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
<Bundle xmlns="http://hl7.org/fhir">
<id value="mcode-patient-bundle-jenny-m"/>
<meta>
<profile
value="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-patient-bundle"/>
</meta>
<type value="collection"/>
<entry>
<fullUrl value="http://example.org/fhir/Patient/cancer-patient-jenny-m"/>
<resource>
<Patient>
<id value="cancer-patient-jenny-m"/>
<meta>
<profile
value="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-patient"/>
</meta>
<text>
<status value="generated"/>
<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:
- American Indian or Alaska Native
- Asian
- Black or African American
- Native Hawaiian or Other Pacific Islander
- 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>
</text>
<extension
url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-race">
<extension url="ombCategory">
<valueCoding>
<system value="urn:oid:2.16.840.1.113883.6.238"/>
<code value="2106-3"/>
<display value="White"/>
</valueCoding>
</extension>
<extension url="text">
<valueString value="White"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity">
<extension url="ombCategory">
<valueCoding>
<system value="urn:oid:2.16.840.1.113883.6.238"/>
<code value="2186-5"/>
<display value="Not Hispanic or Latino"/>
</valueCoding>
</extension>
<extension url="text">
<valueString value="Not Hispanic or Latino"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex">
<valueCode value="F"/>
</extension>
<identifier>
<use value="usual"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="MR"/>
<display value="Medical Record Number"/>
</coding>
</type>
<system value="http://hospital.example.org"/>
<value value="MRN1234"/>
</identifier>
<name>
<family value="M"/>
<given value="Jenny"/>
</name>
<gender value="female"/>
<birthDate value="1965-01-01"/>
<address>
<line value="123 Main St"/>
<city value="Anytown"/>
<postalCode value="12345"/>
<country value="United States"/>
</address>
<contact>
<telecom>
<system value="phone"/>
<value value="555-867-5309"/>
<use value="home"/>
</telecom>
<telecom>
<system value="email"/>
<value value="example@example.com"/>
</telecom>
</contact>
<communication>
<language>
<coding>
<system value="urn:ietf:bcp:47"/>
<code value="en-US"/>
</coding>
<text value="English"/>
</language>
</communication>
</Patient>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/Condition/primary-cancer-condition-jenny-m"/>
<resource>
<Condition>
<id value="primary-cancer-condition-jenny-m"/>
<meta>
<profile
value="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-primary-cancer-condition"/>
</meta>
<text>
<status value="extensions"/>
<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>
</text>
<extension
url="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-histology-morphology-behavior">
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="82711006"/>
<display
value="Infiltrating duct carcinoma (morphologic abnormality)"/>
</coding>
</valueCodeableConcept>
</extension>
<clinicalStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
<code value="remission"/>
</coding>
</clinicalStatus>
<verificationStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-ver-status"/>
<code value="confirmed"/>
</coding>
</verificationStatus>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-category"/>
<code value="problem-list-item"/>
</coding>
</category>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="353431000119107"/>
<display
value="Primary malignant neoplasm of female left breast (disorder)"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/cancer-patient-jenny-m"/>
</subject>
<onsetDateTime value="2018-03-16"/>
<asserter>🔗
<reference
value="Practitioner/us-core-practitioner-owen-oncologist"/>
</asserter>
<stage>
<summary>
<coding>
<system value="http://snomed.info/sct"/>
<code value="1222806003"/>
<display
value="American Joint Committee on Cancer stage IIIC (qualifier value)"/>
</coding>
</summary>
<assessment>🔗
<reference value="Observation/tnm-clinical-stage-group-jenny-m"/>
</assessment>
<type>
<coding>
<system value="http://snomed.info/sct"/>
<code value="897275008"/>
<display
value="American Joint Commission on Cancer, Cancer Staging Manual, 8th edition neoplasm staging system (tumor staging)"/>
</coding>
</type>
</stage>
</Condition>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/MedicationRequest/cancer-related-medication-request-cyclophosphamide-jenny-m"/>
<resource>
<MedicationRequest>
<id
value="cancer-related-medication-request-cyclophosphamide-jenny-m"/>
<meta>
<profile
value="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-related-medication-request"/>
</meta>
<text>
<status value="extensions"/>
<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>
</text>
<extension
url="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-procedure-intent">
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="373808002"/>
<display value="Curative - procedure intent (qualifier value)"/>
</coding>
</valueCodeableConcept>
</extension>
<status value="active"/>
<intent value="order"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/medicationrequest-category"/>
<code value="outpatient"/>
</coding>
</category>
<medicationCodeableConcept>
<coding>
<system value="http://www.nlm.nih.gov/research/umls/rxnorm"/>
<code value="3002"/>
<display value="cyclophosphamide"/>
</coding>
</medicationCodeableConcept>
<subject>🔗
<reference value="Patient/cancer-patient-jenny-m"/>
</subject>
<authoredOn value="2018-04-12"/>
<requester>🔗
<reference
value="Practitioner/us-core-practitioner-owen-oncologist"/>
</requester>
<reasonReference>🔗
<reference value="Condition/primary-cancer-condition-jenny-m"/>
</reasonReference>
<dosageInstruction>
<text value="cyclophosphamide (600 mg/m² IV), 932.59mg"/>
<timing>
<repeat>
<boundsPeriod>
<start value="2018-04-01"/>
</boundsPeriod>
</repeat>
</timing>
<route>
<coding>
<system value="http://snomed.info/sct"/>
<code value="47625008"/>
<display value="Intravenous route (qualifier value)"/>
</coding>
</route>
<doseAndRate>
<doseQuantity>
<value value="932.59"/>
<unit value="mg"/>
<system value="http://unitsofmeasure.org"/>
<code value="mg"/>
</doseQuantity>
</doseAndRate>
<maxDosePerPeriod>
<numerator>
<value value="1"/>
</numerator>
<denominator>
<value value="3"/>
<unit value="week"/>
<system value="http://unitsofmeasure.org"/>
<code value="wk"/>
</denominator>
</maxDosePerPeriod>
</dosageInstruction>
</MedicationRequest>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/MedicationRequest/cancer-related-medication-request-doxorubicin-jenny-m"/>
