a><a name=\"tumor-marker-test-pr-jenny-m-en-US\"> </a><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 85339-0}\">Progesterone receptor Ag [Presence] in Breast cancer specimen by Immune stain</span></p><p><b>subject</b>: <a href=\"Patient-cancer-patient-jenny-m.html\">Jenny M Female, DoB: 1965-01-01 ( Medical Record Number: MRN1234 (use: usual, ))</a></p><p><b>effective</b>: 2018-03-10</p><p><b>performer</b>: <a href=\"Practitioner-us-core-practitioner-owen-oncologist.html\">Practitioner Owen Oncologist </a></p><p><b>value</b>: <span title=\"Codes:{http://loinc.org LA6577-6}\">Negative</span></p></div>" ] ; # fhir:status [ fhir:v "final"] ; # fhir:category ( [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/observation-category"^^xsd:anyURI ] ; fhir:code [ fhir:v "laboratory" ] ] ) ] ) ; # fhir:code [ ( fhir:coding [ a loinc:85339-0 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "85339-0" ] ; fhir:display [ fhir:v "Progesterone receptor Ag [Presence] in Breast cancer specimen by Immune stain" ] ] ) ] ; # fhir:subject [ fhir:reference [ fhir:v "Patient/cancer-patient-jenny-m" ] ] ; # fhir:effective [ fhir:v "2018-03-10"^^xsd:date] ; # fhir:performer ( [ fhir:reference [ fhir:v "Practitioner/us-core-practitioner-owen-oncologist" ] ] ) ; # fhir:value [ a fhir:CodeableConcept ; ( fhir:coding [ a loinc:LA6577-6 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "LA6577-6" ] ; fhir:display [ fhir:v "Negative" ] ] ) ] . # <http://example.org/fhir/Observation/tumor-marker-test-her2-jenny-m> a fhir:Observation ; fhir:id [ fhir:v "tumor-marker-test-her2-jenny-m"] ; # fhir:meta [ ( fhir:profile [ fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tumor-marker-test"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tumor-marker-test> ] ) ] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_tumor-marker-test-her2-jenny-m\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation tumor-marker-test-her2-jenny-m</b></p><a name=\"tumor-marker-test-her2-jenny-m\"> </a><a name=\"hctumor-marker-test-her2-jenny-m\"> </a><a name=\"tumor-marker-test-her2-jenny-m-en-US\"> </a><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 48676-1}\">HER2 [Interpretation] in Tissue</span></p><p><b>subject</b>: <a href=\"Patient-cancer-patient-jenny-m.html\">Jenny M Female, DoB: 1965-01-01 ( Medical Record Number: MRN1234 (use: usual, ))</a></p><p><b>effective</b>: 2018-03-10</p><p><b>performer</b>: <a href=\"Practitioner-us-core-practitioner-owen-oncologist.html\">Practitioner Owen Oncologist </a></p><p><b>value</b>: <span title=\"Codes:{http://loinc.org LA6577-6}\">Negative</span></p></div>" ] ; # fhir:status [ fhir:v "final"] ; # fhir:category ( [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/observation-category"^^xsd:anyURI ] ; fhir:code [ fhir:v "laboratory" ] ] ) ] ) ; # fhir:code [ ( fhir:coding [ a loinc:48676-1 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "48676-1" ] ; fhir:display [ fhir:v "HER2 [Interpretation] in Tissue" ] ] ) ] ; # fhir:subject [ fhir:reference [ fhir:v "Patient/cancer-patient-jenny-m" ] ] ; # fhir:effective [ fhir:v "2018-03-10"^^xsd:date] ; # fhir:performer ( [ fhir:reference [ fhir:v "Practitioner/us-core-practitioner-owen-oncologist" ] ] ) ; # fhir:value [ a fhir:CodeableConcept ; ( fhir:coding [ a loinc:LA6577-6 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "LA6577-6" ] ; fhir:display [ fhir:v "Negative" ] ] ) ] . # <http://example.org/fhir/Observation/tumor-marker-test-oncotype-dx-jenny-m> a fhir:Observation ; fhir:id [ fhir:v "tumor-marker-test-oncotype-dx-jenny-m"] ; # fhir:meta [ ( fhir:profile [ fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tumor-marker-test"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tumor-marker-test> ] ) ] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_tumor-marker-test-oncotype-dx-jenny-m\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation tumor-marker-test-oncotype-dx-jenny-m</b></p><a name=\"tumor-marker-test-oncotype-dx-jenny-m\"> </a><a name=\"hctumor-marker-test-oncotype-dx-jenny-m\"> </a><a name=\"tumor-marker-test-oncotype-dx-jenny-m-en-US\"> </a><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes:{http://www.ncbi.nlm.nih.gov/gtr 509910}\">Oncotype DX Breast Recurrence Score Assay</span></p><p><b>subject</b>: <a href=\"Patient-cancer-patient-jenny-m.html\">Jenny M Female, DoB: 1965-01-01 ( Medical Record Number: MRN1234 (use: usual, ))</a></p><p><b>effective</b>: 2018-04-12</p><p><b>performer</b>: <a href=\"Organization-us-core-organization-bedrock-medicine.html\">Organization Bedrock Medicine</a></p><p><b>value</b>: 47 Recurrence score<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code1 = '1')</span></p><p><b>interpretation</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation H}\">High</span></p></div>" ] ; # fhir:status [ fhir:v "final"] ; # fhir:category ( [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/observation-category"^^xsd:anyURI ] ; fhir:code [ fhir:v "laboratory" ] ] ) ] ) ; # fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "http://www.ncbi.nlm.nih.gov/gtr"^^xsd:anyURI ] ; fhir:code [ fhir:v "509910" ] ; fhir:display [ fhir:v "Oncotype DX Breast Recurrence Score Assay" ] ] ) ; fhir:text [ fhir:v "Oncotype DX Breast Recurrence Score Assay" ] ] ; # fhir:subject [ fhir:reference [ fhir:v "Patient/cancer-patient-jenny-m" ] ] ; # fhir:effective [ fhir:v "2018-04-12"^^xsd:date] ; # fhir:performer ( [ fhir:reference [ fhir:v "Organization/us-core-organization-bedrock-medicine" ] ] ) ; # fhir:value [ a fhir:Quantity ; fhir:value [ fhir:v "47"^^xsd:decimal ] ; fhir:unit [ fhir:v "Recurrence score" ] ; fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "1" ] ] ; # fhir:interpretation ( [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"^^xsd:anyURI ] ; fhir:code [ fhir:v "H" ] ; fhir:display [ fhir:v "High" ] ] ) ] ) . # <http://example.org/fhir/Observation/tumor-size-jenny-m> a fhir:Observation ; fhir:id [ fhir:v "tumor-size-jenny-m"] ; # fhir:meta [ ( fhir:profile [ fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tumor-size"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tumor-size> ] ) ] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_tumor-size-jenny-m\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation tumor-size-jenny-m</b></p><a name=\"tumor-size-jenny-m\"> </a><a name=\"hctumor-size-jenny-m\"> </a><a name=\"tumor-size-jenny-m-en-US\"> </a><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 21889-1}\">Size Tumor</span></p><p><b>subject</b>: <a href=\"Patient-cancer-patient-jenny-m.html\">Jenny M Female, DoB: 1965-01-01 ( Medical Record Number: MRN1234 (use: usual, ))</a></p><p><b>effective</b>: 2018-04-01 00:00:00+0000</p><p><b>performer</b>: <a href=\"Practitioner-us-core-practitioner-owen-oncologist.html\">Practitioner Owen Oncologist </a></p><p><b>method</b>: <span title=\"Codes:{http://snomed.info/sct 787377000}\">Gross examination and sampling of tissue specimen (procedure)</span></p><p><b>specimen</b>: <a href=\"Specimen-tumor-specimen-left-breast-jenny-m.html\">Specimen: identifier = BodyStructure (use: usual, ); status = available; type = Tumor; receivedTime = 2018-04-01</a></p><h3>Components</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td><td><b>Value[x]</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://loinc.org 33728-7}\">Size.maximum dimension in Tumor</span></td><td>2.5 centimeters<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codecm = 'cm')</span></td></tr></table></div>" ] ; # fhir:status [ fhir:v "final"] ; # fhir:category ( [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/observation-category"^^xsd:anyURI ] ; fhir:code [ fhir:v "laboratory" ] ] ) ] ) ; # fhir:code [ ( fhir:coding [ a loinc:21889-1 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "21889-1" ] ; fhir:display [ fhir:v "Size Tumor" ] ] ) ] ; # fhir:subject [ fhir:reference [ fhir:v "Patient/cancer-patient-jenny-m" ] ] ; # fhir:effective [ fhir:v "2018-04-01T00:00:00Z"^^xsd:dateTime] ; # fhir:performer ( [ fhir:reference [ fhir:v "Practitioner/us-core-practitioner-owen-oncologist" ] ] ) ; # fhir:method [ ( fhir:coding [ a sct:787377000 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ; fhir:code [ fhir:v "787377000" ] ; fhir:display [ fhir:v "Gross examination and sampling of tissue specimen (procedure)" ] ] ) ] ; # fhir:specimen [ fhir:reference [ fhir:v "Specimen/tumor-specimen-left-breast-jenny-m" ] ] ; # fhir:component ( [ fhir:code [ ( fhir:coding [ a loinc:33728-7 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "33728-7" ] ] ) ] ; fhir:value [ a fhir:Quantity ; fhir:value [ fhir:v "2.5"^^xsd:decimal ] ; fhir:unit [ fhir:v "centimeters" ] ; fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "cm" ] ] ] ) . # <http://example.org/fhir/Procedure/us-core-procedure-biopsy-jenny-m> a fhir:Procedure ; fhir:id [ fhir:v "us-core-procedure-biopsy-jenny-m"] ; # fhir:meta [ ( fhir:profile [ fhir:v "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure> ] ) ] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Procedure_us-core-procedure-biopsy-jenny-m\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Procedure us-core-procedure-biopsy-jenny-m</b></p><a name=\"us-core-procedure-biopsy-jenny-m\"> </a><a name=\"hcus-core-procedure-biopsy-jenny-m\"> </a><a name=\"us-core-procedure-biopsy-jenny-m-en-US\"> </a><p><b>status</b>: Completed</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 723990008}\">Biopsy of breast using ultrasonographic guidance (procedure)</span></p><p><b>subject</b>: <a href=\"Patient-cancer-patient-jenny-m.html\">Jenny M Female, DoB: 1965-01-01 ( Medical Record Number: MRN1234 (use: usual, ))</a></p><p><b>performed</b>: 2018-03-06</p><p><b>asserter</b>: <a href=\"Practitioner-us-core-practitioner-mary-obgyn.html\">Practitioner Mary Obgyn </a></p><h3>Performers</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Actor</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Practitioner-us-core-practitioner-mary-obgyn.html\">Practitioner Mary Obgyn </a></td></tr></table><p><b>reasonReference</b>: <a href=\"Condition-primary-cancer-condition-jenny-m.html\">Condition Primary malignant neoplasm of female left breast (disorder)</a></p><p><b>bodySite</b>: <span title=\"Codes:{http://snomed.info/sct 80248007}\">Left breast structure (body structure)</span></p></div>" ] ; # fhir:status [ fhir:v "completed"] ; # fhir:code [ ( fhir:coding [ a sct:723990008 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ; fhir:code [ fhir:v "723990008" ] ; fhir:display [ fhir:v "Biopsy of breast using ultrasonographic guidance (procedure)" ] ] ) ] ; # fhir:subject [ fhir:reference [ fhir:v "Patient/cancer-patient-jenny-m" ] ] ; # fhir:performed [ fhir:v "2018-03-06"^^xsd:date] ; # fhir:asserter [ fhir:reference [ fhir:v "Practitioner/us-core-practitioner-mary-obgyn" ] ] ; # fhir:performer ( [ fhir:actor [ fhir:reference [ fhir:v "Practitioner/us-core-practitioner-mary-obgyn" ] ] ] ) ; # fhir:reasonReference ( [ fhir:reference [ fhir:v "Condition/primary-cancer-condition-jenny-m" ] ] ) ; # fhir:bodySite ( [ ( fhir:coding [ a sct:80248007 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ; fhir:code [ fhir:v "80248007" ] ; fhir:display [ fhir:v "Left breast structure (body structure)" ] ] ) ] ) . # <http://example.org/fhir/Observation/bodyweight-jenny-m-2018-03-16> a fhir:Observation ; fhir:id [ fhir:v "bodyweight-jenny-m-2018-03-16"] ; # fhir:meta [ ( fhir:profile [ fhir:v "http://hl7.org/fhir/StructureDefinition/bodyweight"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/bodyweight> ] ) ] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_bodyweight-jenny-m-2018-03-16\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation bodyweight-jenny-m-2018-03-16</b></p><a name=\"bodyweight-jenny-m-2018-03-16\"> </a><a name=\"hcbodyweight-jenny-m-2018-03-16\"> </a><a