Tiro.health Implementation Guide
0.1.0 - ci-build
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
<Bundle xmlns="http://hl7.org/fhir">
<id value="LCaStagingReportBundle"/>
<type value="document"/>
<entry>
<resource>
<Composition>
<id value="LCaStagingComposition"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Composition_LCaStagingComposition"> </a><p class="res-header-id"><b>Generated Narrative: Composition LCaStagingComposition</b></p><a name="LCaStagingComposition"> </a><a name="hcLCaStagingComposition"> </a><p><b>status</b>: Final</p><p><b>type</b>: <span title="Codes:{http://loinc.org 18841-7}">Lung Cancer Staging Report</span></p><p><b>encounter</b>: <a href="Encounter-LCaStagingEncounter.html">Encounter: status = in-progress</a></p><p><b>date</b>: 2023-05-23 00:00:00+0000</p><p><b>author</b>: <a href="Practitioner-DrHause.html">Practitioner</a></p><p><b>title</b>: Lung Cancer Staging Report</p></div>
</text>
<status value="final"/>
<type>
<coding>
<system value="http://loinc.org"/>
<code value="18841-7"/>
<display value="Hospital consultation note"/>
</coding>
<text value="Lung Cancer Staging Report"/>
</type>
<subject>🔗
<reference value="Patient/LCaPatient"/>
</subject>
<encounter>🔗
<reference value="Encounter/LCaStagingEncounter"/>
</encounter>
<date value="2023-05-23T00:00:00+00:00"/>
<author>🔗
<reference value="Practitioner/DrHause"/>
</author>
<title value="Lung Cancer Staging Report"/>
<section>
<title value="Staging"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p>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%.</p></div>
</text>
<entry>🔗
<reference value="QuestionnaireResponse/LCaStagingResponse"/>
</entry>
<entry>🔗
<reference value="Observation/CTStage"/>
</entry>
<entry>🔗
<reference value="Observation/CNStage"/>
</entry>
<entry>🔗
<reference value="Observation/CMStage"/>
</entry>
<entry>🔗
<reference value="Observation/PDL1Expression"/>
</entry>
</section>
<section>
<title value="Conclusion"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p>Based on the results of the staging, the patient has a stage IV lung cancer.</p></div>
</text>
<entry>🔗
<reference value="Observation/TNMStageGroups"/>
</entry>
</section>
</Composition>
</resource>
</entry>
<entry>
<resource>
<QuestionnaireResponse>
<id value="LCaStagingResponse"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="QuestionnaireResponse_LCaStagingResponse"> </a><p class="res-header-id"><b>Generated Narrative: QuestionnaireResponse LCaStagingResponse</b></p><a name="LCaStagingResponse"> </a><a name="hcLCaStagingResponse"> </a><table border="1" cellpadding="0" cellspacing="0" style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;"><tr style="border: 2px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top"><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://hl7.org/fhir/R5/formats.html#table" title="The linkID for the item">LinkID</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://hl7.org/fhir/R5/formats.html#table" title="Text for the item">Text</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://hl7.org/fhir/R5/formats.html#table" title="Minimum and Maximum # of times the item can appear in the instance">Definition</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://hl7.org/fhir/R5/formats.html#table" title="The type of the item">Answer</a><span style="float: right"><a href="https://hl7.org/fhir/R5/formats.html#table" title="Legend for this format"><img src="data:image/png;base64,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" alt="doco" style="background-color: inherit"/></a></span></th></tr><tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_q_root.gif" alt="." style="background-color: white; background-color: inherit" title="QuestionnaireResponseRoot" class="hierarchy"/> LCaStagingResponse</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Questionnaire:<a href="Questionnaire-LCaStagingTemplate.html">Questionnaire[http://fhir.tiro.health/Questionnaire/LCaStagingTemplate|0.1.0]</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Group" class="hierarchy"/> diagnose</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span><span><a href="http://snomed.info/id/254637007">SNOMED CT 254637007</a>: Non-small cell lung cancer</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="." style="background-color: