CH CRL (R4)
0.9.0 - Draft
CH CRL (R4)
0.9.0 - Draft
This page is part of the CH CRL (R4) (v0.9.0: STU Draft) based on FHIR R4. . For a full list of available versions, see the Directory of published versions 
{
"resourceType" : "Bundle",
"id" : "BundleUC1bPatho20181202",
"meta" : {
"profile" : [
"http://fhir.ch/ig/ch-crl/StructureDefinition/ch-crl-bundle"
]
},
"identifier" : {
"system" : "http://example.fhir",
"value" : "1234"
},
"type" : "document",
"timestamp" : "2018-12-02T16:19:20.680+00:00",
"entry" : [
{
"fullUrl" : "http://test.fhir.ch/r4/Composition/CompUC1bPatho20181202",
"resource" : {
"resourceType" : "Composition",
"id" : "CompUC1bPatho20181202",
"meta" : {
"profile" : [
"http://fhir.ch/ig/ch-crl/StructureDefinition/ch-crl-composition"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><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\">Resource \"CompUC1bPatho20181202\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ch-crl-composition.html\">CH CRL Composition</a></p></div><p><b>status</b>: final</p><p><b>type</b>: Cancer event report <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#72134-0)</span></p><p><b>date</b>: 2018-12-02T13:00:00+02:00</p><p><b>author</b>: <a href=\"#Organization_AbteilungPatho\">See above (Organization/AbteilungPatho)</a></p><p><b>title</b>: Pathologischer Befund</p></div>"
},
"status" : "final",
"type" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "72134-0",
"display" : "Cancer event report"
}
]
},
"subject" : {
"reference" : "Patient/RobertMeier"
},
"date" : "2018-12-02T13:00:00+02:00",
"author" : [
{
"reference" : "Organization/AbteilungPatho"
}
],
"title" : "Pathologischer Befund",
"section" : [
{
"title" : "Diagnosis",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "29308-4",
"display" : "Diagnosis"
}
]
},
"entry" : [
{
"reference" : "Observation/DateOfIncidence-20181202"
},
{
"reference" : "Procedure/DiagnosticMethod-Endoscopy20181202"
},
{
"reference" : "Procedure/DiagnosticMethod-Biopsy20181202"
}
]
},
{
"title" : "Coding",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "95365-3",
"display" : "Criteria used for case classification"
}
]
},
"entry" : [
{
"reference" : "Observation/ICD-10-Kolon-final"
},
{
"reference" : "Observation/ICD-O-3-Topography-20181202"
},
{
"reference" : "Observation/ICD-O-3-Morphology-20181202"
},
{
"reference" : "Observation/ICD-O-3-Behaviour-20181202"
},
{
"reference" : "Observation/ICD-O-3-HistologicalGrade-20181202"
},
{
"reference" : "Observation/ICD-O-3-Laterality-20181202"
}
]
},
{
"title" : "Staging and grading",
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "254291000",
"display" : "Staging and scales (staging scale)"
}
]
},
"entry" : [
{
"reference" : "Observation/y-PrefixOfcTNM-20181202"
},
{
"reference" : "Observation/a-PrefixOfpTNM-20181202"
},
{
"reference" : "Observation/y-PrefixOfpTNM-20181202"
},
{
"reference" : "Observation/m-SuffixOfpT-20181202"
},
{
"reference" : "Observation/NumberInvolvedRegionalLymphNodes-20181202"
},
{
"reference" : "Observation/NumberExaminedRegionalLymphNodes-20181202"
},
{
"reference" : "Observation/LymphaticInvasion-20181202"
},
{
"reference" : "Observation/VenousInvasion-20181202"
},
{
"reference" : "Observation/PerineuralInvasion-20181202"
},
{
"reference" : "Observation/TNM-StageGroup-20181202"
}
]
}
]
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/Observation/a-PrefixOfpTNM-20181202",
"resource" : {
"resourceType" : "Observation",
"id" : "a-PrefixOfpTNM-20181202",
"meta" : {
"profile" : [
"http://fhir.ch/ig/ch-crl/StructureDefinition/ch-crl-observation-aprefixofptnm"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><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\">Resource \"a-PrefixOfpTNM-20181202\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ch-crl-observation-aprefixofptnm.html\">CH CRL Observation a-Prefix of pTNM</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Autopsy was performed <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#85699-7)</span></p><p><b>subject</b>: <a href=\"#Patient_RobertMeier\">See above (Patient/RobertMeier)</a></p><p><b>effective</b>: 2018-12-02</p><p><b>value</b>: false</p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "85699-7",
