Tiro.health Implementation Guide
0.1.0 - ci-build

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: Prostate Cancer Staging Report - JSON Representation

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{
  "resourceType" : "Bundle",
  "id" : "PCaStagingReport",
  "type" : "document",
  "entry" : [
    {
      "resource" : {
        "resourceType" : "Composition",
        "id" : "PCaStagingComposition",
        "language" : "nl",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"nl\" lang=\"nl\"><a name=\"Composition_PCaStagingComposition\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Composition PCaStagingComposition</b></p><a name=\"PCaStagingComposition\"> </a><a name=\"hcPCaStagingComposition\"> </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</p></div><p><b>status</b>: Final</p><p><b>type</b>: <span title=\"Codes:{http://loinc.org 1234}\">Prostate Cancer Consultation</span></p><p><b>date</b>: 2023-05-24</p><p><b>author</b>: <a href=\"Practitioner-DrHause.html\">Practitioner</a></p><p><b>title</b>: Prostate Cancer Staging Composition</p></div>"
        },
        "status" : "final",
        "type" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "1234",
              "display" : "Prostate Cancer Consultation"
            }
          ]
        },
        "date" : "2023-05-24",
        "author" : [
          {
            🔗 "reference" : "Practitioner/DrHause"
          }
        ],
        "title" : "Prostate Cancer Staging Composition",
        "section" : [
          {
            "title" : "Medische voorgeschiedenis",
            "code" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "1003642006",
                  "display" : "Past medical history section"
                },
                {
                  "system" : "http://fhir.tiro.health/CodeSystem/report-sections",
                  "code" : "medical-history",
                  "display" : "Medical history section"
                }
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<div>Hier volgt een leesbaar textoverzicht van de algemene medische voorgeschiedenis van de patiënt.</div>"
            }
          },
          {
            "title" : "Prostaat-gerateerde voorgeschiedenis",
            "code" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "422625006",
                  "display" : "history of present illness section"
                },
                {
                  "system" : "http://fhir.tiro.health/CodeSystem/report-sections",
                  "code" : "prostate-history",
                  "display" : "Prostate history section"
                }
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<div>Hier volgt een leesbaar textoverzicht van de prostaat-gerelateerde medische voorgeschiedenis van de patiënt.</div>"
            }
          },
          {
            "title" : "Anamnese en klinisch onderzoek",
            "code" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "371529009",
                  "display" : "History and physical report"
                }
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<div>Hier volgt een leesbaar textoverzicht van de anamnese en het klinisch onderzoek van de patiënt.</div>"
            }
          },
          {
            "title" : "Technische onderzoeken",
            "code" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "4201000179104",
                  "display" : "Imaging report"
                }
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<div>Hier volgt een leesbaar textoverzicht van de technische onderzoeken van de patiënt.</div>"
            }
          },
          {
            "title" : "Staging prostaatkanker"
          },
          {
            "title" : "Besluit bij verhoogde PSA",
            "code" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "722091001",
                  "display" : "Conclusion interpretation document"
                }
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<div>Hier volgt een leesbaar textoverzicht van het besluit bij verhoogde PSA van de patiënt.</div>"
            }
          }
        ]
      }
    },
    {
      "resource" : {
        "resourceType" : "Observation",
        "id" : "PCacTStage",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_PCacTStage\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation PCacTStage</b></p><a name=\"PCacTStage\"> </a><a name=\"hcPCacTStage\"> </a><p><b>status</b>: Registered</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 399537006}\">Clinical TNM stage grouping (observable entity)</span></p><p><b>subject</b>: <a href=\"Patient-PCaPatient.html\">Anonymous Patient Male, DoB: 2023-04-06 ( 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>value</b>: <span title=\"Codes:{http://snomed.info/sct 1228892002}\">cT1a</span></p></div>"
        },
        "status" : "registered",
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "399537006",
              "display" : "Clinical TNM stage grouping (observable entity)"
            }
          ]
        },
        "subject" : {
          🔗 "reference" : "Patient/PCaPatient"
        },
        "effectiveDateTime" : "2023-05-23T00:00:00+00:00",
        "performer" : [
          {
            🔗 "reference" : "Practitioner/DrHause"
          }
        ],
        "valueCodeableConcept" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "1228892002",
              "display" : "cT1a"
            }
          ],
          "text" : "cT1a"
        }
      }
    },
    {
      "resource" : {
        "resourceType" : "Observation",
        "id" : "PCaEAURisk",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_PCaEAURisk\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation PCaEAURisk</b></p><a name=\"PCaEAURisk\"> </a><a name=\"hcPCaEAURisk\"> </a><p><b>status</b>: Registered</p><p><b>code</b>: <span title=\"Codes:{http://tiro.health/fhir/CodeSystem/auto-generated urn:uuid:030861fb-a73f-499a-9e7e-471d720c25cf}\">EAU risicogroep</span></p><p><b>subject</b>: <a href=\"Patient-PCaPatient.html\">Anonymous Patient Male, DoB: 2023-04-06 ( 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>value</b>: <span title=\"Codes:{http://snomed.info/sct 723505004}\">Low risk</span></p></div>"
