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="PCaStagingReport"/>
<type value="document"/>
<entry>
<resource>
<Composition>
<id value="PCaStagingComposition"/>
<language value="nl"/>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<type>
<coding>
<system value="http://loinc.org"/>
<code value="1234"/>
<display value="Prostate Cancer Consultation"/>
</coding>
</type>
<date value="2023-05-24"/>
<author>🔗
<reference value="Practitioner/DrHause"/>
</author>
<title value="Prostate Cancer Staging Composition"/>
<section>
<title value="Medische voorgeschiedenis"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="1003642006"/>
<display value="Past medical history section"/>
</coding>
<coding>
<system
value="http://fhir.tiro.health/CodeSystem/report-sections"/>
<code value="medical-history"/>
<display value="Medical history section"/>
</coding>
</code>
<text>
<status value="generated"/>
<div>Hier volgt een leesbaar textoverzicht van de algemene medische voorgeschiedenis van de patiënt.</div>
</text>
</section>
<section>
<title value="Prostaat-gerateerde voorgeschiedenis"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="422625006"/>
<display value="history of present illness section"/>
</coding>
<coding>
<system
value="http://fhir.tiro.health/CodeSystem/report-sections"/>
<code value="prostate-history"/>
<display value="Prostate history section"/>
</coding>
</code>
<text>
<status value="generated"/>
<div>Hier volgt een leesbaar textoverzicht van de prostaat-gerelateerde medische voorgeschiedenis van de patiënt.</div>
</text>
</section>
<section>
<title value="Anamnese en klinisch onderzoek"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="371529009"/>
<display value="History and physical report"/>
</coding>
</code>
<text>
<status value="generated"/>
<div>Hier volgt een leesbaar textoverzicht van de anamnese en het klinisch onderzoek van de patiënt.</div>
</text>
</section>
<section>
<title value="Technische onderzoeken"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="4201000179104"/>
<display value="Imaging report"/>
</coding>
</code>
<text>
<status value="generated"/>
<div>Hier volgt een leesbaar textoverzicht van de technische onderzoeken van de patiënt.</div>
</text>
</section>
<section>
<title value="Staging prostaatkanker"/>
</section>
<section>
<title value="Besluit bij verhoogde PSA"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="722091001"/>
<display value="Conclusion interpretation document"/>
</coding>
</code>
<text>
<status value="generated"/>
<div>Hier volgt een leesbaar textoverzicht van het besluit bij verhoogde PSA van de patiënt.</div>
</text>
</section>
</Composition>
</resource>
</entry>
<entry>
<resource>
<Observation>
<id value="PCacTStage"/>
<text>
<status value="generated"/>
<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>
</text>
<status value="registered"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="399537006"/>
<display value="Clinical TNM stage grouping (observable entity)"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/PCaPatient"/>
</subject>
<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="1228892002"/>
<display value="cT1a"/>
</coding>
<text value="cT1a"/>
</valueCodeableConcept>
</Observation>
</resource>
</entry>
<entry>
<resource>
<Observation>
<id value="PCaEAURisk"/>
<text>
<status value="generated"/>
<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>
</text>
<status value="registered"/>
<code>
<coding>
<system
value="http://tiro.health/fhir/CodeSystem/auto-generated"/>
<code value="urn:uuid:030861fb-a73f-499a-9e7e-471d720c25cf"/>
<display value="EAU risicogroep"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/PCaPatient"/>
</subject>
<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="723505004"/>
</coding>
<text value="Low risk"/>
</valueCodeableConcept>
</Observation>
</resource>
</entry>
<entry>
<resource>
<Observation>
<id value="PCaGleason"/>
<text>
<status value="generated"/>
<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>
</text>
<status value="registered"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="372278000"/>
<display value="Gleason score"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/PCaPatient"/>
</subject>
<effectiveDateTime value="2023-05-23T00:00:00+00:00"/>
<performer>🔗