white; background-color: inherit" title="Item" class="hierarchy"/> diagnose/datum</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">2023-05-23</td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Group" class="hierarchy"/> ctnm</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="." style="background-color: white; background-color: inherit" title="Item" class="hierarchy"/> t</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span><span><a href="http://snomed.info/id/1228938002">SNOMED CT 1228938002</a>: T3</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Item" class="hierarchy"/> n</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span><span><a href="http://snomed.info/id/1229973008">SNOMED CT 1229973008</a>: N1</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="." style="background-color: white; background-color: inherit" title="Item" class="hierarchy"/> m</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span><span><a href="http://snomed.info/id/1229903009">SNOMED CT 1229903009</a>: M1</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Item" class="hierarchy"/> metastasis-location</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span><span><a href="http://snomed.info/id/94222008">SNOMED CT 94222008</a>: bony metastasis</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="." style="background-color: white; background-color: inherit" title="Item" class="hierarchy"/> pd-l1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0.8</td></tr>
<tr><td colspan="4" class="hierarchy"><br/><a href="https://hl7.org/fhir/R5/formats.html#table" title="Legend for this format"><img src="data:image/png;base64,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" alt="doco" style="background-color: inherit"/> Documentation for this format</a></td></tr></table></div>
</text>
<questionnaire
value="http://fhir.tiro.health/Questionnaire/LCaStagingTemplate"/>
<status value="completed"/>
<subject>🔗
<reference value="Patient/LCaPatient"/>
</subject>
<encounter>🔗
<reference value="Encounter/LCaStagingEncounter"/>
</encounter>
<authored value="2023-05-23T00:00:00+00:00"/>
<author>🔗
<reference value="Practitioner/DrHause"/>
</author>
<item>
<linkId value="diagnose"/>
<answer>
<extension
url="http://fhir.tiro.health/StructureDefinition/answer-comment">
<valueAnnotation>
<text value="Some Comment"/>
</valueAnnotation>
</extension>
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="254637007"/>
<display value="Non-small cell lung cancer"/>
</valueCoding>
<item>
<linkId value="diagnose/datum"/>
<answer>
<valueDate value="2023-05-23"/>
</answer>
</item>
</answer>
</item>
<item>
<linkId value="ctnm"/>
<item>
<linkId value="t"/>
<answer>
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="1228938002"/>
<display value="T3"/>
</valueCoding>
</answer>
</item>
<item>
<linkId value="n"/>
<answer>
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="1229973008"/>
<display value="N1"/>
</valueCoding>
</answer>
</item>
<item>
<linkId value="m"/>
<answer>
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="1229903009"/>
<display value="M1"/>
</valueCoding>
</answer>
</item>
</item>
<item>
<linkId value="metastasis-location"/>
<answer>
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="94222008"/>
<display value="bony metastasis"/>
</valueCoding>
</answer>
</item>
<item>
<linkId value="pd-l1"/>
<answer>
<valueDecimal value="0.8"/>
</answer>
</item>
</QuestionnaireResponse>
</resource>
</entry>
<entry>
<resource>
<Encounter>
<id value="LCaStagingEncounter"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Encounter_LCaStagingEncounter"> </a><p class="res-header-id"><b>Generated Narrative: Encounter LCaStagingEncounter</b></p><a name="LCaStagingEncounter"> </a><a name="hcLCaStagingEncounter"> </a><p><b>status</b>: In Progress</p><p><b>subject</b>: <a href="Patient-LCaPatient.html">Anonymous Patient Male, DoB: 1973-04-06 ( http://hospital.be/official-patient-id#8242)</a></p></div>
</text>
<status value="in-progress"/>
<subject>🔗
<reference value="Patient/LCaPatient"/>
</subject>
</Encounter>
</resource>
</entry>
<entry>
<resource>
<Patient>
<id value="LCaPatient"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Patient_LCaPatient"> </a><p class="res-header-id"><b>Generated Narrative: Patient LCaPatient</b></p><a name="LCaPatient"> </a><a name="hcLCaPatient"> </a><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">Anonymous Patient Male, DoB: 1973-04-06 ( http://hospital.be/official-patient-id#8242)</p><hr/></div>