"display" : "Autopsy was performed"
}
]
},
"subject" : {
"reference" : "Patient/RobertMeier"
},
"effectiveDateTime" : "2018-12-02",
"valueBoolean" : false
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/Observation/DateOfIncidence-20181202",
"resource" : {
"resourceType" : "Observation",
"id" : "DateOfIncidence-20181202",
"meta" : {
"profile" : [
"http://fhir.ch/ig/ch-crl/StructureDefinition/ch-crl-observation-dateofincidence"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><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\">Resource \"DateOfIncidence-20181202\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ch-crl-observation-dateofincidence.html\">CH CRL Observation Date of Incidence</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Date of diagnosis <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#63931-0)</span></p><p><b>subject</b>: <a href=\"#Patient_RobertMeier\">See above (Patient/RobertMeier)</a></p><p><b>effective</b>: 2018-12-02</p><p><b>value</b>: 2018-12-02</p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "63931-0",
"display" : "Date of diagnosis"
}
]
},
"subject" : {
"reference" : "Patient/RobertMeier"
},
"effectiveDateTime" : "2018-12-02",
"valueDateTime" : "2018-12-02"
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/Observation/ICD-10-Kolon-final",
"resource" : {
"resourceType" : "Observation",
"id" : "ICD-10-Kolon-final",
"meta" : {
"profile" : [
"http://fhir.ch/ig/ch-crl/StructureDefinition/ch-crl-observation-icd10"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><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\">Resource \"ICD-10-Kolon-final\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ch-crl-observation-icd10.html\">CH CRL Observation ICD-10</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Primary diagnosis ICD code <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#86255-7)</span></p><p><b>subject</b>: <a href=\"#Patient_RobertMeier\">See above (Patient/RobertMeier)</a></p><p><b>effective</b>: 2018-12-02</p><p><b>value</b>: Bösartige Neubildung des Kolons <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (icd-10-gm[2019]#C18)</span></p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "86255-7",
"display" : "Primary diagnosis ICD code"
}
]
},
"subject" : {
"reference" : "Patient/RobertMeier"
},
"effectiveDateTime" : "2018-12-02",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://fhir.de/CodeSystem/dimdi/icd-10-gm",
"version" : "2019",
"code" : "C18",
"display" : "Bösartige Neubildung des Kolons"
}
]
}
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/Observation/ICD-O-3-Behaviour-20181202",
"resource" : {
"resourceType" : "Observation",
"id" : "ICD-O-3-Behaviour-20181202",
"meta" : {
"profile" : [
"http://fhir.ch/ig/ch-crl/StructureDefinition/ch-crl-observation-icdo3behaviour"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><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\">Resource \"ICD-O-3-Behaviour-20181202\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ch-crl-observation-icdo3behaviour.html\">CH CRL Observation ICD-O-3 Behaviour</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Behavior ICD-O-3 Cancer <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#31206-6)</span></p><p><b>subject</b>: <a href=\"#Patient_RobertMeier\">See above (Patient/RobertMeier)</a></p><p><b>effective</b>: 2018-12-02</p><p><b>value</b>: Malignant <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-nkrs-icdo3behaviour.html\">NKRS - ICD-O-3 Behaviour</a>#3)</span></p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "31206-6",
"display" : "Behavior ICD-O-3 Cancer"
}
]
},
"subject" : {
"reference" : "Patient/RobertMeier"
},
"effectiveDateTime" : "2018-12-02",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://fhir.ch/ig/ch-crl/CodeSystem/nkrs-icdo3behaviour",
"code" : "3",
"display" : "Malignant"
}
]
}
