Tiro.health Implementation Guide
0.1.0 - ci-build
Tiro.health Implementation Guide - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
Document Subject
Anonymous Patient Male, DoB: 1973-04-06 ( http://hospital.be/official-patient-id#8242)
Document Content
The patient was diagnosed with non-small cell lung cancer on 2023-05-23. The cTNM staging is T3N1M1. The patient has bony metastasis. The PD-L1 expression is 80%.
Based on the results of the staging, the patient has a stage IV lung cancer.
Entry 2
Resource QuestionnaireResponse:
LinkID Text Definition Answer LCaStagingResponse
Questionnaire:Questionnaire[http://fhir.tiro.health/Questionnaire/LCaStagingTemplate|0.1.0] diagnose
SNOMED CT 254637007: Non-small cell lung cancer diagnose/datum
2023-05-23 ctnm
t
SNOMED CT 1228938002: T3 n
SNOMED CT 1229973008: N1 m
SNOMED CT 1229903009: M1 metastasis-location
SNOMED CT 94222008: bony metastasis pd-l1
0.8 Documentation for this format
Entry 3
Resource Encounter:
status: In Progress
subject: Anonymous Patient Male, DoB: 1973-04-06 ( http://hospital.be/official-patient-id#8242)
Entry 4
Resource Patient:
Anonymous Patient Male, DoB: 1973-04-06 ( http://hospital.be/official-patient-id#8242)
Entry 5
Resource Practitioner:
Entry 6
Resource Questionnaire:
Language: nl-BE
LinkID Text Cardinality Type Description & Constraints ![]()
Questionnaire diagnose
Diagnose 0..1 coding Value Set: Lung Cancer Diagnosis diagnose/datum
Date of diagnosis 0..1 date ctnm
cTNM 0..1 group t
cT 0..1 coding Value Set: Clinical TStage Lung Cancer n
cN 0..1 coding Value Set: Clinical NStage Lung Cancer m
cM 0..1 coding Value Set: Clinical MStage Lung Cancer metastasis-location
Location of metastasis 0..1 coding Enable When:
Value Set: Lung Cancer Location Of Metastasispd-l1
PD-L1 expression 0..1 decimal Documentation for this format
Entry 7
Resource Condition:
clinicalStatus: active
category: Problem List Item
code: Non-small cell lung cancer
subject: Anonymous Patient Male, DoB: 1973-04-06 ( http://hospital.be/official-patient-id#8242)
Entry 8
Resource Observation:
status: Final
code: cT category
subject: Anonymous Patient Male, DoB: 1973-04-06 ( http://hospital.be/official-patient-id#8242)
focus: Condition Non-small cell lung cancer
effective: 2023-05-23 00:00:00+0000
performer: Practitioner
value: T3
Entry 9
Resource Observation:
status: Final
code: cN category
subject: Anonymous Patient Male, DoB: 1973-04-06 ( http://hospital.be/official-patient-id#8242)
focus: Condition Non-small cell lung cancer
effective: 2023-05-23 00:00:00+0000
performer: Practitioner
value: N1
Entry 10
Resource Observation:
status: Final
code: cM category
subject: Anonymous Patient Male, DoB: 1973-04-06 ( http://hospital.be/official-patient-id#8242)
focus: Condition Non-small cell lung cancer
effective: 2023-05-23 00:00:00+0000
performer: Practitioner
value: M1
Entry 11
Resource Observation:
status: Final
code: PD-L1
subject: Anonymous Patient Male, DoB: 1973-04-06 ( http://hospital.be/official-patient-id#8242)
focus: Condition Non-small cell lung cancer
effective: 2023-05-23 00:00:00+0000
performer: Practitioner
value: 80 % (Details: UCUM code% = '%')
Entry 12
Resource Observation:
status: Final
code: Clinical TNM stage grouping
subject: Anonymous Patient Male, DoB: 1973-04-06 ( http://hospital.be/official-patient-id#8242)
focus: Condition Non-small cell lung cancer
effective: 2023-05-23 00:00:00+0000
performer: Practitioner
value: Stage IV
method: American Joint Commission on Cancer, Cancer Staging Manual, 9th version neoplasm staging system
hasMember:
Entry 13
Resource Observation:
status: Final
code: Cancer metastatic to bone
subject: Anonymous Patient Male, DoB: 1973-04-06 ( http://hospital.be/official-patient-id#8242)
effective: 2023-05-23 00:00:00+0000
performer: Practitioner
bodySite: Bone structure of skeleton