</text>
<identifier>
<system value="http://hospital.be/official-patient-id"/>
<value value="8242"/>
</identifier>
<gender value="male"/>
<birthDate value="1973-04-06"/>
</Patient>
</resource>
</entry>
<entry>
<resource>
<Practitioner>
<id value="DrHause"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Practitioner_DrHause"> </a><p class="res-header-id"><b>Generated Narrative: Practitioner DrHause</b></p><a name="DrHause"> </a><a name="hcDrHause"> </a></div>
</text>
</Practitioner>
</resource>
</entry>
<entry>
<resource>
<Questionnaire>
<id value="LCaStagingTemplate"/>
<language value="nl-BE"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml" xml:lang="nl-BE" lang="nl-BE"><a name="Questionnaire_LCaStagingTemplate"> </a><p class="res-header-id"><b>Generated Narrative: Questionnaire LCaStagingTemplate</b></p><a name="LCaStagingTemplate"> </a><a name="hcLCaStagingTemplate"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Language: nl-BE</p></div><table border="1" cellpadding="0" cellspacing="0" style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;"><tr style="border: 2px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top"><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://hl7.org/fhir/R5/formats.html#table" title="The linkID for the item">LinkID</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://hl7.org/fhir/R5/formats.html#table" title="Text for the item">Text</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://hl7.org/fhir/R5/formats.html#table" title="Minimum and Maximum # of times the item can appear in the instance">Cardinality</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://hl7.org/fhir/R5/formats.html#table" title="The type of the item">Type</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://hl7.org/fhir/R5/formats.html#table" title="Additional information about the item">Description & Constraints</a><span style="float: right"><a href="https://hl7.org/fhir/R5/formats.html#table" title="Legend for this format"><img src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAABmJLR0QA/wD/AP+gvaeTAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3goXBCwdPqAP0wAAAldJREFUOMuNk0tIlFEYhp9z/vE2jHkhxXA0zJCMitrUQlq4lnSltEqCFhFG2MJFhIvIFpkEWaTQqjaWZRkp0g26URZkTpbaaOJkDqk10szoODP//7XIMUe0elcfnPd9zsfLOYplGrpRwZaqTtw3K7PtGem7Q6FoidbGgqHVy/HRb669R+56zx7eRV1L31JGxYbBtjKK93cxeqfyQHbehkZbUkK20goELEuIzEd+dHS+qz/Y8PTSif0FnGkbiwcAjHaU1+QWOptFiyCLp/LnKptpqIuXHx6rbR26kJcBX3yLgBfnd7CxwJmflpP2wUg0HIAoUUpZBmKzELGWcN8nAr6Gpu7tLU/CkwAaoKTWRSQyt89Q8w6J+oVQkKnBoblH7V0PPvUOvDYXfopE/SJmALsxnVm6LbkotrUtNowMeIrVrBcBpaMmdS0j9df7abpSuy7HWehwJdt1lhVwi/J58U5beXGAF6c3UXLycw1wdFklArBn87xdh0ZsZtArghBdAA3+OEDVubG4UEzP6x1FOWneHh2VDAHBAt80IbdXDcesNoCvs3E5AFyNSU5nbrDPZpcUEQQTFZiEVx+51fxMhhyJEAgvlriadIJZZksRuwBYMOPBbO3hePVVqgEJhFeUuFLhIPkRP6BQLIBrmMenujm/3g4zc398awIe90Zb5A1vREALqneMcYgP/xVQWlG+Ncu5vgwwlaUNx+3799rfe96u9K0JSDXcOzOTJg4B6IgmXfsygc7/Bvg9g9E58/cDVmGIBOP/zT8Bz1zqWqpbXIsd0O9hajXfL6u4BaOS6SeWAAAAAElFTkSuQmCC" alt="doco" style="background-color: inherit"/></a></span></th></tr><tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_q_root.gif" alt="." style="background-color: white; background-color: inherit" title="QuestionnaireRoot" class="hierarchy"/> </td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Questionnaire</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" id="item.diagnose" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> diagnose</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Diagnose</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R5/codesystem-item-type.html#item-type-coding">coding</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Value Set: <a href="ValueSet-lung-cancer-diagnosis.html">Lung Cancer Diagnosis</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)" id="item.diagnose/datum" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-date.png" alt="." style="background-color: white; background-color: inherit" title="date" class="hierarchy"/> diagnose/datum</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Date of