        },
        "status" : "registered",
        "code" : {
          "coding" : [
            {
              "system" : "http://tiro.health/fhir/CodeSystem/auto-generated",
              "code" : "urn:uuid:030861fb-a73f-499a-9e7e-471d720c25cf",
              "display" : "EAU risicogroep"
            }
          ]
        },
        "subject" : {
          🔗 "reference" : "Patient/PCaPatient"
        },
        "effectiveDateTime" : "2023-05-23T00:00:00+00:00",
        "performer" : [
          {
            🔗 "reference" : "Practitioner/DrHause"
          }
        ],
        "valueCodeableConcept" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "723505004"
            }
          ],
          "text" : "Low risk"
        }
      }
    },
    {
      "resource" : {
        "resourceType" : "Observation",
        "id" : "PCaGleason",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_PCaGleason\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation PCaGleason</b></p><a name=\"PCaGleason\"> </a><a name=\"hcPCaGleason\"> </a><p><b>status</b>: Registered</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 372278000}\">Gleason score</span></p><p><b>subject</b>: <a href=\"Patient-PCaPatient.html\">Anonymous Patient Male, DoB: 2023-04-06 ( 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>value</b>: 3 + 3</p><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 384994009}\">Primary Gleason pattern</span></p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 369772003}\">Gleason pattern 3</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 384995005}\">Secondary Gleason pattern</span></p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 369772003}\">Gleason pattern 3</span></p></blockquote></div>"
        },
        "status" : "registered",
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "372278000",
              "display" : "Gleason score"
            }
          ]
        },
        "subject" : {
          🔗 "reference" : "Patient/PCaPatient"
        },
        "effectiveDateTime" : "2023-05-23T00:00:00+00:00",
        "performer" : [
          {
            🔗 "reference" : "Practitioner/DrHause"
          }
        ],
        "valueString" : "3 + 3",
        "component" : [
          {
            "code" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "384994009",
                  "display" : "Primary Gleason pattern"
                }
              ]
            },
            "valueCodeableConcept" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "369772003",
                  "display" : "Gleason pattern 3"
                }
              ]
            }
          },
          {
            "code" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "384995005",
                  "display" : "Secondary Gleason pattern"
                }
              ]
            },
            "valueCodeableConcept" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "369772003",
                  "display" : "Gleason pattern 3"
                }
              ]
            }
          }
        ]
      }
    },
    {
      "resource" : {
        "resourceType" : "Observation",
        "id" : "PCaPSA1",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_PCaPSA1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation PCaPSA1</b></p><a name=\"PCaPSA1\"> </a><a name=\"hcPCaPSA1\"> </a><p><b>status</b>: Registered</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 63476009}\">Prostate specific antigen measurement</span></p><p><b>subject</b>: <a href=\"Patient-PCaPatient.html\">Anonymous Patient Male, DoB: 2023-04-06 ( http://hospital.be/official-patient-id#8242)</a></p><p><b>effective</b>: 2023-01-23 00:00:00+0000</p><p><b>value</b>: 0.14 ng/ml<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeng/ml = 'ng/ml')</span></p></div>"
        },
        "status" : "registered",
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "63476009",
              "display" : "Prostate specific antigen measurement"
            }
          ]
        },
        "subject" : {
          🔗 "reference" : "Patient/PCaPatient"
        },
        "effectiveDateTime" : "2023-01-23T00:00:00+00:00",
        "valueQuantity" : {
          "value" : 0.14,
          "unit" : "ng/ml",
          "system" : "http://unitsofmeasure.org",
          "code" : "ng/ml"
        }
      }
    },
    {
      "resource" : {
        "resourceType" : "Observation",
        "id" : "PCaPSA2",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_PCaPSA2\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation PCaPSA2</b></p><a name=\"PCaPSA2\"> </a><a name=\"hcPCaPSA2\"> </a><p><b>status</b>: Registered</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 63476009}\">Prostate specific antigen measurement</span></p><p><b>subject</b>: <a href=\"Patient-PCaPatient.html\">Anonymous Patient Male, DoB: 2023-04-06 ( http://hospital.be/official-patient-id#8242)</a></p><p><b>effective</b>: 2023-05-20 00:00:00+0000</p><p><b>value</b>: 8.4 ng/ml<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeng/ml = 'ng/ml')</span></p></div>"
        },
        "status" : "registered",
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "63476009",
              "display" : "Prostate specific antigen measurement"
            }
          ]
        },
        "subject" : {
          🔗 "reference" : "Patient/PCaPatient"
        },
        "effectiveDateTime" : "2023-05-20T00:00:00+00:00",
        "valueQuantity" : {
          "value" : 8.4,
          "unit" : "ng/ml",
          "system" : "http://unitsofmeasure.org",
          "code" : "ng/ml"
        }
      }
    },
    {
      "resource" : {
        "resourceType" : "Condition",
