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

Example Bundle: Lung Cancer Staging Report

Document Details

Document Subject

Anonymous Patient Male, DoB: 1973-04-06 ( http://hospital.be/official-patient-id#8242)

Document Content

Staging

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%.

Conclusion

Based on the results of the staging, the patient has a stage IV lung cancer.

Additional Resources Included in Document

Entry 2 - fullUrl = http://fhir.tiro.health/QuestionnaireResponse/LCaStagingResponse

Resource QuestionnaireResponse:

LinkIDTextDefinitionAnswerdoco
.. LCaStagingResponseQuestionnaire:Questionnaire[http://fhir.tiro.health/Questionnaire/LCaStagingTemplate|0.1.0]
... diagnoseSNOMED CT: 254637007 (Non-small cell lung cancer)
.... diagnose/datum2023-05-23
... ctnm
.... tSNOMED CT: 1228938002 (cT3)
.... nSNOMED CT: 1229973008 (cN1)
.... mSNOMED CT: 1229903009 (American Joint Committee on Cancer cM1)
... metastasis-locationSNOMED CT: 94222008 (bony metastasis)
... pd-l10.8

doco Documentation for this format

Entry 3 - fullUrl = http://fhir.tiro.health/Encounter/LCaStagingEncounter

Resource Encounter:

status: In Progress

subject: Anonymous Patient Male, DoB: 1973-04-06 ( http://hospital.be/official-patient-id#8242)

Entry 4 - fullUrl = http://fhir.tiro.health/Patient/LCaPatient

Resource Patient:

Anonymous Patient Male, DoB: 1973-04-06 ( http://hospital.be/official-patient-id#8242)

Entry 5 - fullUrl = http://fhir.tiro.health/Practitioner/DrHause

Resource Practitioner:

Entry 6 - fullUrl = http://fhir.tiro.health/Questionnaire/LCaStagingTemplate

Resource Questionnaire:

Language: nl-BE

LinkIDTextCardinalityTypeDescription & Constraintsdoco
.. Questionnaire
... diagnoseDiagnose0..1codingValue Set: Lung Cancer Diagnosis
.... diagnose/datumDate of diagnosis0..1date
... ctnmcTNM0..1group
.... tcT0..1codingValue Set: Clinical TStage Lung Cancer
.... ncN0..1codingValue Set: Clinical NStage Lung Cancer
.... mcM0..1codingValue Set: Clinical MStage Lung Cancer
... metastasis-locationLocation of metastasis0..1codingEnable When: m != American Joint Committee on Cancer cM0 (SNOMED CT#1229901006)
Value Set: Lung Cancer Location Of Metastasis

doco Documentation for this format

Entry 7 - fullUrl = http://fhir.tiro.health/Condition/LungCancerStaging

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 - fullUrl = http://fhir.tiro.health/Observation/CTStage

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: cT3

Entry 9 - fullUrl = http://fhir.tiro.health/Observation/CNStage

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: cN1

Entry 10 - fullUrl = http://fhir.tiro.health/Observation/CMStage

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: American Joint Committee on Cancer cM1

Entry 11 - fullUrl = http://fhir.tiro.health/Observation/PDL1Expression

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 - fullUrl = http://fhir.tiro.health/Observation/TNMStageGroups

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: American Joint Committee on Cancer stage IV:0

method: American Joint Commission on Cancer, Cancer Staging Manual, 9th version neoplasm staging system

hasMember:

Entry 13 - fullUrl = http://fhir.tiro.health/Observation/Metastasis

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