diagnosis</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R5/codesystem-item-type.html#item-type-date">date</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" id="item.ctnm" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="group" class="hierarchy"/> ctnm</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">cTNM</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R5/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" id="item.t" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> t</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">cT</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R5/codesystem-item-type.html#item-type-coding">coding</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Value Set: <a href="ValueSet-clinical-tstage-lung-cancer.html">Clinical TStage Lung Cancer</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" id="item.n" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> n</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">cN</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R5/codesystem-item-type.html#item-type-coding">coding</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Value Set: <a href="ValueSet-clinical-nstage-lung-cancer.html">Clinical NStage Lung Cancer</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)" id="item.m" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> m</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">cM</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R5/codesystem-item-type.html#item-type-coding">coding</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Value Set: <a href="ValueSet-clinical-mstage-lung-cancer.html">Clinical MStage Lung Cancer</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.metastasis-location" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> metastasis-location</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Location of metastasis</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R5/codesystem-item-type.html#item-type-coding">coding</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Enable When: <ul><li><a href="#item.ctnm/m">ctnm/m</a> = </li><li><a href="#item.ctnm/m">ctnm/m</a> exists </li></ul><br/>Value Set: <a href="ValueSet-lung-cancer-location-of-metastasis.html">Lung Cancer Location Of Metastasis</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)" id="item.pd-l1" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-decimal.png" alt="." style="background-color: white; background-color: inherit" title="decimal" class="hierarchy"/> pd-l1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">PD-L1 expression</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R5/codesystem-item-type.html#item-type-decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr><td colspan="5" class="hierarchy"><br/><a href="https://hl7.org/fhir/R5/formats.html#table" title="Legend for this format"><img src="data:image/png;base64,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" alt="doco" style="background-color: inherit"/> Documentation for this format</a></td></tr></table></div>
</text>
<extension
url="http://fhir.tiro.health/StructureDefinition/render-type">
<valueCanonical
value="http://fhir.tiro.health/Library/TreeLayoutRenderer"/>
</extension>
<extension
url="http://fhir.tiro.health/StructureDefinition/orientation">
<valueCode value="vertical"/>
</extension>
<version value="5.0.1"/>
<status value="active"/>
<item>
<linkId value="diagnose"/>
<code>
<system value="http://snomed.info/sct"/>
<code value="439401001"/>
<display value="Diagnosis"/>
</code>
<text value="Diagnose"/>
<type value="coding"/>
<answerConstraint value="optionsOrType"/>
<answerValueSet
value="http://fhir.tiro.health/ValueSet/lung-cancer-diagnosis"/>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="text-box"/>
</coding>
<coding>
<system
value="http://fhir.tiro.health/CodeSystem/tiro-item-control"/>
<code value="date-field"/>
</coding>
<text value="Textbox"/>
</valueCodeableConcept>
</extension>
<linkId value="diagnose/datum"/>
<code>
<system value="http://snomed.info/sct"/>
<code value="432213005"/>
<display value="Date of diagnosis"/>
</code>
<text value="Date of diagnosis"/>
<type value="date"/>
</item>
</item>
<item>
<linkId value="ctnm"/>
<code>
<system value="http://snomed.info/sct"/>
<code value="399566009"/>
<display value="TNM category"/>
</code>
<text value="cTNM"/>