<resource>
<MedicationRequest>
<id value="cancer-related-medication-request-doxorubicin-jenny-m"/>
<meta>
<profile
value="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-related-medication-request"/>
</meta>
<text>
<status value="extensions"/>
<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>
</text>
<extension
url="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-procedure-intent">
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="373808002"/>
<display value="Curative - procedure intent (qualifier value)"/>
</coding>
</valueCodeableConcept>
</extension>
<status value="active"/>
<intent value="order"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/medicationrequest-category"/>
<code value="outpatient"/>
</coding>
</category>
<medicationCodeableConcept>
<coding>
<system value="http://www.nlm.nih.gov/research/umls/rxnorm"/>
<code value="3639"/>
<display value="DOXOrubicin"/>
</coding>
</medicationCodeableConcept>
<subject>🔗
<reference value="Patient/cancer-patient-jenny-m"/>
</subject>
<authoredOn value="2018-04-12"/>
<requester>🔗
<reference
value="Practitioner/us-core-practitioner-owen-oncologist"/>
</requester>
<reasonReference>🔗
<reference value="Condition/primary-cancer-condition-jenny-m"/>
</reasonReference>
<dosageInstruction>
<text value="doxorubicin (60 mg/m² IV)"/>
<timing>
<repeat>
<boundsPeriod>
<start value="2018-04-01"/>
</boundsPeriod>
</repeat>
</timing>
<route>
<coding>
<system value="http://snomed.info/sct"/>
<code value="47625008"/>
<display value="Intravenous route (qualifier value)"/>
</coding>
</route>
<doseAndRate>
<rateQuantity>
<value value="60"/>
<unit value="mg/m2"/>
<system value="http://unitsofmeasure.org"/>
<code value="mg/m2"/>
</rateQuantity>
</doseAndRate>
<maxDosePerPeriod>
<numerator>
<value value="1"/>
</numerator>
<denominator>
<value value="3"/>
<unit value="week"/>
<system value="http://unitsofmeasure.org"/>
<code value="wk"/>
</denominator>
</maxDosePerPeriod>
</dosageInstruction>
</MedicationRequest>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/MedicationRequest/cancer-related-medication-request-paclitaxel-jenny-m"/>
<resource>
<MedicationRequest>
<id value="cancer-related-medication-request-paclitaxel-jenny-m"/>
<meta>
<profile
value="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-related-medication-request"/>
</meta>
<text>
<status value="extensions"/>
<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>
</text>
<extension
url="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-procedure-intent">
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="373808002"/>
<display value="Curative - procedure intent (qualifier value)"/>
</coding>
</valueCodeableConcept>
</extension>
<status value="active"/>
<intent value="order"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/medicationrequest-category"/>
<code value="outpatient"/>
</coding>
</category>
<medicationCodeableConcept>
<coding>
<system value="http://www.nlm.nih.gov/research/umls/rxnorm"/>
<code value="56946"/>
<display value="PACLitaxel"/>
</coding>
</medicationCodeableConcept>
<subject>🔗
<reference value="Patient/cancer-patient-jenny-m"/>
</subject>
<authoredOn value="2018-04-12"/>
<requester>🔗
<reference
value="Practitioner/us-core-practitioner-owen-oncologist"/>
</requester>
<reasonReference>🔗
<reference value="Condition/primary-cancer-condition-jenny-m"/>
</reasonReference>
<dosageInstruction>
<text value="PACLitaxel (175 mg/m² IV), 272.01mg"/>
<timing>
<repeat>
<boundsPeriod>
<start value="2018-04-12"/>
</boundsPeriod>
</repeat>
</timing>
<route>
<coding>
<system value="http://snomed.info/sct"/>
<code value="47625008"/>
<display value="Intravenous route (qualifier value)"/>
</coding>
</route>
<doseAndRate>
<doseQuantity>
<value value="272.01"/>
<unit value="mg"/>
<system value="http://unitsofmeasure.org"/>
<code value="mg"/>
</doseQuantity>
</doseAndRate>
<maxDosePerPeriod>
<numerator>
<value value="1"/>
</numerator>
<denominator>
<value value="3"/>
<unit value="week"/>
<system value="http://unitsofmeasure.org"/>
<code value="wk"/>
</denominator>
</maxDosePerPeriod>
</dosageInstruction>
</MedicationRequest>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/MedicationRequest/cancer-related-medication-request-anastrozole-jenny-m"/>
<resource>
<MedicationRequest>
<id value="cancer-related-medication-request-anastrozole-jenny-m"/>
<meta>
<profile
value="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-related-medication-request"/>
</meta>
<text>
<status value="extensions"/>
<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>
</text>
<extension
url="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-procedure-intent">
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="373808002"/>
<display value="Curative - procedure intent (qualifier value)"/>
</coding>
</valueCodeableConcept>
</extension>
<status value="active"/>
<intent value="order"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/medicationrequest-category"/>
<code value="community"/>
</coding>
</category>
<medicationCodeableConcept>
<coding>
<system value="http://www.nlm.nih.gov/research/umls/rxnorm"/>
<code value="84857"/>
<display value="anastrozole"/>
</coding>
</medicationCodeableConcept>
<subject>🔗
<reference value="Patient/cancer-patient-jenny-m"/>
</subject>
<authoredOn value="2018-09-30"/>
<requester>🔗
<reference
value="Practitioner/us-core-practitioner-owen-oncologist"/>
</requester>
<reasonReference>🔗
<reference value="Condition/primary-cancer-condition-jenny-m"/>
</reasonReference>
<dosageInstruction>
<text value="1mg orally once daily"/>
<timing>
<repeat>
<boundsPeriod>
<start value="2018-09-30"/>
</boundsPeriod>
</repeat>
</timing>
<route>
<coding>
<system value="http://snomed.info/sct"/>
<code value="26643006"/>
<display value="Oral route (qualifier value)"/>
</coding>
</route>
<doseAndRate>
<doseQuantity>
<value value="1"/>
<unit value="mg"/>
<system value="http://unitsofmeasure.org"/>
<code value="mg"/>
</doseQuantity>
</doseAndRate>
<maxDosePerPeriod>
<numerator>
<value value="1"/>
</numerator>
<denominator>
<value value="1"/>
<unit value="day"/>
<system value="http://unitsofmeasure.org"/>
<code value="d"/>
</denominator>
</maxDosePerPeriod>
</dosageInstruction>
</MedicationRequest>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/Observation/cancer-disease-status-jenny-m"/>
<resource>
<Observation>
<id value="cancer-disease-status-jenny-m"/>
<meta>
<profile
value="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-disease-status"/>
</meta>
<text>
<status value="extensions"/>