<reference value="Practitioner/DrHause"/>
</performer>
<valueString value="3 + 3"/>
<component>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="384994009"/>
<display value="Primary Gleason pattern"/>
</coding>
</code>
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="369772003"/>
<display value="Gleason pattern 3"/>
</coding>
</valueCodeableConcept>
</component>
<component>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="384995005"/>
<display value="Secondary Gleason pattern"/>
</coding>
</code>
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="369772003"/>
<display value="Gleason pattern 3"/>
</coding>
</valueCodeableConcept>
</component>
</Observation>
</resource>
</entry>
<entry>
<resource>
<Observation>
<id value="PCaPSA1"/>
<text>
<status value="generated"/>
<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>
</text>
<status value="registered"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="63476009"/>
<display value="Prostate specific antigen measurement"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/PCaPatient"/>
</subject>
<effectiveDateTime value="2023-01-23T00:00:00+00:00"/>
<valueQuantity>
<value value="0.14"/>
<unit value="ng/ml"/>
<system value="http://unitsofmeasure.org"/>
<code value="ng/ml"/>
</valueQuantity>
</Observation>
</resource>
</entry>
<entry>
<resource>
<Observation>
<id value="PCaPSA2"/>
<text>
<status value="generated"/>
<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>
</text>
<status value="registered"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="63476009"/>
<display value="Prostate specific antigen measurement"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/PCaPatient"/>
</subject>
<effectiveDateTime value="2023-05-20T00:00:00+00:00"/>
<valueQuantity>
<value value="8.4"/>
<unit value="ng/ml"/>
<system value="http://unitsofmeasure.org"/>
<code value="ng/ml"/>
</valueQuantity>
</Observation>
</resource>
</entry>
<entry>
<resource>
<Condition>
<id value="RaisedPSACondition"/>
<text>
<status value="generated"/>
<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>
</text>
<clinicalStatus>
<coding>
<code value="active"/>
</coding>
</clinicalStatus>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="396152005"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/PCaPatient"/>
</subject>
<recordedDate value="2023-05-23T00:00:00+00:00"/>
<participant>
<function>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/provenance-participant-type"/>
<code value="custodian"/>
<display value="Custodian"/>
</coding>
<text value="Treating physician"/>
</function>
<actor>🔗
<reference value="Practitioner/DrHause"/>
</actor>
</participant>
<stage>
<assessment>🔗
<reference value="Observation/PCaPSA1"/>
</assessment>
<assessment>🔗
<reference value="Observation/PCaPSA2"/>
</assessment>
</stage>
</Condition>
</resource>
</entry>
<entry>
<resource>
<Condition>
<id value="PCaCondition"/>
<text>
<status value="generated"/>
<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>
</text>
<clinicalStatus>
<coding>
<code value="active"/>
</coding>
</clinicalStatus>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="254900004"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/PCaPatient"/>
</subject>
<recordedDate value="2023-05-23T00:00:00+00:00"/>
<participant>
<function>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/provenance-participant-type"/>
<code value="custodian"/>
<display value="Custodian"/>
</coding>
<text value="Treating physician"/>
</function>
<actor>🔗
<reference value="Practitioner/DrHause"/>
</actor>
</participant>
<stage>
<assessment>🔗
<reference value="Observation/PCacTStage"/>
</assessment>
<assessment>🔗
<reference value="Observation/PCaEAURisk"/>
</assessment>
<assessment>🔗
<reference value="Observation/PCaGleason"/>
</assessment>
<assessment>🔗
<reference value="Observation/PCaPSA2"/>
</assessment>
</stage>
</Condition>
</resource>
</entry>
<entry>
<resource>
<Patient>
<id value="PCaPatient"/>
<text>
<status value="generated"/>
<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>
</text>
<identifier>
<system value="http://hospital.be/official-patient-id"/>
<value value="8242"/>
</identifier>
<gender value="male"/>
<birthDate value="2023-04-06"/>
</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>
</Bundle>