<type value="group"/>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system
value="http://fhir.tiro.health/CodeSystem/tiro-item-control"/>
<code value="drop-down"/>
</coding>
<text value="Coding Dropdown"/>
</valueCodeableConcept>
</extension>
<linkId value="t"/>
<code>
<system value="http://snomed.info/sct"/>
<code value="399504009"/>
<display value="cT category"/>
</code>
<text value="cT"/>
<type value="coding"/>
<answerValueSet
value="http://fhir.tiro.health/ValueSet/clinical-tstage-lung-cancer"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system
value="http://fhir.tiro.health/CodeSystem/tiro-item-control"/>
<code value="drop-down"/>
</coding>
<text value="Coding Dropdown"/>
</valueCodeableConcept>
</extension>
<linkId value="n"/>
<code>
<system value="http://snomed.info/sct"/>
<code value="399534004"/>
<display value="cN category"/>
</code>
<text value="cN"/>
<type value="coding"/>
<answerValueSet
value="http://fhir.tiro.health/ValueSet/clinical-nstage-lung-cancer"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system
value="http://fhir.tiro.health/CodeSystem/tiro-item-control"/>
<code value="drop-down"/>
</coding>
<text value="Coding Dropdown"/>
</valueCodeableConcept>
</extension>
<linkId value="m"/>
<code>
<system value="http://snomed.info/sct"/>
<code value="399387003"/>
<display value="cM category"/>
</code>
<text value="cM"/>
<type value="coding"/>
<answerValueSet
value="http://fhir.tiro.health/ValueSet/clinical-mstage-lung-cancer"/>
</item>
</item>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="check-box"/>
</coding>
<coding>
<system
value="http://fhir.tiro.health/CodeSystem/tiro-item-control"/>
<code value="chips"/>
</coding>
<text value="Coding Chips"/>
</valueCodeableConcept>
</extension>
<linkId value="metastasis-location"/>
<code>
<system value="http://snomed.info/sct"/>
<code value="385421009"/>
<display value="Site of distant metastasis"/>
</code>
<text value="Location of metastasis"/>
<type value="coding"/>
<enableWhen>
<question value="ctnm/m"/>
<operator value="="/>
<answerCoding>
<system value="http://snomed.info/sct"/>
<code value="1229901006"/>
<display value="M0"/>
</answerCoding>
</enableWhen>
<enableWhen>
<question value="ctnm/m"/>
<operator value="exists"/>
<answerBoolean value="true"/>
</enableWhen>
<enableBehavior value="all"/>
<disabledDisplay value="hidden"/>
<answerConstraint value="optionsOrType"/>
<answerValueSet
value="http://fhir.tiro.health/ValueSet/lung-cancer-location-of-metastasis"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/questionnaire-unit">
<valueCoding>
<system value="http://unitsofmeasure.org"/>
<code value="%"/>
</valueCoding>
</extension>
<linkId value="pd-l1"/>
<code>
<system value="http://snomed.info/sct"/>
<code value="1255770005"/>
<display value="PD-L1 expression"/>
</code>
<text value="PD-L1 expression"/>
<type value="decimal"/>
</item>
</Questionnaire>
</resource>
</entry>
<entry>
<resource>
<Condition>
<id value="LungCancerStaging"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Condition_LungCancerStaging"> </a><p class="res-header-id"><b>Generated Narrative: Condition LungCancerStaging</b></p><a name="LungCancerStaging"> </a><a name="hcLungCancerStaging"> </a><p><b>clinicalStatus</b>: <span title="Codes:">active</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 254637007}">Non-small cell lung cancer</span></p><p><b>subject</b>: <a href="Patient-LCaPatient.html">Anonymous Patient Male, DoB: 1973-04-06 ( http://hospital.be/official-patient-id#8242)</a></p></div>
</text>
<clinicalStatus>
<coding>
<code value="active"/>
</coding>
</clinicalStatus>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-category"/>
<code value="problem-list-item"/>
<display value="Problem List Item"/>
</coding>
</category>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="254637007"/>
<display value="Non-small cell lung cancer"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/LCaPatient"/>
</subject>
</Condition>
</resource>
</entry>
<entry>
<resource>
<Observation>