<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>
</text>
<extension
url="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-disease-status-evidence-type">
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="363679005"/>
<display value="Imaging (procedure)"/>
</coding>
</valueCodeableConcept>
</extension>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="97509-4"/>
<display value="Cancer Disease Progression"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/cancer-patient-jenny-m"/>
</subject>
<focus>🔗
<reference value="Condition/primary-cancer-condition-jenny-m"/>
</focus>
<effectiveDateTime value="2018-11-01"/>
<performer>🔗
<reference
value="Practitioner/us-core-practitioner-owen-oncologist"/>
</performer>
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="268910001"/>
<display value="Patient's condition improved (finding)"/>
</coding>
</valueCodeableConcept>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/Observation/genomic-variant-jenny-m"/>
<resource>
<Observation>
<id value="genomic-variant-jenny-m"/>
<meta>
<profile
value="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-genomic-variant"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="laboratory"/>
</coding>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="69548-6"/>
<display value="Genetic variant assessment"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/cancer-patient-jenny-m"/>
</subject>
<effectiveDateTime value="2018-03-15"/>
<performer>🔗
<reference
value="Practitioner/us-core-practitioner-owen-oncologist"/>
</performer>
<valueCodeableConcept>
<coding>
<system value="http://loinc.org"/>
<code value="LA9633-4"/>
<display value="Present"/>
</coding>
</valueCodeableConcept>
<method>
<coding>
<system value="http://loinc.org"/>
<code value="LA26398-0"/>
<display value="Sequencing"/>
</coding>
</method>
<component>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="48018-6"/>
</coding>
</code>
<valueCodeableConcept>
<coding>
<system value="http://www.genenames.org"/>
<code value="HGNC:26144"/>
<display value="PALB2"/>
</coding>
</valueCodeableConcept>
</component>
<component>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="81252-9"/>
</coding>
</code>
<valueCodeableConcept>
<coding>
<system value="http://www.ncbi.nlm.nih.gov/clinvar"/>
<code value="128144"/>
<display
value="NM_024675.3(PALB2):c.3549C>A (p.Tyr1183Ter)"/>
</coding>
</valueCodeableConcept>
</component>
<component>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="81290-9"/>
</coding>
</code>
<valueCodeableConcept>
<coding>
<system value="http://varnomen.hgvs.org"/>
<code value="NC_000016.10:g.23603471G>T"/>
</coding>
</valueCodeableConcept>
</component>
<component>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="48002-0"/>
</coding>
</code>
<valueCodeableConcept>
<coding>
<system value="http://loinc.org"/>
<code value="LA6684-0"/>
<display value="Somatic"/>
</coding>
</valueCodeableConcept>
</component>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/DiagnosticReport/genomics-report-jenny-m"/>
<resource>
<DiagnosticReport>
<id value="genomics-report-jenny-m"/>
<meta>
<profile
value="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-genomics-report"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<category>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0074"/>
<code value="GE"/>
</coding>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="51969-4"/>
<display value="Genetic analysis report"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/cancer-patient-jenny-m"/>
</subject>
<effectiveDateTime value="2018-03-15"/>
<issued value="2020-03-15T00:00:01+00:00"/>
<performer>🔗
<reference
value="Practitioner/us-core-practitioner-owen-oncologist"/>
</performer>
<specimen>🔗
<reference value="Specimen/human-specimen-left-breast-jenny-m"/>
</specimen>
<result>🔗
<reference value="Observation/genomic-variant-jenny-m"/>
</result>
<result>🔗
<reference value="Observation/genomic-region-studied-jenny-m"/>
</result>
</DiagnosticReport>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/Procedure/cancer-related-surgical-procedure-jenny-m"/>
<resource>
<Procedure>
<id value="cancer-related-surgical-procedure-jenny-m"/>
<meta>
<profile
value="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-related-surgical-procedure"/>
</meta>
<text>
<status value="extensions"/>
<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>
</text>
<extension
url="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-procedure-intent">
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="373808002"/>
<display value="Curative - procedure intent (qualifier value)"/>
</coding>
</valueCodeableConcept>
</extension>
<status value="completed"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="64368001"/>
<display value="Excision of part of breast (procedure)"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/cancer-patient-jenny-m"/>
</subject>
<performedDateTime value="2018-04-01"/>
<asserter>🔗
<reference
value="Practitioner/us-core-practitioner-owen-oncologist"/>
</asserter>
<reasonReference>🔗
<reference value="Condition/primary-cancer-condition-jenny-m"/>
</reasonReference>
<bodySite>
<coding>
<system value="http://snomed.info/sct"/>
<code value="80248007"/>
<display value="Left breast structure (body structure)"/>
</coding>
</bodySite>
</Procedure>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/Observation/cancer-related-comorbidities-jenny-m"/>
<resource>
<Observation>
<id value="cancer-related-comorbidities-jenny-m"/>
<meta>
<profile
value="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbidities"/>
</meta>
<text>
<status value="extensions"/>
<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>
</text>
<extension
url="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition">
<valueReference>🔗
<reference
value="Condition/us-core-condition-depression-jenny-m"/>
</valueReference>
</extension>
<extension
url="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition">
<valueReference>🔗
<reference value="Condition/us-core-condition-anxiety-jenny-m"/>
</valueReference>
</extension>
<extension
url="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition">
<valueReference>🔗
<reference
value="Condition/us-core-condition-hypertension-jenny-m"/>
</valueReference>
</extension>
<extension
url="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition-absent">
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="414916001"/>
<display value="Obesity (disorder)"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition-absent">