        "id" : "RaisedPSACondition",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_RaisedPSACondition\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Condition RaisedPSACondition</b></p><a name=\"RaisedPSACondition\"> </a><a name=\"hcRaisedPSACondition\"> </a><p><b>clinicalStatus</b>: <span title=\"Codes:\">active</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 396152005}\">Raised prostate specific antigen</span></p><p><b>subject</b>: <a href=\"Patient-PCaPatient.html\">Anonymous Patient Male, DoB: 2023-04-06 ( http://hospital.be/official-patient-id#8242)</a></p><p><b>recordedDate</b>: 2023-05-23 00:00:00+0000</p><h3>Participants</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Function</b></td><td><b>Actor</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/provenance-participant-type custodian}\">Treating physician</span></td><td><a href=\"Practitioner-DrHause.html\">Practitioner</a></td></tr></table><blockquote><p><b>stage</b></p><p><b>assessment</b>: </p><ul><li><a href=\"Observation-PCaPSA1.html\">Observation Prostate specific antigen measurement</a></li><li><a href=\"Observation-PCaPSA2.html\">Observation Prostate specific antigen measurement</a></li></ul></blockquote></div>"
        },
        "clinicalStatus" : {
          "coding" : [
            {
              "code" : "active"
            }
          ]
        },
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "396152005"
            }
          ]
        },
        "subject" : {
          🔗 "reference" : "Patient/PCaPatient"
        },
        "recordedDate" : "2023-05-23T00:00:00+00:00",
        "participant" : [
          {
            "function" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/provenance-participant-type",
                  "code" : "custodian",
                  "display" : "Custodian"
                }
              ],
              "text" : "Treating physician"
            },
            "actor" : {
              🔗 "reference" : "Practitioner/DrHause"
            }
          }
        ],
        "stage" : [
          {
            "assessment" : [
              {
                🔗 "reference" : "Observation/PCaPSA1"
              },
              {
                🔗 "reference" : "Observation/PCaPSA2"
              }
            ]
          }
        ]
      }
    },
    {
      "resource" : {
        "resourceType" : "Condition",
        "id" : "PCaCondition",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_PCaCondition\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Condition PCaCondition</b></p><a name=\"PCaCondition\"> </a><a name=\"hcPCaCondition\"> </a><p><b>clinicalStatus</b>: <span title=\"Codes:\">active</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 254900004}\">Carcinoma of prostate</span></p><p><b>subject</b>: <a href=\"Patient-PCaPatient.html\">Anonymous Patient Male, DoB: 2023-04-06 ( http://hospital.be/official-patient-id#8242)</a></p><p><b>recordedDate</b>: 2023-05-23 00:00:00+0000</p><h3>Participants</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Function</b></td><td><b>Actor</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/provenance-participant-type custodian}\">Treating physician</span></td><td><a href=\"Practitioner-DrHause.html\">Practitioner</a></td></tr></table><blockquote><p><b>stage</b></p><p><b>assessment</b>: </p><ul><li><a href=\"Observation-PCacTStage.html\">Observation Clinical TNM stage grouping (observable entity)</a></li><li><a href=\"Observation-PCaEAURisk.html\">Observation EAU risicogroep</a></li><li><a href=\"Observation-PCaGleason.html\">Observation Gleason score</a></li><li><a href=\"Observation-PCaPSA2.html\">Observation Prostate specific antigen measurement</a></li></ul></blockquote></div>"
        },
        "clinicalStatus" : {
          "coding" : [
            {
              "code" : "active"
            }
          ]
        },
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "254900004"
            }
          ]
        },
        "subject" : {
          🔗 "reference" : "Patient/PCaPatient"
        },
        "recordedDate" : "2023-05-23T00:00:00+00:00",
        "participant" : [
          {
            "function" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/provenance-participant-type",
                  "code" : "custodian",
                  "display" : "Custodian"
                }
              ],
              "text" : "Treating physician"
            },
            "actor" : {
              🔗 "reference" : "Practitioner/DrHause"
            }
          }
        ],
        "stage" : [
          {
            "assessment" : [
              {
                🔗 "reference" : "Observation/PCacTStage"
              },
              {
                🔗 "reference" : "Observation/PCaEAURisk"
              },
              {
                🔗 "reference" : "Observation/PCaGleason"
              },
              {
                🔗 "reference" : "Observation/PCaPSA2"
              }
            ]
          }
        ]
      }
    },
    {
      "resource" : {
        "resourceType" : "Patient",
        "id" : "PCaPatient",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_PCaPatient\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient PCaPatient</b></p><a name=\"PCaPatient\"> </a><a name=\"hcPCaPatient\"> </a><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Anonymous Patient Male, DoB: 2023-04-06 ( http://hospital.be/official-patient-id#8242)</p><hr/></div>"
        },
        "identifier" : [
          {
            "system" : "http://hospital.be/official-patient-id",
            "value" : "8242"
          }
        ],
        "gender" : "male",
        "birthDate" : "2023-04-06"
      }
    },
    {
      "resource" : {
        "resourceType" : "Practitioner",
        "id" : "DrHause",
        "text" : {
          "status" : "generated",
          "div" : "<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>"
        }
      }
    }
  ]
}