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/Observation/ICD-O-3-HistologicalGrade-20181202",
"resource" : {
"resourceType" : "Observation",
"id" : "ICD-O-3-HistologicalGrade-20181202",
"meta" : {
"profile" : [
"http://fhir.ch/ig/ch-crl/StructureDefinition/ch-crl-observation-icdo3histologicalgrade"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><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\">Resource \"ICD-O-3-HistologicalGrade-20181202\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ch-crl-observation-icdo3histologicalgrade.html\">CH CRL Observation ICD-O-3 Histological Grade</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Histology grade [Identifier] in Cancer specimen <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#33732-9)</span></p><p><b>subject</b>: <a href=\"#Patient_RobertMeier\">See above (Patient/RobertMeier)</a></p><p><b>effective</b>: 2018-12-02</p><p><b>value</b>: Grade III <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-nkrs-icdo3histologicalgrade.html\">NKRS - ICD-O-3 Histological Grade</a>#3)</span></p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "33732-9",
"display" : "Histology grade [Identifier] in Cancer specimen"
}
]
},
"subject" : {
"reference" : "Patient/RobertMeier"
},
"effectiveDateTime" : "2018-12-02",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://fhir.ch/ig/ch-crl/CodeSystem/nkrs-icdo3histologicalgrade",
"code" : "3",
"display" : "Grade III"
}
]
}
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/Observation/ICD-O-3-Laterality-20181202",
"resource" : {
"resourceType" : "Observation",
"id" : "ICD-O-3-Laterality-20181202",
"meta" : {
"profile" : [
"http://fhir.ch/ig/ch-crl/StructureDefinition/ch-crl-observation-icdo3laterality"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><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\">Resource \"ICD-O-3-Laterality-20181202\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ch-crl-observation-icdo3laterality.html\">CH CRL Observation ICD-O-3 Laterality</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Laterality [PhenX] <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#63930-2)</span></p><p><b>subject</b>: <a href=\"#Patient_RobertMeier\">See above (Patient/RobertMeier)</a></p><p><b>effective</b>: 2018-12-02</p><p><b>dataAbsentReason</b>: Not Applicable <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.0.0/CodeSystem-data-absent-reason.html\">DataAbsentReason</a>#not-applicable)</span></p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "63930-2",
"display" : "Laterality [PhenX]"
}
]
},
"subject" : {
"reference" : "Patient/RobertMeier"
},
"effectiveDateTime" : "2018-12-02",
"dataAbsentReason" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/data-absent-reason",
"code" : "not-applicable",
"display" : "Not Applicable"
}
]
}
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/Observation/ICD-O-3-Morphology-20181202",
"resource" : {
"resourceType" : "Observation",
"id" : "ICD-O-3-Morphology-20181202",
"meta" : {
"profile" : [
"http://fhir.ch/ig/ch-crl/StructureDefinition/ch-crl-observation-icdo3morphology"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><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\">Resource \"ICD-O-3-Morphology-20181202\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ch-crl-observation-icdo3morphology.html\">CH CRL Observation ICD-O-3 Morphology</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Morphology.ICD-O-3 Cancer <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#59848-2)</span></p><p><b>subject</b>: <a href=\"#Patient_RobertMeier\">See above (Patient/RobertMeier)</a></p><p><b>effective</b>: 2018-12-02</p><p><b>value</b>: Muzinöses Adenokarzinom <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (International Classification of Diseases for Oncology, version 3.[3.2]#8480/3)</span></p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "59848-2",
"display" : "Morphology.ICD-O-3 Cancer"
}
]
},
"subject" : {
"reference" : "Patient/RobertMeier"
},
"effectiveDateTime" : "2018-12-02",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/icd-o-3",