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="19829001"/>
<display value="Disorder of lung (disorder)"/>
</coding>
</valueCodeableConcept>
</extension>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="social-history"/>
<display value="Social History"/>
</coding>
</category>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="398192003"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/cancer-patient-jenny-m"/>
</subject>
<focus>🔗
<reference value="Condition/primary-cancer-condition-jenny-m"/>
</focus>
<effectiveDateTime value="2018-03-16"/>
<performer>🔗
<reference
value="Practitioner/us-core-practitioner-owen-oncologist"/>
</performer>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/Procedure/radiotherapy-treatment-summary-chest-wall-jenny-m"/>
<resource>
<Procedure>
<id value="radiotherapy-treatment-summary-chest-wall-jenny-m"/>
<meta>
<profile
value="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-course-summary"/>
</meta>
<text>
<status value="extensions"/>
<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>
</text>
<extension
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<extension
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<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="373808002"/>
<display value="Curative - procedure intent"/>
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<extension
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<extension
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<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="1156506007"/>
<display
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<extension
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<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="1156530009"/>
<display
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<extension
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<extension
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<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="45643008"/>
<display value="Teleradiotherapy using electrons"/>
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<extension
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<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="1162782007"/>
<display
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</extension>
<extension
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<extension url="volume">
<valueReference>🔗
<reference
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</extension>
<extension url="totalDoseDelivered">
<valueQuantity>
<value value="6000"/>
<system value="http://unitsofmeasure.org"/>
<code value="cGy"/>
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<extension url="fractionsDelivered">
<valueUnsignedInt value="30"/>
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<extension
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<extension url="volume">
<valueReference>🔗
<reference
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<extension url="totalDoseDelivered">
<valueQuantity>
<value value="5000"/>
<system value="http://unitsofmeasure.org"/>
<code value="cGy"/>
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<extension url="fractionsDelivered">
<valueUnsignedInt value="25"/>
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<status value="completed"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="1217123003"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/cancer-patient-jenny-m"/>
</subject>
<performedPeriod>
<start value="2018-08-15"/>
<end value="2018-10-25"/>
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<asserter>🔗
<reference value="Practitioner/us-core-practitioner-kyle-anydoc"/>
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<reasonCode>
<coding>
<system value="http://hl7.org/fhir/sid/icd-10-cm"/>
<code value="C50.811"/>
<display
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<bodySite>
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<system value="http://snomed.info/sct"/>
<code value="78904004"/>
<display value="Chest Wall Structure (body structure)"/>
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<entry>
<fullUrl
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<resource>
<Observation>
<id value="tnm-clinical-stage-group-jenny-m"/>
<meta>
<profile
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<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<category>
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<code value="imaging"/>
<display value="Imaging"/>
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</category>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="399537006"/>
<display value="Clinical TNM stage grouping"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/cancer-patient-jenny-m"/>
</subject>
<focus>🔗
<reference value="Condition/primary-cancer-condition-jenny-m"/>
</focus>
<effectiveDateTime value="2018-03-16"/>
<performer>🔗
<reference
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</performer>
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="1222769001"/>
<display
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<method>
<coding>
<system value="http://snomed.info/sct"/>
<code value="897275008"/>
<display
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</method>
<hasMember>🔗
<reference
value="Observation/tnm-pathologic-primary-tumor-category-jenny-m"/>
</hasMember>
<hasMember>🔗
<reference
value="Observation/tnm-pathologic-regional-nodes-category-jenny-m"/>
</hasMember>
<hasMember>🔗
<reference
value="Observation/tnm-pathologic-distant-metastases-category-jenny-m"/>
</hasMember>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/Observation/tnm-clinical-primary-tumor-category-jenny-m"/>
<resource>
<Observation>
<id value="tnm-clinical-primary-tumor-category-jenny-m"/>
<meta>
<profile
value="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tnm-primary-tumor-category"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<category>
<coding>
<system
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<code value="imaging"/>
<display value="Imaging"/>
</coding>
</category>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="399504009"/>
<display value="cT category"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/cancer-patient-jenny-m"/>
</subject>
<effectiveDateTime value="2018-03-16"/>
<performer>🔗
<reference
value="Practitioner/us-core-practitioner-owen-oncologist"/>
</performer>
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="1228938002"/>
<display
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</coding>