<id value="CTStage"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_CTStage"> </a><p class="res-header-id"><b>Generated Narrative: Observation CTStage</b></p><a name="CTStage"> </a><a name="hcCTStage"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 399504009}">cT category</span></p><p><b>subject</b>: <a href="Patient-LCaPatient.html">Anonymous Patient Male, DoB: 1973-04-06 ( http://hospital.be/official-patient-id#8242)</a></p><p><b>focus</b>: <a href="Condition-LungCancerStaging.html">Condition Non-small cell lung cancer</a></p><p><b>effective</b>: 2023-05-23 00:00:00+0000</p><p><b>performer</b>: <a href="Practitioner-DrHause.html">Practitioner</a></p><p><b>value</b>: <span title="Codes:{http://snomed.info/sct 1228938002}">T3</span></p></div>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="399504009"/>
<display value="cT category"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/LCaPatient"/>
</subject>
<focus>🔗
<reference value="Condition/LungCancerStaging"/>
</focus>
<effectiveDateTime value="2023-05-23T00:00:00+00:00"/>
<performer>🔗
<reference value="Practitioner/DrHause"/>
</performer>
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="1228938002"/>
<display value="T3"/>
</coding>
</valueCodeableConcept>
</Observation>
</resource>
</entry>
<entry>
<resource>
<Observation>
<id value="CNStage"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_CNStage"> </a><p class="res-header-id"><b>Generated Narrative: Observation CNStage</b></p><a name="CNStage"> </a><a name="hcCNStage"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 399534004}">cN category</span></p><p><b>subject</b>: <a href="Patient-LCaPatient.html">Anonymous Patient Male, DoB: 1973-04-06 ( http://hospital.be/official-patient-id#8242)</a></p><p><b>focus</b>: <a href="Condition-LungCancerStaging.html">Condition Non-small cell lung cancer</a></p><p><b>effective</b>: 2023-05-23 00:00:00+0000</p><p><b>performer</b>: <a href="Practitioner-DrHause.html">Practitioner</a></p><p><b>value</b>: <span title="Codes:{http://snomed.info/sct 1229973008}">N1</span></p></div>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="399534004"/>
<display value="cN category"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/LCaPatient"/>
</subject>
<focus>🔗
<reference value="Condition/LungCancerStaging"/>
</focus>
<effectiveDateTime value="2023-05-23T00:00:00+00:00"/>
<performer>🔗
<reference value="Practitioner/DrHause"/>
</performer>
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="1229973008"/>
<display value="N1"/>
</coding>
</valueCodeableConcept>
</Observation>
</resource>
</entry>
<entry>
<resource>
<Observation>
<id value="CMStage"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_CMStage"> </a><p class="res-header-id"><b>Generated Narrative: Observation CMStage</b></p><a name="CMStage"> </a><a name="hcCMStage"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 399387003}">cM category</span></p><p><b>subject</b>: <a href="Patient-LCaPatient.html">Anonymous Patient Male, DoB: 1973-04-06 ( http://hospital.be/official-patient-id#8242)</a></p><p><b>focus</b>: <a href="Condition-LungCancerStaging.html">Condition Non-small cell lung cancer</a></p><p><b>effective</b>: 2023-05-23 00:00:00+0000</p><p><b>performer</b>: <a href="Practitioner-DrHause.html">Practitioner</a></p><p><b>value</b>: <span title="Codes:{http://snomed.info/sct 1229903009}">M1</span></p></div>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="399387003"/>
<display value="cM category"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/LCaPatient"/>
</subject>
<focus>🔗
<reference value="Condition/LungCancerStaging"/>
</focus>
<effectiveDateTime value="2023-05-23T00:00:00+00:00"/>
<performer>🔗
<reference value="Practitioner/DrHause"/>
</performer>
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="1229903009"/>
<display value="M1"/>
</coding>
</valueCodeableConcept>
</Observation>
</resource>
</entry>
<entry>
<resource>
<Observation>
<id value="PDL1Expression"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_PDL1Expression"> </a><p class="res-header-id"><b>Generated Narrative: Observation PDL1Expression</b></p><a name="PDL1Expression"> </a><a name="hcPDL1Expression"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 1255770005}">PD-L1</span></p><p><b>subject</b>: <a href="Patient-LCaPatient.html">Anonymous Patient Male, DoB: 1973-04-06 ( http://hospital.be/official-patient-id#8242)</a></p><p><b>focus</b>: <a href="Condition-LungCancerStaging.html">Condition Non-small cell lung cancer</a></p><p><b>effective</b>: 2023-05-23 00:00:00+0000</p><p><b>performer</b>: <a href="Practitioner-DrHause.html">Practitioner</a></p><p><b>value</b>: 80 %<span style="background: LightGoldenRodYellow"> (Details: UCUM code% = '%')</span></p></div>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="1255770005"/>