"version" : "3.2",
"code" : "8480/3",
"display" : "Muzinöses Adenokarzinom"
}
]
}
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/Patient/RobertMeier",
"resource" : {
"resourceType" : "Patient",
"id" : "RobertMeier",
"meta" : {
"profile" : [
"http://fhir.ch/ig/ch-crl/StructureDefinition/ch-crl-patient"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><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\">Resource \"RobertMeier\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ch-crl-patient.html\">CH CRL Patient</a></p></div><p><b>identifier</b>: id: 756.9217.0023.43</p><p><b>name</b>: Robert Meier </p><p><b>gender</b>: male</p><p><b>birthDate</b>: 1955-01-27</p><p><b>deceased</b>: false</p><p><b>address</b>: Winterthurerstrasse 13a Wallisellen ZH 8304 </p></div>"
},
"identifier" : [
{
"system" : "urn:oid:2.16.756.5.32",
"value" : "756.9217.0023.43"
}
],
"name" : [
{
"family" : "Meier",
"given" : [
"Robert"
]
}
],
"gender" : "male",
"birthDate" : "1955-01-27",
"deceasedBoolean" : false,
"address" : [
{
"line" : [
"Winterthurerstrasse 13a"
],
"city" : "Wallisellen",
"state" : "ZH",
"postalCode" : "8304"
}
]
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/Observation/ICD-O-3-Topography-20181202",
"resource" : {
"resourceType" : "Observation",
"id" : "ICD-O-3-Topography-20181202",
"meta" : {
"profile" : [
"http://fhir.ch/ig/ch-crl/StructureDefinition/ch-crl-observation-icdo3topography"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><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\">Resource \"ICD-O-3-Topography-20181202\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ch-crl-observation-icdo3topography.html\">CH CRL Observation ICD-O-3 Topography</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Primary site Cancer <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#21855-2)</span></p><p><b>subject</b>: <a href=\"#Patient_RobertMeier\">See above (Patient/RobertMeier)</a></p><p><b>effective</b>: 2018-12-02</p><p><b>value</b>: Flexura hepatica <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (International Classification of Diseases for Oncology, version 3.[3.2]#C18.3)</span></p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "21855-2",
"display" : "Primary site Cancer"
}
]
},
"subject" : {
"reference" : "Patient/RobertMeier"
},
"effectiveDateTime" : "2018-12-02",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/icd-o-3",
"version" : "3.2",
"code" : "C18.3",
"display" : "Flexura hepatica"
}
]
}
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/Observation/LymphaticInvasion-20181202",
"resource" : {
"resourceType" : "Observation",
"id" : "LymphaticInvasion-20181202",
"meta" : {
"profile" : [
"http://fhir.ch/ig/ch-crl/StructureDefinition/ch-crl-observation-lymphaticinvasion"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><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\">Resource \"LymphaticInvasion-20181202\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ch-crl-observation-lymphaticinvasion.html\">CH CRL Observation Lymphatic Invasion</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Lymphatic tumor invasion status <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#277060007)</span></p><p><b>subject</b>: <a href=\"#Patient_RobertMeier\">See above (Patient/RobertMeier)</a></p><p><b>effective</b>: 2018-12-02</p><p><b>value</b>: L1 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-nkrs-lymphaticinvasion.html\">NKRS - Lymphatic Invasion</a>#1)</span></p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "277060007",
"display" : "Lymphatic tumor invasion status"
}
]
},
"subject" : {
"reference" : "Patient/RobertMeier"
},
"effectiveDateTime" : "2018-12-02",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://fhir.ch/ig/ch-crl/CodeSystem/nkrs-lymphaticinvasion",
"code" : "1",
"display" : "L1"
}
]
}
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/Observation/m-SuffixOfpT-20181202",
"resource" : {
"resourceType" : "Observation",
"id" : "m-SuffixOfpT-20181202",
"meta" : {
"profile" : [