</valueCodeableConcept>
<method>
<coding>
<system value="http://snomed.info/sct"/>
<code value="897275008"/>
<display
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</coding>
</method>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/Observation/tnm-clinical-regional-nodes-category-jenny-m"/>
<resource>
<Observation>
<id value="tnm-clinical-regional-nodes-category-jenny-m"/>
<meta>
<profile
value="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tnm-regional-nodes-category"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<category>
<coding>
<system
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<code value="imaging"/>
<display value="Imaging"/>
</coding>
</category>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="399534004"/>
<display value="cN category"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/cancer-patient-jenny-m"/>
</subject>
<effectiveDateTime value="2018-03-16"/>
<performer>🔗
<reference
value="Practitioner/us-core-practitioner-owen-oncologist"/>
</performer>
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="1229967007"/>
<display
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<method>
<coding>
<system value="http://snomed.info/sct"/>
<code value="897275008"/>
<display
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</coding>
</method>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/Observation/tnm-clinical-distant-metastases-category-jenny-m"/>
<resource>
<Observation>
<id value="tnm-clinical-distant-metastases-category-jenny-m"/>
<meta>
<profile
value="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tnm-distant-metastases-category"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<category>
<coding>
<system
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<code value="imaging"/>
<display value="Imaging"/>
</coding>
</category>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="399387003"/>
<display value="cM category"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/cancer-patient-jenny-m"/>
</subject>
<effectiveDateTime value="2018-03-16"/>
<performer>🔗
<reference
value="Practitioner/us-core-practitioner-owen-oncologist"/>
</performer>
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="1229901006"/>
<display
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</coding>
</valueCodeableConcept>
<method>
<coding>
<system value="http://snomed.info/sct"/>
<code value="897275008"/>
<display
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</coding>
</method>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/Specimen/human-specimen-left-breast-jenny-m"/>
<resource>
<Specimen>
<id value="human-specimen-left-breast-jenny-m"/>
<meta>
<profile
value="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-human-specimen"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="available"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0487"/>
<code value="TISS"/>
</coding>
</type>
<subject>🔗
<reference value="Patient/cancer-patient-jenny-m"/>
</subject>
<collection>
<collector>🔗
<reference
value="Practitioner/us-core-practitioner-owen-oncologist"/>
</collector>
<bodySite>
<coding>
<system value="http://snomed.info/sct"/>
<code value="80248007"/>
<display value="Left breast structure (body structure)"/>
</coding>
</bodySite>
</collection>
<processing>
<timeDateTime value="2018-03-06"/>
</processing>
</Specimen>
</resource>
</entry>
<entry>
<fullUrl
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<resource>
<Observation>
<id value="genomic-region-studied-jenny-m"/>
<meta>
<profile
value="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-genomic-region-studied"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="laboratory"/>
</coding>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="53041-0"/>
<display value="DNA region of interest panel"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/cancer-patient-jenny-m"/>
</subject>
<effectiveDateTime value="2018-03-15"/>
<issued value="2018-03-15T00:00:01+00:00"/>
<performer>🔗
<reference
value="Practitioner/us-core-practitioner-owen-oncologist"/>
</performer>
<component>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="48018-6"/>
<display value="Gene studied [ID]"/>
</coding>
</code>
<valueCodeableConcept>
<coding>
<system value="http://www.genenames.org"/>
<code value="1100"/>
<display value="BRCA1"/>
</coding>
<coding>
<system value="http://www.genenames.org"/>
<code value="1101"/>
<display value="BRCA2"/>
</coding>
<coding>
<system value="http://www.genenames.org"/>
<code value="1748"/>
<display value="CDH1"/>
</coding>
<coding>
<system value="http://www.genenames.org"/>
<code value="26144"/>
<display value="PALB2"/>
</coding>
<coding>
<system value="http://www.genenames.org"/>
<code value="9588"/>
<display value="PTEN"/>
</coding>
<coding>
<system value="http://www.genenames.org"/>
<code value="11389"/>
<display value="STK11"/>
</coding>
<coding>
<system value="http://www.genenames.org"/>
<code value="11998"/>
<display value="TP53"/>
</coding>
</valueCodeableConcept>
</component>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/Observation/ecog-performance-status-jenny-m"/>
<resource>
<Observation>
<id value="ecog-performance-status-jenny-m"/>
<meta>
<profile
value="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-ecog-performance-status"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="survey"/>
<display value="Survey"/>
</coding>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="89247-1"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/cancer-patient-jenny-m"/>
</subject>
<effectiveDateTime value="2018-04-12"/>
<performer>🔗
<reference
value="Practitioner/us-core-practitioner-owen-oncologist"/>
</performer>
<valueInteger value="0"/>
<interpretation>
<coding>
<system value="http://loinc.org"/>
<code value="LA9622-7"/>
<display
value="Fully active, able to carry on all pre-disease performance without restriction"/>
</coding>
</interpretation>
<method>
<coding>
<system value="http://snomed.info/sct"/>
<code value="5880005"/>
<display value="Physical examination procedure (procedure)"/>
</coding>
</method>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/Observation/tumor-marker-test-er-jenny-m"/>
<resource>
<Observation>
<id value="tumor-marker-test-er-jenny-m"/>
<meta>
<profile
value="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tumor-marker-test"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="laboratory"/>
</coding>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="85337-4"/>
<display