<display
value="Presence of PD-L1 in primary malignant neoplasm of lung by immunohistochemistry "/>
</coding>
<text value="PD-L1"/>
</code>
<subject>🔗
<reference value="Patient/LCaPatient"/>
</subject>
<focus>🔗
<reference value="Condition/LungCancerStaging"/>
</focus>
<effectiveDateTime value="2023-05-23T00:00:00+00:00"/>
<performer>🔗
<reference value="Practitioner/DrHause"/>
</performer>
<valueQuantity>
<value value="80"/>
<system value="http://unitsofmeasure.org"/>
<code value="%"/>
</valueQuantity>
</Observation>
</resource>
</entry>
<entry>
<resource>
<Observation>
<id value="TNMStageGroups"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_TNMStageGroups"> </a><p class="res-header-id"><b>Generated Narrative: Observation TNMStageGroups</b></p><a name="TNMStageGroups"> </a><a name="hcTNMStageGroups"> </a><p><b>status</b>: Final</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-LCaPatient.html">Anonymous Patient Male, DoB: 1973-04-06 ( http://hospital.be/official-patient-id#8242)</a></p><p><b>focus</b>: <a href="Condition-LungCancerStaging.html">Condition Non-small cell lung cancer</a></p><p><b>effective</b>: 2023-05-23 00:00:00+0000</p><p><b>performer</b>: <a href="Practitioner-DrHause.html">Practitioner</a></p><p><b>value</b>: <span title="Codes:{http://snomed.info/sct 1222843001}">Stage IV</span></p><p><b>method</b>: <span title="Codes:{http://snomed.info/sct 1269566009}">American Joint Commission on Cancer, Cancer Staging Manual, 9th version neoplasm staging system</span></p><p><b>hasMember</b>: </p><ul><li><a href="Observation-CTStage.html">Observation cT category</a></li><li><a href="Observation-CNStage.html">Observation cN category</a></li><li><a href="Observation-CMStage.html">Observation cM category</a></li></ul></div>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="399537006"/>
<display value="Clinical TNM stage grouping"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/LCaPatient"/>
</subject>
<focus>🔗
<reference value="Condition/LungCancerStaging"/>
</focus>
<effectiveDateTime value="2023-05-23T00:00:00+00:00"/>
<performer>🔗
<reference value="Practitioner/DrHause"/>
</performer>
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="1222843001"/>
<display value="Stage IV"/>
</coding>
</valueCodeableConcept>
<method>
<coding>
<system value="http://snomed.info/sct"/>
<code value="1269566009"/>
<display
value="American Joint Commission on Cancer, Cancer Staging Manual, 9th version neoplasm staging system"/>
</coding>
</method>
<hasMember>🔗
<reference value="Observation/CTStage"/>
</hasMember>
<hasMember>🔗
<reference value="Observation/CNStage"/>
</hasMember>
<hasMember>🔗
<reference value="Observation/CMStage"/>
</hasMember>
</Observation>
</resource>
</entry>
<entry>
<resource>
<Observation>
<id value="Metastasis"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_Metastasis"> </a><p class="res-header-id"><b>Generated Narrative: Observation Metastasis</b></p><a name="Metastasis"> </a><a name="hcMetastasis"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 94222008}">Cancer metastatic to bone</span></p><p><b>subject</b>: <a href="Patient-LCaPatient.html">Anonymous Patient Male, DoB: 1973-04-06 ( http://hospital.be/official-patient-id#8242)</a></p><p><b>effective</b>: 2023-05-23 00:00:00+0000</p><p><b>performer</b>: <a href="Practitioner-DrHause.html">Practitioner</a></p><p><b>bodySite</b>: <span title="Codes:{http://snomed.info/sct 272673000}">Bone structure of skeleton</span></p></div>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="94222008"/>
<display value="Cancer metastatic to bone"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/LCaPatient"/>
</subject>
<effectiveDateTime value="2023-05-23T00:00:00+00:00"/>
<performer>🔗
<reference value="Practitioner/DrHause"/>
</performer>
<bodySite>
<coding>
<system value="http://snomed.info/sct"/>
<code value="272673000"/>
<display value="Bone structure of skeleton"/>
</coding>
</bodySite>
</Observation>
</resource>
</entry>
</Bundle>
IG © 2023+ Tiro.health. Package tiro-health-fhir#0.1.0 based on FHIR 5.0.0. Generated 2025-10-16
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