"http://fhir.ch/ig/ch-crl/StructureDefinition/ch-crl-observation-msuffixofpt"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><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\">Resource \"m-SuffixOfpT-20181202\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ch-crl-observation-msuffixofpt.html\">CH CRL Observation m-Suffix of pT</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Multiple tumors reported as single primary Cancer <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#42030-7)</span></p><p><b>subject</b>: <a href=\"#Patient_RobertMeier\">See above (Patient/RobertMeier)</a></p><p><b>effective</b>: 2018-12-02</p><p><b>dataAbsentReason</b>: Unknown <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.0.0/CodeSystem-data-absent-reason.html\">DataAbsentReason</a>#unknown)</span></p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "42030-7",
"display" : "Multiple tumors reported as single primary Cancer"
}
]
},
"subject" : {
"reference" : "Patient/RobertMeier"
},
"effectiveDateTime" : "2018-12-02",
"dataAbsentReason" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/data-absent-reason",
"code" : "unknown",
"display" : "Unknown"
}
]
}
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/Observation/NumberExaminedRegionalLymphNodes-20181202",
"resource" : {
"resourceType" : "Observation",
"id" : "NumberExaminedRegionalLymphNodes-20181202",
"meta" : {
"profile" : [
"http://fhir.ch/ig/ch-crl/StructureDefinition/ch-crl-observation-numberexaminedregionallymphnodes"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><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\">Resource \"NumberExaminedRegionalLymphNodes-20181202\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ch-crl-observation-numberexaminedregionallymphnodes.html\">CH CRL Observation Number of Examined Regional Lymph Nodes</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Regional lymph nodes examined [#] Specimen <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#21894-1)</span></p><p><b>subject</b>: <a href=\"#Patient_RobertMeier\">See above (Patient/RobertMeier)</a></p><p><b>effective</b>: 2018-12-02</p><p><b>value</b>: 18</p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "21894-1",
"display" : "Regional lymph nodes examined [#] Specimen"
}
]
},
"subject" : {
"reference" : "Patient/RobertMeier"
},
"effectiveDateTime" : "2018-12-02",
"valueQuantity" : {
"value" : 18
}
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/Observation/NumberInvolvedRegionalLymphNodes-20181202",
"resource" : {
"resourceType" : "Observation",
"id" : "NumberInvolvedRegionalLymphNodes-20181202",
"meta" : {
"profile" : [
"http://fhir.ch/ig/ch-crl/StructureDefinition/ch-crl-observation-numberinvolvedregionallymphnodes"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><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\">Resource \"NumberInvolvedRegionalLymphNodes-20181202\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ch-crl-observation-numberinvolvedregionallymphnodes.html\">CH CRL Observation Number of Involved Regional Lymph Nodes</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Regional lymph nodes positive [#] Specimen <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#21893-3)</span></p><p><b>subject</b>: <a href=\"#Patient_RobertMeier\">See above (Patient/RobertMeier)</a></p><p><b>effective</b>: 2018-12-02</p><p><b>value</b>: 0</p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "21893-3",
"display" : "Regional lymph nodes positive [#] Specimen"
}
]
},
"subject" : {
"reference" : "Patient/RobertMeier"
},
"effectiveDateTime" : "2018-12-02",
"valueQuantity" : {
"value" : 0
}
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/Observation/PerineuralInvasion-20181202",
"resource" : {
"resourceType" : "Observation",
"id" : "PerineuralInvasion-20181202",
"meta" : {
"profile" : [