name=\"bodyweight-jenny-m-2018-03-16-en-US\"> </a><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category vital-signs}\">Vital Signs</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 29463-7}\">Body weight</span></p><p><b>subject</b>: <a href=\"Patient-cancer-patient-jenny-m.html\">Jenny M Female, DoB: 1965-01-01 ( Medical Record Number: MRN1234 (use: usual, ))</a></p><p><b>effective</b>: 2018-03-06</p><p><b>performer</b>: <a href=\"Practitioner-us-core-practitioner-owen-oncologist.html\">Practitioner Owen Oncologist </a></p><p><b>value</b>: 155 lb<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code[lb_av] = '[lb_av]')</span></p></div>" ] ; # fhir:status [ fhir:v "final"] ; # fhir:category ( [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/observation-category"^^xsd:anyURI ] ; fhir:code [ fhir:v "vital-signs" ] ] ) ] ) ; # fhir:code [ ( fhir:coding [ a loinc:29463-7 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "29463-7" ] ] ) ] ; # fhir:subject [ fhir:reference [ fhir:v "Patient/cancer-patient-jenny-m" ] ] ; # fhir:effective [ fhir:v "2018-03-06"^^xsd:date] ; # fhir:performer ( [ fhir:reference [ fhir:v "Practitioner/us-core-practitioner-owen-oncologist" ] ] ) ; # fhir:value [ a fhir:Quantity ; fhir:value [ fhir:v "155"^^xsd:decimal ] ; fhir:unit [ fhir:v "lb" ] ; fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "[lb_av]" ] ] . # <http://example.org/fhir/Observation/us-core-observation-lab-neutrophils-jenny-m> a fhir:Observation ; fhir:id [ fhir:v "us-core-observation-lab-neutrophils-jenny-m"] ; # fhir:meta [ ( fhir:profile [ fhir:v "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab> ] ) ] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_us-core-observation-lab-neutrophils-jenny-m\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation us-core-observation-lab-neutrophils-jenny-m</b></p><a name=\"us-core-observation-lab-neutrophils-jenny-m\"> </a><a name=\"hcus-core-observation-lab-neutrophils-jenny-m\"> </a><a name=\"us-core-observation-lab-neutrophils-jenny-m-en-US\"> </a><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 26499-4}\">Neutrophils [#/volume] in Blood</span></p><p><b>subject</b>: <a href=\"Patient-cancer-patient-jenny-m.html\">Jenny M Female, DoB: 1965-01-01 ( Medical Record Number: MRN1234 (use: usual, ))</a></p><p><b>effective</b>: 2018-05-20 00:00:00+0000</p><p><b>performer</b>: <a href=\"Practitioner-us-core-practitioner-owen-oncologist.html\">Practitioner Owen Oncologist </a></p><p><b>value</b>: 3000 10*3/uL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code10*3/uL = '10*3/uL')</span></p><h3>ReferenceRanges</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Low</b></td><td><b>High</b></td><td><b>Type</b></td></tr><tr><td style=\"display: none\">*</td><td>2500 10*3/uL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code10*3/uL = '10*3/uL')</span></td><td>5000 10*3/uL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code10*3/uL = '10*3/uL')</span></td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/referencerange-meaning normal}\">Normal Range</span></td></tr></table></div>" ] ; # fhir:status [ fhir:v "final"] ; # fhir:category ( [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/observation-category"^^xsd:anyURI ] ; fhir:code [ fhir:v "laboratory" ] ] ) ] ) ; # fhir:code [ ( fhir:coding [ a loinc:26499-4 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "26499-4" ] ; fhir:display [ fhir:v "Neutrophils [#/volume] in Blood" ] ] ) ] ; # fhir:subject [ fhir:reference [ fhir:v "Patient/cancer-patient-jenny-m" ] ] ; # fhir:effective [ fhir:v "2018-05-20T00:00:00Z"^^xsd:dateTime] ; # fhir:performer ( [ fhir:reference [ fhir:v "Practitioner/us-core-practitioner-owen-oncologist" ] ] ) ; # fhir:value [ a fhir:Quantity ; fhir:value [ fhir:v "3000"^^xsd:decimal ] ; fhir:unit [ fhir:v "10*3/uL" ] ; fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "10*3/uL" ] ] ; # fhir:referenceRange ( [ fhir:low [ fhir:value [ fhir:v "2500"^^xsd:decimal ] ; fhir:unit [ fhir:v "10*3/uL" ] ; fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "10*3/uL" ] ] ; fhir:high [ fhir:value [ fhir:v "5000"^^xsd:decimal ] ; fhir:unit [ fhir:v "10*3/uL" ] ; fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "10*3/uL" ] ] ; fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/referencerange-meaning"^^xsd:anyURI ] ; fhir:code [ fhir:v "normal" ] ; fhir:display [ fhir:v "Normal Range" ] ] ) ] ] ) . # <http://example.org/fhir/Organization/us-core-organization-physician-services-inc> a fhir:Organization ; fhir:id [ fhir:v "us-core-organization-physician-services-inc"] ; # fhir:meta [ ( fhir:profile [ fhir:v "http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization> ] ) ] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_us-core-organization-physician-services-inc\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization us-core-organization-physician-services-inc</b></p><a name=\"us-core-organization-physician-services-inc\"> </a><a name=\"hcus-core-organization-physician-services-inc\"> </a><a name=\"us-core-organization-physician-services-inc-en-US\"> </a><p><b>active</b>: true</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/organization-type prov}\">Healthcare Provider</span></p><p><b>name</b>: Physician Services, Inc.