value="Estrogen receptor Ag [Presence] in Breast cancer specimen by Immune stain"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/cancer-patient-jenny-m"/>
</subject>
<effectiveDateTime value="2018-03-10"/>
<performer>🔗
<reference
value="Practitioner/us-core-practitioner-owen-oncologist"/>
</performer>
<valueCodeableConcept>
<coding>
<system value="http://loinc.org"/>
<code value="LA6576-8"/>
<display value="Positive"/>
</coding>
</valueCodeableConcept>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/Observation/tumor-marker-test-pr-jenny-m"/>
<resource>
<Observation>
<id value="tumor-marker-test-pr-jenny-m"/>
<meta>
<profile
value="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tumor-marker-test"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="laboratory"/>
</coding>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="85339-0"/>
<display
value="Progesterone receptor Ag [Presence] in Breast cancer specimen by Immune stain"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/cancer-patient-jenny-m"/>
</subject>
<effectiveDateTime value="2018-03-10"/>
<performer>🔗
<reference
value="Practitioner/us-core-practitioner-owen-oncologist"/>
</performer>
<valueCodeableConcept>
<coding>
<system value="http://loinc.org"/>
<code value="LA6577-6"/>
<display value="Negative"/>
</coding>
</valueCodeableConcept>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/Observation/tumor-marker-test-her2-jenny-m"/>
<resource>
<Observation>
<id value="tumor-marker-test-her2-jenny-m"/>
<meta>
<profile
value="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tumor-marker-test"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="laboratory"/>
</coding>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="48676-1"/>
<display value="HER2 [Interpretation] in Tissue"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/cancer-patient-jenny-m"/>
</subject>
<effectiveDateTime value="2018-03-10"/>
<performer>🔗
<reference
value="Practitioner/us-core-practitioner-owen-oncologist"/>
</performer>
<valueCodeableConcept>
<coding>
<system value="http://loinc.org"/>
<code value="LA6577-6"/>
<display value="Negative"/>
</coding>
</valueCodeableConcept>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/Observation/tumor-marker-test-oncotype-dx-jenny-m"/>
<resource>
<Observation>
<id value="tumor-marker-test-oncotype-dx-jenny-m"/>
<meta>
<profile
value="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tumor-marker-test"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="laboratory"/>
</coding>
</category>
<code>
<coding>
<system value="http://www.ncbi.nlm.nih.gov/gtr"/>
<code value="509910"/>
<display value="Oncotype DX Breast Recurrence Score Assay"/>
</coding>
<text value="Oncotype DX Breast Recurrence Score Assay"/>
</code>
<subject>🔗
<reference value="Patient/cancer-patient-jenny-m"/>
</subject>
<effectiveDateTime value="2018-04-12"/>
<performer>🔗
<reference
value="Organization/us-core-organization-bedrock-medicine"/>
</performer>
<valueQuantity>
<value value="47"/>
<unit value="Recurrence score"/>
<system value="http://unitsofmeasure.org"/>
<code value="1"/>
</valueQuantity>
<interpretation>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/>
<code value="H"/>
<display value="High"/>
</coding>
</interpretation>
</Observation>
</resource>
</entry>
<entry>
<fullUrl value="http://example.org/fhir/Observation/tumor-size-jenny-m"/>
<resource>
<Observation>
<id value="tumor-size-jenny-m"/>
<meta>
<profile
value="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tumor-size"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="laboratory"/>
</coding>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="21889-1"/>
<display value="Size Tumor"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/cancer-patient-jenny-m"/>
</subject>
<effectiveDateTime value="2018-04-01T00:00:00Z"/>
<performer>🔗
<reference
value="Practitioner/us-core-practitioner-owen-oncologist"/>
</performer>
<method>
<coding>
<system value="http://snomed.info/sct"/>
<code value="787377000"/>
<display
value="Gross examination and sampling of tissue specimen (procedure)"/>
</coding>
</method>
<specimen>🔗
<reference value="Specimen/tumor-specimen-left-breast-jenny-m"/>
</specimen>
<component>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="33728-7"/>
</coding>
</code>
<valueQuantity>
<value value="2.5"/>
<unit value="centimeters"/>
<system value="http://unitsofmeasure.org"/>
<code value="cm"/>
</valueQuantity>
</component>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/Procedure/us-core-procedure-biopsy-jenny-m"/>
<resource>
<Procedure>
<id value="us-core-procedure-biopsy-jenny-m"/>
<meta>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="completed"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="723990008"/>
<display
value="Biopsy of breast using ultrasonographic guidance (procedure)"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/cancer-patient-jenny-m"/>
</subject>
<performedDateTime value="2018-03-06"/>
<asserter>🔗
<reference value="Practitioner/us-core-practitioner-mary-obgyn"/>
</asserter>
<performer>
<actor>🔗
<reference value="Practitioner/us-core-practitioner-mary-obgyn"/>
</actor>
</performer>
<reasonReference>🔗
<reference value="Condition/primary-cancer-condition-jenny-m"/>
</reasonReference>
<bodySite>
<coding>
<system value="http://snomed.info/sct"/>
<code value="80248007"/>
<display value="Left breast structure (body structure)"/>
</coding>
</bodySite>
</Procedure>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/Observation/bodyweight-jenny-m-2018-03-16"/>
<resource>
<Observation>
<id value="bodyweight-jenny-m-2018-03-16"/>
<meta>
<profile
value="http://hl7.org/fhir/StructureDefinition/bodyweight"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="vital-signs"/>
</coding>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="29463-7"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/cancer-patient-jenny-m"/>
</subject>
<effectiveDateTime value="2018-03-06"/>
<performer>🔗
<reference
value="Practitioner/us-core-practitioner-owen-oncologist"/>
</performer>
<valueQuantity>
<value value="155"/>
<unit value="lb"/>
<system value="http://unitsofmeasure.org"/>
<code value="[lb_av]"/>
</valueQuantity>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/Observation/us-core-observation-lab-neutrophils-jenny-m"/>
<resource>
<Observation>
<id value="us-core-observation-lab-neutrophils-jenny-m"/>
<meta>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="laboratory"/>
</coding>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="26499-4"/>