"http://fhir.ch/ig/ch-crl/StructureDefinition/ch-crl-observation-perineuralinvasion"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><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\">Resource \"PerineuralInvasion-20181202\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ch-crl-observation-perineuralinvasion.html\">CH CRL Observation Perineural Invasion</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Perineural invasion [Presence] in Cancer specimen <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#92837-4)</span></p><p><b>subject</b>: <a href=\"#Patient_RobertMeier\">See above (Patient/RobertMeier)</a></p><p><b>effective</b>: 2018-12-02</p><p><b>value</b>: Pn0 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-nkrs-perineuralinvasion.html\">NKRS - Perineural Invasion</a>#0)</span></p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "92837-4",
"display" : "Perineural invasion [Presence] in Cancer specimen"
}
]
},
"subject" : {
"reference" : "Patient/RobertMeier"
},
"effectiveDateTime" : "2018-12-02",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://fhir.ch/ig/ch-crl/CodeSystem/nkrs-perineuralinvasion",
"code" : "0",
"display" : "Pn0"
}
]
}
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/Observation/TNM-StageGroup-20181202",
"resource" : {
"resourceType" : "Observation",
"id" : "TNM-StageGroup-20181202",
"meta" : {
"profile" : [
"http://fhir.ch/ig/ch-crl/StructureDefinition/ch-crl-observation-tnmstagegroup"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><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\">Resource \"TNM-StageGroup-20181202\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ch-crl-observation-tnmstagegroup.html\">CH CRL Observation TNM Stage Group</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Stage group.other Cancer <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#21914-7)</span></p><p><b>subject</b>: <a href=\"#Patient_RobertMeier\">See above (Patient/RobertMeier)</a></p><p><b>effective</b>: 2018-12-02</p><p><b>value</b>: Stage I <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-nkrs-tnmstagegroup.html\">NKRS - TNM Stage Group</a>#I)</span></p><p><b>hasMember</b>: </p><ul><li><a href=\"#Observation_cT-20181202\">See above (Observation/cT-20181202)</a></li><li><a href=\"#Observation_cN-20181202\">See above (Observation/cN-20181202)</a></li><li><a href=\"#Observation_cM-20181202\">See above (Observation/cM-20181202)</a></li><li><a href=\"#Observation_pT-20181202\">See above (Observation/pT-20181202)</a></li><li><a href=\"#Observation_pN-20181202\">See above (Observation/pN-20181202)</a></li><li><a href=\"#Observation_pM-20181202\">See above (Observation/pM-20181202)</a></li></ul></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "21914-7",
"display" : "Stage group.other Cancer"
}
]
},
"subject" : {
"reference" : "Patient/RobertMeier"
},
"effectiveDateTime" : "2018-12-02",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://fhir.ch/ig/ch-crl/CodeSystem/nkrs-tnmstagegroup",
"code" : "I",
"display" : "Stage I"
}
]
},
"hasMember" : [
{
"reference" : "Observation/cT-20181202"
},
{
"reference" : "Observation/cN-20181202"
},
{
"reference" : "Observation/cM-20181202"
},
{
"reference" : "Observation/pT-20181202"
},
{
"reference" : "Observation/pN-20181202"
},
{
"reference" : "Observation/pM-20181202"
}
]
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/Organization/AbteilungPatho",
"resource" : {
"resourceType" : "Organization",
"id" : "AbteilungPatho",
"meta" : {
"profile" : [
"http://fhir.ch/ig/ch-crl/StructureDefinition/ch-crl-organization-department"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><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\">Resource \"AbteilungPatho\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ch-crl-organization-department.html\">CH CRL Organization Department</a></p></div><p><b>identifier</b>: id: 76010088</p><p><b>active</b>: true</p><p><b>type</b>: Pathology <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#394595002)</span></p><p><b>name</b>: Pathologisches Institut</p><p><b>telecom</b>: <a href=\"mailto:patho@spital.ch\">patho@spital.ch</a></p><p><b>address</b>: Bergstrasse 11 Zürich 8002 </p><p><b>partOf</b>: <a href=\"#Organization_SpitalSeeblickDoktorPatho\">See above (Organization/SpitalSeeblickDoktorPatho)</a></p></div>"