</p><p><b>telecom</b>: ph: 999-999-9999(Work)</p><p><b>address</b>: 123 Corporate Drive Anytown MA 12345 US </p></div>" ] ; # fhir:active [ fhir:v "true"^^xsd:boolean] ; # fhir:type ( [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/organization-type"^^xsd:anyURI ] ; fhir:code [ fhir:v "prov" ] ; fhir:display [ fhir:v "Healthcare Provider" ] ] ) ] ) ; # fhir:name [ fhir:v "Physician Services, Inc."] ; # fhir:telecom ( [ fhir:system [ fhir:v "phone" ] ; fhir:value [ fhir:v "999-999-9999" ] ; fhir:use [ fhir:v "work" ] ] ) ; # fhir:address ( [ ( fhir:line [ fhir:v "123 Corporate Drive" ] ) ; fhir:city [ fhir:v "Anytown" ] ; fhir:state [ fhir:v "MA" ] ; fhir:postalCode [ fhir:v "12345" ] ; fhir:country [ fhir:v "US" ] ] ) . # <http://example.org/fhir/Observation/us-core-smokingstatus-jenny-m> a fhir:Observation ; fhir:id [ fhir:v "us-core-smokingstatus-jenny-m"] ; # fhir:meta [ ( fhir:profile [ fhir:v "http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus> ] ) ] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_us-core-smokingstatus-jenny-m\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation us-core-smokingstatus-jenny-m</b></p><a name=\"us-core-smokingstatus-jenny-m\"> </a><a name=\"hcus-core-smokingstatus-jenny-m\"> </a><a name=\"us-core-smokingstatus-jenny-m-en-US\"> </a><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category social-history}\">Social History</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 72166-2}\">Tobacco smoking status</span></p><p><b>subject</b>: <a href=\"Patient-cancer-patient-jenny-m.html\">Jenny M Female, DoB: 1965-01-01 ( Medical Record Number: MRN1234 (use: usual, ))</a></p><p><b>effective</b>: 2018-03-16</p><p><b>issued</b>: 2018-03-16 00:00:00+0000</p><p><b>performer</b>: <a href=\"Practitioner-us-core-practitioner-owen-oncologist.html\">Practitioner Owen Oncologist </a></p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 449868002}\">Smokes tobacco daily (finding)</span></p></div>" ] ; # fhir:status [ fhir:v "final"] ; # fhir:category ( [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/observation-category"^^xsd:anyURI ] ; fhir:code [ fhir:v "social-history" ] ] ) ] ) ; # fhir:code [ ( fhir:coding [ a loinc:72166-2 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "72166-2" ] ; fhir:display [ fhir:v "Tobacco smoking status" ] ] ) ] ; # fhir:subject [ fhir:reference [ fhir:v "Patient/cancer-patient-jenny-m" ] ] ; # fhir:effective [ fhir:v "2018-03-16"^^xsd:date] ; # fhir:issued [ fhir:v "2018-03-16T00:00:00Z"^^xsd:dateTime] ; # fhir:performer ( [ fhir:reference [ fhir:v "Practitioner/us-core-practitioner-owen-oncologist" ] ] ) ; # fhir:value [ a fhir:CodeableConcept ; ( fhir:coding [ a sct:449868002 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ; fhir:code [ fhir:v "449868002" ] ; fhir:display [ fhir:v "Smokes tobacco daily (finding)" ] ] ) ] . # <http://example.org/fhir/Procedure/us-core-procedure-mammogram-jenny-m> a fhir:Procedure ; fhir:id [ fhir:v "us-core-procedure-mammogram-jenny-m"] ; # fhir:meta [ ( fhir:profile [ fhir:v "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure> ] ) ] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Procedure_us-core-procedure-mammogram-jenny-m\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Procedure us-core-procedure-mammogram-jenny-m</b></p><a name=\"us-core-procedure-mammogram-jenny-m\"> </a><a name=\"hcus-core-procedure-mammogram-jenny-m\"> </a><a name=\"us-core-procedure-mammogram-jenny-m-en-US\"> </a><p><b>status</b>: Completed</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 71651007}\">Mammography (procedure)</span></p><p><b>subject</b>: <a href=\"Patient-cancer-patient-jenny-m.html\">Jenny M Female, DoB: 1965-01-01 ( Medical Record Number: MRN1234 (use: usual, ))</a></p><p><b>performed</b>: 2018-02-01</p><p><b>asserter</b>: <a href=\"Practitioner-us-core-practitioner-mary-obgyn.html\">Practitioner Mary Obgyn </a></p><h3>Performers</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Actor</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Practitioner-us-core-practitioner-jane-radiotech.html\">Practitioner Jane Radiologist </a></td></tr></table><p><b>reasonCode</b>: <span title=\"Codes:{http://snomed.info/sct 360156006}\">Screening - procedure intent (qualifier value)</span></p></div>" ] ; # fhir:status [ fhir:v "completed"] ; # fhir:code [ ( fhir:coding [ a sct:71651007 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ; fhir:code [ fhir:v "71651007" ] ; fhir:display [ fhir:v "Mammography (procedure)" ] ] ) ] ; # fhir:subject [ fhir:reference [ fhir:v "Patient/cancer-patient-jenny-m" ] ] ; # fhir:performed [ fhir:v "2018-02-01"^^xsd:date] ; # fhir:asserter [ fhir:reference [ fhir:v "Practitioner/us-core-practitioner-mary-obgyn" ] ] ; # fhir:performer ( [ fhir:actor [ fhir:reference [ fhir:v "Practitioner/us-core-practitioner-jane-radiotech" ] ] ] ) ; # fhir:reasonCode ( [ ( fhir:coding [ a sct:360156006 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ; fhir:code [ fhir:v "360156006" ] ; fhir:display [ fhir:v "Screening - procedure intent (qualifier value)" ] ] ) ] ) . # <http://example.org/fhir/FamilyMemberHistory/family-member-history-aunt-jenny-m> a fhir:FamilyMemberHistory ; fhir:id [ fhir:v "family-member-history-aunt-jenny-m"] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"FamilyMemberHistory_family-member-history-aunt-jenny-m\"> </a><p class=\"res-header-id\"><b>Generated Narrative: FamilyMemberHistory family-member-history-aunt-jenny-m</b></p><a name=\"family-member-history-aunt-jenny-m\"> </a><a name=\"hcfamily-member-history-aunt-jenny-m\"> </a><a name=\"family-member-history-aunt-jenny-m-en-US\"> </a><p><b>status</b>: Completed</p><p><b>patient</b>: <a href=\"Patient-cancer-patient-jenny-m.html\">Jenny M Female, DoB: 1965-01-01 ( Medical Record Number: MRN1234 (use: usual, ))</a></p><p><b>relationship</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-RoleCode MAUNT}\">maternal aunt</span></p><h3>Conditions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td><td><b>Onset[x]</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://snomed.info/sct 363443007}\">Malignant tumor of ovary (disorder)</span></td><td>69 a<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codea = 'a')</span></td></tr></table></div>" ] ; # fhir:status [ fhir:v "completed"] ; # fhir:patient [ fhir:reference [ fhir:v "Patient/cancer-patient-jenny-m" ] ] ; # fhir:relationship [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-RoleCode"^^xsd:anyURI ] ; fhir:code [ fhir:v "MAUNT" ] ; fhir:display [ fhir:v "maternal aunt" ] ] ) ] ; # fhir:condition ( [ fhir:code [ ( fhir:coding [ a sct:363443007 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ; fhir:code [ fhir:v "363443007" ] ; fhir:display [ fhir:v "Malignant tumor of ovary (disorder)" ] ] ) ] ; fhir:onset [ a fhir:Age ; fhir:value [ fhir:v "69"^^xsd:decimal ] ; fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "a" ] ] ] ) . # <http://example.org/fhir/FamilyMemberHistory/family-member-history-uncle-jenny-m> a fhir:FamilyMemberHistory ; fhir:id [ fhir:v "family-member-history-uncle-jenny-m"] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"FamilyMemberHistory_family-member-history-uncle-jenny-m\"> </a><p class=\"res-header-id\"><b>Generated Narrative: FamilyMemberHistory family-member-history-uncle-jenny-m</b></p><a name=\"family-member-history-uncle-jenny-m\"> </a><a name=\"hcfamily-member-history-uncle-jenny-m\"> </a><a name=\"family-member-history-uncle-jenny-m-en-US\"> </a><p><b>status</b>: Completed</p><p><b>patient</b>: <a href=\"Patient-cancer-patient-jenny-m.html\">Jenny M Female, DoB: 1965-01-01 ( Medical Record Number: MRN1234 (use: usual, ))</a></p><p><b>relationship</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-RoleCode PUNCLE}\">paternal uncle</span></p><p><b>deceased</b>: true</p><h3>Conditions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td><td><b>ContributedToDeath</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://snomed.info/sct 363418001}\">Malignant tumor of pancreas (disorder)</span></td><td>true</td></tr></table></div>" ] ; # fhir:status [ fhir:v "completed"] ; # fhir:patient [ fhir:reference [ fhir:v "Patient/cancer-patient-jenny-m" ] ] ; # fhir:relationship [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-RoleCode"^^xsd:anyURI ] ; fhir:code [ fhir:v "PUNCLE" ] ; fhir:display [ fhir:v "paternal uncle" ] ] ) ] ; # fhir:deceased [ fhir:v "true"^^xsd:boolean] ; # fhir:condition ( [ fhir:code [ ( fhir:coding [ a sct:363418001 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ; fhir:code [ fhir:v "363418001" ] ; fhir:display [ fhir:v "Malignant tumor of pancreas (disorder)" ] ] ) ] ; fhir:contributedToDeath [ fhir:v "true"^^xsd:boolean ] ] ) . # <http://example.org/fhir/DiagnosticReport/us-core-diagnosticreport-lab-jenny-m> a fhir:DiagnosticReport ; fhir:id [ fhir:v "us-core-diagnosticreport-lab-jenny-m"] ; # fhir:meta [ ( fhir:profile [ fhir:v "http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-lab"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-lab> ] ) ] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"DiagnosticReport_us-core-diagnosticreport-lab-jenny-m\"> </a><p class=\"res-header-id\"><b>Generated Narrative: DiagnosticReport us-core-diagnosticreport-lab-jenny-m</b></p><a name=\"us-core-diagnosticreport-lab-jenny-m\"> </a><a name=\"hcus-core-diagnosticreport-lab-jenny-m\"> </a><a name=\"us-core-diagnosticreport-lab-jenny-m-en-US\"> </a><h2><span title=\"Codes:{http://loinc.org 22637-3}\">Pathology report final diagnosis Narrative</span> (<span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v2-0074 LAB}\">Laboratory</span>) </h2><table class=\"grid\"><tr><td>Subject</td><td>Jenny M Female, DoB: 1965-01-01 ( Medical Record Number: MRN1234 (use: usual, ))</td></tr><tr><td>When For</td><td>2018-04-01 00:00:00+0000</td></tr><tr><td>Reported</td><td>2018-04-05 00:00:00+0000</td></tr><tr><td>Performer</td><td> <a href=\"Practitioner-us-core-practitioner-owen-oncologist.html\">Practitioner Owen Oncologist </a></td></tr></table><p><b>Report Details</b></p><table class=\"grid\"><tr><td><b>Code</b></td><td><b>Value</b></td><td><b>Flags</b></td><td><b>When For</b></td></tr><tr><td><a href=\"Observation-us-core-observation-lab-tumor-invasion-jenny-m.html\"><span title=\"Codes:{http://snomed.info/sct 370052007}\">Status of invasion by tumor</span></a></td><td><span title=\"Codes:{http://snomed.info/sct 260385009}\">Negative (qualifier value)</span></td><td>Final</td><td/></tr><tr><td><a href=\"Observation-us-core-observation-lab-tumor-margins-jenny-m.html\"><span title=\"Codes:{http://loinc.org 44669-0}\">Margin involvement in Breast tumor</span></a></td><td><span title=\"Codes:{http://loinc.org LA27151-2}\">Uninvolved by invasive carcinoma</span></td><td>Final</td><td/></tr><tr><td><a href=\"Observation-us-core-observation-lab-sentinel-nodes-jenny-m.html\"><span title=\"Codes:{http://loinc.org 92832-5}\">Sentinel lymph nodes with metastasis [#] in Cancer specimen</span></a></td><td/><td>Final</td><td/></tr><tr><td><a href=\"Observation-tumor-size-jenny-m.html\"><span title=\"Codes:{http://loinc.org 21889-1}\">Size Tumor</span></a></td><td/><td>Final</td><td/></tr><tr><td><a href=\"Observation-us-core-observation-lab-tumor-dcis-jenny-m.html\"><span title=\"Codes:{http://loinc.org 85336-6}\">DCIS intraductal extension in Breast cancer specimen Qualitative by Light microscopy</span></a></td><td><span title=\"Codes:{http://loinc.org LA27261-9}\">DCIS present with extensive intraductal component (EIC)</span></td><td>Final</td><td/></tr><tr><td><a href=\"Observation-tumor-marker-test-her2-jenny-m.html\"><span title=\"Codes:{http://loinc.org 48676-1}\">HER2 [Interpretation] in Tissue</span></a></td><td><span title=\"Codes:{http://loinc.org LA6577-6}\">Negative</span></td><td>Final</td><td>2018-03-10</td></tr><tr><td><a href=\"Observation-tumor-marker-test-er-jenny-m.html\"><span title=\"Codes:{http://loinc.org 85337-4}\">Estrogen receptor Ag [Presence] in Breast cancer specimen by Immune stain</span></a></td><td><span title=\"Codes:{http://loinc.org LA6576-8}\">Positive</span></td><td>Final</td><td>2018-03-10</td></tr><tr><td><a href=\"Observation-tumor-marker-test-pr-jenny-m.html\"><span title=\"Codes:{http://loinc.org 85339-0}\">Progesterone receptor Ag [Presence] in Breast cancer specimen by Immune stain</span></a></td><td><span title=\"Codes:{http://loinc.org LA6577-6}\">Negative</span></td><td>Final</td><td>2018-03-10</td></tr><tr><td><a