<display value="Neutrophils [#/volume] in Blood"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/cancer-patient-jenny-m"/>
</subject>
<effectiveDateTime value="2018-05-20T00:00:00Z"/>
<performer>🔗
<reference
value="Practitioner/us-core-practitioner-owen-oncologist"/>
</performer>
<valueQuantity>
<value value="3000"/>
<unit value="10*3/uL"/>
<system value="http://unitsofmeasure.org"/>
<code value="10*3/uL"/>
</valueQuantity>
<referenceRange>
<low>
<value value="2500"/>
<unit value="10*3/uL"/>
<system value="http://unitsofmeasure.org"/>
<code value="10*3/uL"/>
</low>
<high>
<value value="5000"/>
<unit value="10*3/uL"/>
<system value="http://unitsofmeasure.org"/>
<code value="10*3/uL"/>
</high>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/referencerange-meaning"/>
<code value="normal"/>
<display value="Normal Range"/>
</coding>
</type>
</referenceRange>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/Organization/us-core-organization-physician-services-inc"/>
<resource>
<Organization>
<id value="us-core-organization-physician-services-inc"/>
<meta>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<active value="true"/>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/organization-type"/>
<code value="prov"/>
<display value="Healthcare Provider"/>
</coding>
</type>
<name value="Physician Services, Inc."/>
<telecom>
<system value="phone"/>
<value value="999-999-9999"/>
<use value="work"/>
</telecom>
<address>
<line value="123 Corporate Drive"/>
<city value="Anytown"/>
<state value="MA"/>
<postalCode value="12345"/>
<country value="US"/>
</address>
</Organization>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/Observation/us-core-smokingstatus-jenny-m"/>
<resource>
<Observation>
<id value="us-core-smokingstatus-jenny-m"/>
<meta>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="social-history"/>
</coding>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="72166-2"/>
<display value="Tobacco smoking status"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/cancer-patient-jenny-m"/>
</subject>
<effectiveDateTime value="2018-03-16"/>
<issued value="2018-03-16T00:00:00Z"/>
<performer>🔗
<reference
value="Practitioner/us-core-practitioner-owen-oncologist"/>
</performer>
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="449868002"/>
<display value="Smokes tobacco daily (finding)"/>
</coding>
</valueCodeableConcept>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/Procedure/us-core-procedure-mammogram-jenny-m"/>
<resource>
<Procedure>
<id value="us-core-procedure-mammogram-jenny-m"/>
<meta>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="completed"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="71651007"/>
<display value="Mammography (procedure)"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/cancer-patient-jenny-m"/>
</subject>
<performedDateTime value="2018-02-01"/>
<asserter>🔗
<reference value="Practitioner/us-core-practitioner-mary-obgyn"/>
</asserter>
<performer>
<actor>🔗
<reference
value="Practitioner/us-core-practitioner-jane-radiotech"/>
</actor>
</performer>
<reasonCode>
<coding>
<system value="http://snomed.info/sct"/>
<code value="360156006"/>
<display value="Screening - procedure intent (qualifier value)"/>
</coding>
</reasonCode>
</Procedure>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/FamilyMemberHistory/family-member-history-aunt-jenny-m"/>
<resource>
<FamilyMemberHistory>
<id value="family-member-history-aunt-jenny-m"/>
<text>
<status value="generated"/>
<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>
</text>
<status value="completed"/>
<patient>🔗
<reference value="Patient/cancer-patient-jenny-m"/>
</patient>
<relationship>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
<code value="MAUNT"/>
<display value="maternal aunt"/>
</coding>
</relationship>
<condition>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="363443007"/>
<display value="Malignant tumor of ovary (disorder)"/>
</coding>
</code>
<onsetAge>
<value value="69"/>
<system value="http://unitsofmeasure.org"/>
<code value="a"/>
</onsetAge>
</condition>
</FamilyMemberHistory>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/FamilyMemberHistory/family-member-history-uncle-jenny-m"/>
<resource>
<FamilyMemberHistory>
<id value="family-member-history-uncle-jenny-m"/>
<text>
<status value="generated"/>
<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>
</text>
<status value="completed"/>
<patient>🔗
<reference value="Patient/cancer-patient-jenny-m"/>
</patient>
<relationship>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
<code value="PUNCLE"/>
<display value="paternal uncle"/>
</coding>
</relationship>
<deceasedBoolean value="true"/>
<condition>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="363418001"/>
<display value="Malignant tumor of pancreas (disorder)"/>
</coding>
</code>
<contributedToDeath value="true"/>
</condition>
</FamilyMemberHistory>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/DiagnosticReport/us-core-diagnosticreport-lab-jenny-m"/>
<resource>
<DiagnosticReport>
<id value="us-core-diagnosticreport-lab-jenny-m"/>
<meta>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-lab"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<category>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0074"/>
<code value="LAB"/>
</coding>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="22637-3"/>
<display value="Pathology report final diagnosis Narrative"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/cancer-patient-jenny-m"/>
</subject>
<effectiveDateTime value="2018-04-01T00:00:00Z"/>
<issued value="2018-04-05T00:00:00Z"/>
<performer>🔗
<reference
value="Practitioner/us-core-practitioner-owen-oncologist"/>
</performer>
<resultsInterpreter>🔗
<reference
value="Practitioner/us-core-practitioner-peter-pathologist"/>
</resultsInterpreter>
<specimen>🔗
<reference value="Specimen/tumor-specimen-left-breast-jenny-m"/>
</specimen>
<result>🔗
<reference
value="Observation/us-core-observation-lab-tumor-invasion-jenny-m"/>
</result>
<result>🔗
<reference
value="Observation/us-core-observation-lab-tumor-margins-jenny-m"/>
</result>
<result>🔗
<reference
value="Observation/us-core-observation-lab-sentinel-nodes-jenny-m"/>
</result>
<result>🔗
<reference value="Observation/tumor-size-jenny-m"/>
</result>
<result>🔗
<reference
value="Observation/us-core-observation-lab-tumor-dcis-jenny-m"/>
</result>
<result>🔗
<reference value="Observation/tumor-marker-test-her2-jenny-m"/>
</result>
<result>🔗
<reference value="Observation/tumor-marker-test-er-jenny-m"/>
</result>
<result>🔗
<reference value="Observation/tumor-marker-test-pr-jenny-m"/>