},
"identifier" : [
{
"system" : "urn:oid:2.16.756.5.45",
"value" : "76010088"
}
],
"active" : true,
"type" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "394595002",
"display" : "Pathology"
}
]
}
],
"name" : "Pathologisches Institut",
"telecom" : [
{
"system" : "email",
"value" : "patho@spital.ch"
}
],
"address" : [
{
"line" : [
"Bergstrasse 11"
],
"city" : "Zürich",
"postalCode" : "8002"
}
],
"partOf" : {
"reference" : "Organization/SpitalSeeblickDoktorPatho"
}
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/Observation/VenousInvasion-20181202",
"resource" : {
"resourceType" : "Observation",
"id" : "VenousInvasion-20181202",
"meta" : {
"profile" : [
"http://fhir.ch/ig/ch-crl/StructureDefinition/ch-crl-observation-venousinvasion"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><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\">Resource \"VenousInvasion-20181202\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ch-crl-observation-venousinvasion.html\">CH CRL Observation Venous Invasion</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Venous tumor invasion status <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#277061006)</span></p><p><b>subject</b>: <a href=\"#Patient_RobertMeier\">See above (Patient/RobertMeier)</a></p><p><b>effective</b>: 2018-12-02</p><p><b>value</b>: V0 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-nkrs-venousinvasion.html\">NKRS - Venous Invasion</a>#0)</span></p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "277061006",
"display" : "Venous tumor invasion status"
}
]
},
"subject" : {
"reference" : "Patient/RobertMeier"
},
"effectiveDateTime" : "2018-12-02",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://fhir.ch/ig/ch-crl/CodeSystem/nkrs-venousinvasion",
"code" : "0",
"display" : "V0"
}
]
}
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/Observation/y-PrefixOfcTNM-20181202",
"resource" : {
"resourceType" : "Observation",
"id" : "y-PrefixOfcTNM-20181202",
"meta" : {
"profile" : [
"http://fhir.ch/ig/ch-crl/StructureDefinition/ch-crl-observation-yprefixofctnm"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><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\">Resource \"y-PrefixOfcTNM-20181202\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ch-crl-observation-yprefixofctnm.html\">CH CRL Observation y-Prefix of cTNM</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Adjuvant - intent <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#373846009)</span></p><p><b>subject</b>: <a href=\"#Patient_RobertMeier\">See above (Patient/RobertMeier)</a></p><p><b>effective</b>: 2018-12-02</p><p><b>value</b>: false</p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "373846009",
"display" : "Adjuvant - intent"
}
]
},
"subject" : {
"reference" : "Patient/RobertMeier"
},
"effectiveDateTime" : "2018-12-02",
"valueBoolean" : false
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/Observation/y-PrefixOfpTNM-20181202",
"resource" : {
"resourceType" : "Observation",
"id" : "y-PrefixOfpTNM-20181202",
"meta" : {
"profile" : [
"http://fhir.ch/ig/ch-crl/StructureDefinition/ch-crl-observation-yprefixofptnm"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><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\">Resource \"y-PrefixOfpTNM-20181202\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ch-crl-observation-yprefixofptnm.html\">CH CRL Observation y-Prefix of pTNM</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Neo-adjuvant - intent <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#373847000)</span></p><p><b>subject</b>: <a href=\"#Patient_RobertMeier\">See above (Patient/RobertMeier)</a></p><p><b>effective</b>: 2018-12-02</p><p><b>value</b>: false</p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "373847000",
"display" : "Neo-adjuvant - intent"
}
]
},
"subject" : {
"reference" : "Patient/RobertMeier"
},
"effectiveDateTime" : "2018-12-02",
"valueBoolean" : false
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/Procedure/DiagnosticMethod-Biopsy20181202",