href=\"Observation-us-core-observation-lab-tumor-grade-jenny-m.html\"><span title=\"Codes:{http://loinc.org 44648-4}\">Histologic grade [Score] in Breast cancer specimen by Nottingham</span></a></td><td><span title=\"Codes:{http://loinc.org LA27824-4}\">Nottingham grade 2</span></td><td>Final</td><td/></tr></table></div>" ] ; # fhir:status [ fhir:v "final"] ; # fhir:category ( [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0074"^^xsd:anyURI ] ; fhir:code [ fhir:v "LAB" ] ] ) ] ) ; # fhir:code [ ( fhir:coding [ a loinc:22637-3 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "22637-3" ] ; fhir:display [ fhir:v "Pathology report final diagnosis Narrative" ] ] ) ] ; # fhir:subject [ fhir:reference [ fhir:v "Patient/cancer-patient-jenny-m" ] ] ; # fhir:effective [ fhir:v "2018-04-01T00:00:00Z"^^xsd:dateTime] ; # fhir:issued [ fhir:v "2018-04-05T00:00:00Z"^^xsd:dateTime] ; # fhir:performer ( [ fhir:reference [ fhir:v "Practitioner/us-core-practitioner-owen-oncologist" ] ] ) ; # fhir:resultsInterpreter ( [ fhir:reference [ fhir:v "Practitioner/us-core-practitioner-peter-pathologist" ] ] ) ; # fhir:specimen ( [ fhir:reference [ fhir:v "Specimen/tumor-specimen-left-breast-jenny-m" ] ] ) ; # fhir:result ( [ fhir:reference [ fhir:v "Observation/us-core-observation-lab-tumor-invasion-jenny-m" ] ] [ fhir:reference [ fhir:v "Observation/us-core-observation-lab-tumor-margins-jenny-m" ] ] [ fhir:reference [ fhir:v "Observation/us-core-observation-lab-sentinel-nodes-jenny-m" ] ] [ fhir:reference [ fhir:v "Observation/tumor-size-jenny-m" ] ] [ fhir:reference [ fhir:v "Observation/us-core-observation-lab-tumor-dcis-jenny-m" ] ] [ fhir:reference [ fhir:v "Observation/tumor-marker-test-her2-jenny-m" ] ] [ fhir:reference [ fhir:v "Observation/tumor-marker-test-er-jenny-m" ] ] [ fhir:reference [ fhir:v "Observation/tumor-marker-test-pr-jenny-m" ] ] [ fhir:reference [ fhir:v "Observation/us-core-observation-lab-tumor-grade-jenny-m" ] ] ) . # <http://example.org/fhir/Observation/observation-smoking-pack-years-jenny-m> a fhir:Observation ; fhir:id [ fhir:v "observation-smoking-pack-years-jenny-m"] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_observation-smoking-pack-years-jenny-m\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation observation-smoking-pack-years-jenny-m</b></p><a name=\"observation-smoking-pack-years-jenny-m\"> </a><a name=\"hcobservation-smoking-pack-years-jenny-m\"> </a><a name=\"observation-smoking-pack-years-jenny-m-en-US\"> </a><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category social-history}\">Social History</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 401201003}\">Cigarette pack-years (observable entity)</span></p><p><b>subject</b>: <a href=\"Patient-cancer-patient-jenny-m.html\">Jenny M Female, DoB: 1965-01-01 ( Medical Record Number: MRN1234 (use: usual, ))</a></p><p><b>effective</b>: 2018-03-16</p><p><b>performer</b>: <a href=\"Practitioner-us-core-practitioner-owen-oncologist.html\">Practitioner Owen Oncologist </a></p><p><b>value</b>: 20 Pack-Years<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code1 = '1')</span></p></div>" ] ; # fhir:status [ fhir:v "final"] ; # fhir:category ( [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/observation-category"^^xsd:anyURI ] ; fhir:code [ fhir:v "social-history" ] ; fhir:display [ fhir:v "Social History" ] ] ) ] ) ; # fhir:code [ ( fhir:coding [ a sct:401201003 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ; fhir:code [ fhir:v "401201003" ] ; fhir:display [ fhir:v "Cigarette pack-years (observable entity)" ] ] ) ] ; # fhir:subject [ fhir:reference [ fhir:v "Patient/cancer-patient-jenny-m" ] ] ; # fhir:effective [ fhir:v "2018-03-16"^^xsd:date] ; # fhir:performer ( [ fhir:reference [ fhir:v "Practitioner/us-core-practitioner-owen-oncologist" ] ] ) ; # fhir:value [ a fhir:Quantity ; fhir:value [ fhir:v "20"^^xsd:decimal ] ; fhir:unit [ fhir:v "Pack-Years" ] ; fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "1" ] ] . # <http://example.org/fhir/Observation/us-core-observation-lab-tumor-invasion-jenny-m> a fhir:Observation ; fhir:id [ fhir:v "us-core-observation-lab-tumor-invasion-jenny-m"] ; # fhir:meta [ ( fhir:profile [ fhir:v "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab> ] ) ] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_us-core-observation-lab-tumor-invasion-jenny-m\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation us-core-observation-lab-tumor-invasion-jenny-m</b></p><a name=\"us-core-observation-lab-tumor-invasion-jenny-m\"> </a><a name=\"hcus-core-observation-lab-tumor-invasion-jenny-m\"> </a><a name=\"us-core-observation-lab-tumor-invasion-jenny-m-en-US\"> </a><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 370052007}\">Status of invasion by tumor</span></p><p><b>subject</b>: <a href=\"Patient-cancer-patient-jenny-m.html\">Jenny M Female, DoB: 1965-01-01 ( Medical Record Number: MRN1234 (use: usual, ))</a></p><p><b>effective</b>: 2018-04-01 00:00:00+0000</p><p><b>performer</b>: <a href=\"Practitioner-us-core-practitioner-owen-oncologist.html\">Practitioner Owen Oncologist </a></p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 260385009}\">Negative (qualifier value)</span></p><p><b>specimen</b>: <a href=\"Specimen-tumor-specimen-left-breast-jenny-m.html\">Specimen: identifier = BodyStructure (use: usual, ); status = available; type = Tumor; receivedTime = 2018-04-01</a></p></div>" ] ; # fhir:status [ fhir:v "final"] ; # fhir:category ( [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/observation-category"^^xsd:anyURI ] ; fhir:code [ fhir:v "laboratory" ] ] ) ] ) ; # fhir:code [ ( fhir:coding [ a sct:370052007 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ; fhir:code [ fhir:v "370052007" ] ; fhir:display [ fhir:v "Status of invasion by tumor" ] ] ) ] ; # fhir:subject [ fhir:reference [ fhir:v "Patient/cancer-patient-jenny-m" ] ] ; # fhir:effective [ fhir:v "2018-04-01T00:00:00Z"^^xsd:dateTime] ; # fhir:performer ( [ fhir:reference [ fhir:v "Practitioner/us-core-practitioner-owen-oncologist" ] ] ) ; # fhir:value [ a fhir:CodeableConcept ; ( fhir:coding [ a sct:260385009 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ; fhir:code [ fhir:v "260385009" ] ; fhir:display [ fhir:v "Negative (qualifier value)" ] ] ) ] ; # fhir:specimen [ fhir:reference [ fhir:v "Specimen/tumor-specimen-left-breast-jenny-m" ] ] . # <http://example.org/fhir/Observation/us-core-observation-lab-tumor-margins-jenny-m> a fhir:Observation ; fhir:id [ fhir:v "us-core-observation-lab-tumor-margins-jenny-m"] ; # fhir:meta [ ( fhir:profile [ fhir:v "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab> ] ) ] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_us-core-observation-lab-tumor-margins-jenny-m\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation us-core-observation-lab-tumor-margins-jenny-m</b></p><a name=\"us-core-observation-lab-tumor-margins-jenny-m\"> </a><a name=\"hcus-core-observation-lab-tumor-margins-jenny-m\"> </a><a name=\"us-core-observation-lab-tumor-margins-jenny-m-en-US\"> </a><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 44669-0}\">Margin involvement in Breast tumor</span></p><p><b>subject</b>: <a href=\"Patient-cancer-patient-jenny-m.html\">Jenny M Female, DoB: 1965-01-01 ( Medical Record Number: MRN1234 (use: usual, ))</a></p><p><b>effective</b>: 2018-04-01 00:00:00+0000</p><p><b>performer</b>: <a href=\"Practitioner-us-core-practitioner-owen-oncologist.html\">Practitioner Owen Oncologist </a></p><p><b>value</b>: <span title=\"Codes:{http://loinc.org LA27151-2}\">Uninvolved by invasive carcinoma</span></p><p><b>specimen</b>: <a href=\"Specimen-tumor-specimen-left-breast-jenny-m.html\">Specimen: identifier = BodyStructure (use: usual, ); status = available; type = Tumor; receivedTime = 2018-04-01</a></p></div>" ] ; # fhir:status [ fhir:v "final"] ; # fhir:category ( [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/observation-category"^^xsd:anyURI ] ; fhir:code [ fhir:v "laboratory" ] ] ) ] ) ; # fhir:code [ ( fhir:coding [ a loinc:44669-0 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "44669-0" ] ; fhir:display [ fhir:v "Margin involvement in Breast tumor" ] ] ) ] ; # fhir:subject [ fhir:reference [ fhir:v "Patient/cancer-patient-jenny-m" ] ] ; # fhir:effective [ fhir:v "2018-04-01T00:00:00Z"^^xsd:dateTime] ; # fhir:performer ( [ fhir:reference [ fhir:v "Practitioner/us-core-practitioner-owen-oncologist" ] ] ) ; # fhir:value [ a fhir:CodeableConcept ; ( fhir:coding [ a loinc:LA27151-2 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "LA27151-2" ] ; fhir:display [ fhir:v "Uninvolved by invasive carcinoma" ] ] ) ] ; # fhir:specimen [ fhir:reference [ fhir:v "Specimen/tumor-specimen-left-breast-jenny-m" ] ] . # <http://example.org/fhir/Observation/us-core-observation-lab-sentinel-nodes-jenny-m> a fhir:Observation ; fhir:id [ fhir:v "us-core-observation-lab-sentinel-nodes-jenny-m"] ; # fhir:meta [ ( fhir:profile [ fhir:v "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab> ] ) ] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_us-core-observation-lab-sentinel-nodes-jenny-m\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation us-core-observation-lab-sentinel-nodes-jenny-m</b></p><a name=\"us-core-observation-lab-sentinel-nodes-jenny-m\"> </a><a name=\"hcus-core-observation-lab-sentinel-nodes-jenny-m\"> </a><a name=\"us-core-observation-lab-sentinel-nodes-jenny-m-en-US\"> </a><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 92832-5}\">Sentinel lymph nodes with metastasis [#] in Cancer specimen</span></p><p><b>subject</b>: <a href=\"Patient-cancer-patient-jenny-m.html\">Jenny M Female, DoB: 1965-01-01 ( Medical Record Number: MRN1234 (use: usual, ))</a></p><p><b>effective</b>: 2018-04-01 00:00:00+0000</p><p><b>performer</b>: <a href=\"Practitioner-us-core-practitioner-owen-oncologist.html\">Practitioner Owen Oncologist </a></p><p><b>specimen</b>: <a href=\"Specimen-tumor-specimen-left-breast-jenny-m.html\">Specimen: identifier = BodyStructure (use: usual, ); status = available; type = Tumor; receivedTime = 2018-04-01</a></p><h3>Components</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td><td><b>Value[x]</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://loinc.org 92833-3}\">Lymph nodes examined [#] in Cancer specimen by Light microscopy</span></td><td>3 Count<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code1 = '1')</span></td></tr></table></div>" ] ; # fhir:status [ fhir:v "final"] ; # fhir:category ( [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/observation-category"^^xsd:anyURI ] ; fhir:code [ fhir:v "laboratory" ] ] ) ] ) ; # fhir:code [ ( fhir:coding [ a loinc:92832-5 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "92832-5" ] ; fhir:display [ fhir:v "Sentinel lymph nodes with metastasis [#] in Cancer specimen" ] ] ) ] ; # fhir:subject [ fhir:reference [ fhir:v "Patient/cancer-patient-jenny-m" ] ] ; # fhir:effective [ fhir:v "2018-04-01T00:00:00Z"^^xsd:dateTime] ; # fhir:performer ( [ fhir:reference [ fhir:v "Practitioner/us-core-practitioner-owen-oncologist" ] ] ) ; # fhir:specimen [ fhir:reference [ fhir:v "Specimen/tumor-specimen-left-breast-jenny-m" ] ] ; # fhir:component ( [ fhir:code [ ( fhir:coding [ a loinc:92833-3 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "92833-3" ] ; fhir:display [ fhir:v "Lymph nodes examined [#] in Cancer specimen by Light microscopy" ] ] ) ] ; fhir:value [ a fhir:Quantity ; fhir:value [ fhir:v "3"^^xsd:decimal ] ; fhir:unit [ fhir:v "Count" ] ; fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "1" ] ] ] ) . # <http://example.org/fhir/Observation/us-core-observation-lab-tumor-dcis-jenny-m> a fhir:Observation ; fhir:id [ fhir:v "us-core-observation-lab-tumor-dcis-jenny-m"] ; # fhir:meta [ ( fhir:profile [ fhir:v "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab> ] ) ] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_us-core-observation-lab-tumor-dcis-jenny-m\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation us-core-observation-lab-tumor-dcis-jenny-m</b></p><a name=\"us-core-observation-lab-tumor-dcis-jenny-m\"> </a><a name=\"hcus-core-observation-lab-tumor-dcis-jenny-m\"> </a><a name=\"us-core-observation-lab-tumor-dcis-jenny-m-en-US\"> </a><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 85336-6}\">DCIS intraductal extension in Breast cancer specimen Qualitative by Light microscopy</span></p><p><b>subject</b>: <a href=\"Patient-cancer-patient-jenny-m.html\">Jenny M Female, DoB: 1965-01-01 ( Medical Record Number: MRN1234 (use: usual, ))</a></p><p><b>effective</b>: 2018-04-01 00:00:00+0000</p><p><b>performer</b>: <a href=\"Practitioner-us-core-practitioner-owen-oncologist.html\">Practitioner Owen Oncologist </a></p><p><b>value</b>: <span title=\"Codes:{http://loinc.org LA27261-9}\">DCIS present with extensive intraductal component (EIC)</span></p><p><b>specimen</b>: <a href=\"Specimen-tumor-specimen-left-breast-jenny-m.html\">Specimen: identifier = BodyStructure (use: usual, ); status = available; type = Tumor; receivedTime = 2018-04-01</a></p></div>" ] ; # fhir:status [ fhir:v "final"] ; # fhir:category ( [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/observation-category"^^xsd:anyURI ] ; fhir:code [ fhir:v "laboratory" ] ] ) ] ) ; # fhir:code [ ( fhir:coding [ a loinc:85336-6 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "85336-6" ] ; fhir:display [ fhir:v "DCIS intraductal extension in Breast cancer specimen Qualitative by Light microscopy" ] ] ) ] ; # fhir:subject [ fhir:reference [ fhir:v "Patient/cancer-patient-jenny-m" ] ] ; # fhir:effective [ fhir:v "2018-04-01T00:00:00Z"^^xsd:dateTime] ; # fhir:performer ( [ fhir:reference [ fhir:v "Practitioner/us-core-practitioner-owen-oncologist" ] ] ) ; # fhir:value [ a fhir:CodeableConcept ; ( fhir:coding [ a loinc:LA27261-9 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "LA27261-9" ] ; fhir:display [ fhir:v "DCIS present with extensive intraductal component (EIC)" ] ] ) ] ; # fhir:specimen [ fhir:reference [ fhir:v "Specimen/tumor-specimen-left-breast-jenny-m" ] ] . # <http://example.org/fhir/Practitioner/us-core-practitioner-owen-oncologist> a fhir:Practitioner ; fhir:id [ fhir:v "us-core-practitioner-owen-oncologist"] ; # fhir:meta [ ( fhir:profile [ fhir:v "http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner> ] ) ] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Practitioner_us-core-practitioner-owen-oncologist\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Practitioner us-core-practitioner-owen-oncologist</b></p><a name=\"us-core-practitioner-owen-oncologist\"> </a><a name=\"hcus-core-practitioner-owen-oncologist\"> </a><a name=\"us-core-practitioner-owen-oncologist-en-US\"> </a><p><b>identifier</b>: <a href=\"http://terminology.hl7.org/5.0.0/NamingSystem-npi.html\" title=\"National Provider Identifier\">NPI</a>/9988776651</p><p><b>name</b>: Owen Oncologist </p><p><b>address</b>: 123 Corporate Drive Anytown MA 12345 US (work)</p><p><b>gender</b>: Male</p><h3>Qualifications</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v2-0360 MD}\">Doctor of Medicine</span></td></tr></table></div>" ] ; # fhir:identifier ( [ fhir:system [ fhir:v "http://hl7.org/fhir/sid/us-npi"^^xsd:anyURI ] ; fhir:value [ fhir:v "9988776651" ] ] ) ; # fhir:name ( [ fhir:family [ fhir:v "Oncologist" ] ; ( fhir:given [ fhir:v "Owen" ] ) ; ( fhir:prefix [ fhir:v "Dr." ] ) ] ) ; # fhir:address ( [ fhir:use [ fhir:v "work" ] ; ( fhir:line [ fhir:v "123 Corporate Drive" ] ) ; fhir:city [ fhir:v "Anytown" ] ; fhir:state [ fhir:v "MA" ] ; fhir:postalCode [ fhir:v "12345" ] ; fhir:country [ fhir:v "US" ] ] ) ; # fhir:gender [ fhir:v "male"] ; # fhir:qualification ( [ fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0360"^^xsd:anyURI ] ; fhir:version [ fhir:v "2.7" ] ; fhir:code [ fhir:v "MD" ] ] ) ] ] ) . # <http://example.org/fhir/Practitioner/us-core-practitioner-peter-pathologist> a fhir:Practitioner ; fhir:id [ fhir:v "us-core-practitioner-peter-pathologist"] ; # fhir:meta [ ( fhir:profile [ fhir:v "http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner> ] ) ] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Practitioner_us-core-practitioner-peter-pathologist\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Practitioner us-core-practitioner-peter-pathologist</b></p><a name=\"us-core-practitioner-peter-pathologist\"> </a><a name=\"hcus-core-practitioner-peter-pathologist\"> </a><a name=\"us-core-practitioner-peter-pathologist-en-US\"> </a><p><b>identifier</b>: <a href=\"http://terminology.hl7.org/5.0.0/NamingSystem-npi.html\" title=\"National Provider Identifier\">NPI</a>/1122334455</p><p><b>name</b>: Peter Pathologist </p><p><b>address</b>: 123 Corporate Drive Anytown MA 12345 US (work)</p><p><b>gender</b>: Female</p><h3>Qualifications</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v2-0360 MD}\">Doctor of Medicine</span></td></tr></table></div>" ] ; # fhir:identifier ( [ fhir:system [ fhir:v "http://hl7.org/fhir/sid/us-npi"^^xsd:anyURI ] ; fhir:value [ fhir:v "1122334455" ] ] ) ; # fhir:name ( [ fhir:family [ fhir:v "Pathologist" ] ; ( fhir:given [ fhir:v "Peter" ] ) ; ( fhir:prefix [ fhir:v "Dr." ] ) ] ) ; # fhir:address ( [ fhir:use [ fhir:v "work" ] ; ( fhir:line [ fhir:v "123 Corporate Drive" ] ) ; fhir:city [ fhir:v "Anytown" ] ; fhir:state [ fhir:v "MA" ] ; fhir:postalCode [ fhir:v "12345" ] ; fhir:country [ fhir:v "US" ] ] ) ; # fhir:gender [ fhir:v "female"] ; # fhir:qualification ( [ fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0360"^^xsd:anyURI ] ; fhir:version [ fhir:v "2.7" ] ; fhir:code [ fhir:v "MD" ] ] ) ] ] ) . #
IG © 2019+ HL7 International / Clinical Interoperability Council. Package hl7.fhir.us.mcode#4.0.0-ballot based on FHIR 4.0.1. Generated 2024-10-30
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