</result>
<result>🔗
<reference
value="Observation/us-core-observation-lab-tumor-grade-jenny-m"/>
</result>
</DiagnosticReport>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/Observation/observation-smoking-pack-years-jenny-m"/>
<resource>
<Observation>
<id value="observation-smoking-pack-years-jenny-m"/>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="social-history"/>
<display value="Social History"/>
</coding>
</category>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="401201003"/>
<display value="Cigarette pack-years (observable entity)"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/cancer-patient-jenny-m"/>
</subject>
<effectiveDateTime value="2018-03-16"/>
<performer>🔗
<reference
value="Practitioner/us-core-practitioner-owen-oncologist"/>
</performer>
<valueQuantity>
<value value="20"/>
<unit value="Pack-Years"/>
<system value="http://unitsofmeasure.org"/>
<code value="1"/>
</valueQuantity>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/Observation/us-core-observation-lab-tumor-invasion-jenny-m"/>
<resource>
<Observation>
<id value="us-core-observation-lab-tumor-invasion-jenny-m"/>
<meta>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="laboratory"/>
</coding>
</category>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="370052007"/>
<display value="Status of invasion by tumor"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/cancer-patient-jenny-m"/>
</subject>
<effectiveDateTime value="2018-04-01T00:00:00Z"/>
<performer>🔗
<reference
value="Practitioner/us-core-practitioner-owen-oncologist"/>
</performer>
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="260385009"/>
<display value="Negative (qualifier value)"/>
</coding>
</valueCodeableConcept>
<specimen>🔗
<reference value="Specimen/tumor-specimen-left-breast-jenny-m"/>
</specimen>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/Observation/us-core-observation-lab-tumor-margins-jenny-m"/>
<resource>
<Observation>
<id value="us-core-observation-lab-tumor-margins-jenny-m"/>
<meta>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="laboratory"/>
</coding>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="44669-0"/>
<display value="Margin involvement in Breast tumor"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/cancer-patient-jenny-m"/>
</subject>
<effectiveDateTime value="2018-04-01T00:00:00Z"/>
<performer>🔗
<reference
value="Practitioner/us-core-practitioner-owen-oncologist"/>
</performer>
<valueCodeableConcept>
<coding>
<system value="http://loinc.org"/>
<code value="LA27151-2"/>
<display value="Uninvolved by invasive carcinoma"/>
</coding>
</valueCodeableConcept>
<specimen>🔗
<reference value="Specimen/tumor-specimen-left-breast-jenny-m"/>
</specimen>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/Observation/us-core-observation-lab-sentinel-nodes-jenny-m"/>
<resource>
<Observation>
<id value="us-core-observation-lab-sentinel-nodes-jenny-m"/>
<meta>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="laboratory"/>
</coding>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="92832-5"/>
<display
value="Sentinel lymph nodes with metastasis [#] in Cancer specimen"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/cancer-patient-jenny-m"/>
</subject>
<effectiveDateTime value="2018-04-01T00:00:00Z"/>
<performer>🔗
<reference
value="Practitioner/us-core-practitioner-owen-oncologist"/>
</performer>
<specimen>🔗
<reference value="Specimen/tumor-specimen-left-breast-jenny-m"/>
</specimen>
<component>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="92833-3"/>
<display
value="Lymph nodes examined [#] in Cancer specimen by Light microscopy"/>
</coding>
</code>
<valueQuantity>
<value value="3"/>
<unit value="Count"/>
<system value="http://unitsofmeasure.org"/>
<code value="1"/>
</valueQuantity>
</component>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/Observation/us-core-observation-lab-tumor-dcis-jenny-m"/>
<resource>
<Observation>
<id value="us-core-observation-lab-tumor-dcis-jenny-m"/>
<meta>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="laboratory"/>
</coding>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="85336-6"/>
<display
value="DCIS intraductal extension in Breast cancer specimen Qualitative by Light microscopy"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/cancer-patient-jenny-m"/>
</subject>
<effectiveDateTime value="2018-04-01T00:00:00Z"/>
<performer>🔗
<reference
value="Practitioner/us-core-practitioner-owen-oncologist"/>
</performer>
<valueCodeableConcept>
<coding>
<system value="http://loinc.org"/>
<code value="LA27261-9"/>
<display
value="DCIS present with extensive intraductal component (EIC)"/>
</coding>
</valueCodeableConcept>
<specimen>🔗
<reference value="Specimen/tumor-specimen-left-breast-jenny-m"/>
</specimen>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/Practitioner/us-core-practitioner-owen-oncologist"/>
<resource>
<Practitioner>
<id value="us-core-practitioner-owen-oncologist"/>
<meta>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<identifier>
<system value="http://hl7.org/fhir/sid/us-npi"/>
<value value="9988776651"/>
</identifier>
<name>
<family value="Oncologist"/>
<given value="Owen"/>
<prefix value="Dr."/>
</name>
<address>
<use value="work"/>
<line value="123 Corporate Drive"/>
<city value="Anytown"/>
<state value="MA"/>
<postalCode value="12345"/>
<country value="US"/>
</address>
<gender value="male"/>
<qualification>
<code>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0360"/>
<version value="2.7"/>
<code value="MD"/>
</coding>
</code>
</qualification>
</Practitioner>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/Practitioner/us-core-practitioner-peter-pathologist"/>
<resource>
<Practitioner>
<id value="us-core-practitioner-peter-pathologist"/>
<meta>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<identifier>
<system value="http://hl7.org/fhir/sid/us-npi"/>
<value value="1122334455"/>
</identifier>
<name>
<family value="Pathologist"/>
<given value="Peter"/>
<prefix value="Dr."/>
</name>
<address>
<use value="work"/>
<line value="123 Corporate Drive"/>
<city value="Anytown"/>
<state value="MA"/>
<postalCode value="12345"/>
<country value="US"/>
</address>
<gender value="female"/>
<qualification>
<code>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0360"/>
<version value="2.7"/>
<code value="MD"/>
</coding>
</code>
</qualification>
</Practitioner>
</resource>
</entry>
</Bundle>
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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