"resource" : {
"resourceType" : "Procedure",
"id" : "DiagnosticMethod-Biopsy20181202",
"meta" : {
"profile" : [
"http://fhir.ch/ig/ch-crl/StructureDefinition/ch-crl-procedure-diagnosticmethod"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><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\">Resource \"DiagnosticMethod-Biopsy20181202\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ch-crl-procedure-diagnosticmethod.html\">CH CRL Procedure Diagnostic Method</a></p></div><p><b>status</b>: completed</p><p><b>category</b>: Diagnostic staging procedure PhenX <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#67183-4)</span></p><p><b>code</b>: Biopsy of primary tumour <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-nkrs-diagnosticmethodsused.html\">NKRS - Diagnostic Methods Used</a>#24)</span></p><p><b>subject</b>: <a href=\"#Patient_RobertMeier\">See above (Patient/RobertMeier)</a></p><p><b>performed</b>: 2018-12-02T13:00:00+02:00</p><h3>Performers</h3><table class=\"grid\"><tr><td>-</td><td><b>Actor</b></td><td><b>OnBehalfOf</b></td></tr><tr><td>*</td><td><a href=\"#Organization_AbteilungPatho\">See above (Organization/AbteilungPatho)</a></td><td><a href=\"#Organization_SpitalSeeblickDoktorPatho\">See above (Organization/SpitalSeeblickDoktorPatho)</a></td></tr></table><p><b>reasonReference</b>: <a href=\"#Observation_ICD-10-Kolon-final\">See above (Observation/ICD-10-Kolon-final)</a></p></div>"
},
"status" : "completed",
"category" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "67183-4",
"display" : "Diagnostic staging procedure PhenX"
}
]
},
"code" : {
"coding" : [
{
"system" : "http://fhir.ch/ig/ch-crl/CodeSystem/nkrs-diagnosticmethodsused",
"code" : "24",
"display" : "Biopsy of primary tumour"
}
]
},
"subject" : {
"reference" : "Patient/RobertMeier"
},
"performedDateTime" : "2018-12-02T13:00:00+02:00",
"performer" : [
{
"actor" : {
"reference" : "Organization/AbteilungPatho"
},
"onBehalfOf" : {
"reference" : "Organization/SpitalSeeblickDoktorPatho"
}
}
],
"reasonReference" : [
{
"reference" : "Observation/ICD-10-Kolon-final"
}
]
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/Procedure/DiagnosticMethod-Endoscopy20181202",
"resource" : {
"resourceType" : "Procedure",
"id" : "DiagnosticMethod-Endoscopy20181202",
"meta" : {
"profile" : [
"http://fhir.ch/ig/ch-crl/StructureDefinition/ch-crl-procedure-diagnosticmethod"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><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\">Resource \"DiagnosticMethod-Endoscopy20181202\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ch-crl-procedure-diagnosticmethod.html\">CH CRL Procedure Diagnostic Method</a></p></div><p><b>status</b>: completed</p><p><b>category</b>: Diagnostic staging procedure PhenX <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#67183-4)</span></p><p><b>code</b>: Endoscopy <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-nkrs-diagnosticmethodsused.html\">NKRS - Diagnostic Methods Used</a>#11)</span></p><p><b>subject</b>: <a href=\"#Patient_RobertMeier\">See above (Patient/RobertMeier)</a></p><p><b>performed</b>: 2018-12-02T13:00:00+02:00</p><h3>Performers</h3><table class=\"grid\"><tr><td>-</td><td><b>Actor</b></td><td><b>OnBehalfOf</b></td></tr><tr><td>*</td><td><a href=\"#Organization_AbteilungPatho\">See above (Organization/AbteilungPatho)</a></td><td><a href=\"#Organization_SpitalSeeblickDoktorPatho\">See above (Organization/SpitalSeeblickDoktorPatho)</a></td></tr></table><p><b>reasonReference</b>: <a href=\"#Observation_ICD-10-Kolon-final\">See above (Observation/ICD-10-Kolon-final)</a></p></div>"
},
"status" : "completed",
"category" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "67183-4",
"display" : "Diagnostic staging procedure PhenX"
}
]
},
"code" : {
"coding" : [
{
"system" : "http://fhir.ch/ig/ch-crl/CodeSystem/nkrs-diagnosticmethodsused",
"code" : "11",
"display" : "Endoscopy"
}
]
},
"subject" : {
"reference" : "Patient/RobertMeier"
},
"performedDateTime" : "2018-12-02T13:00:00+02:00",
"performer" : [
{
"actor" : {
"reference" : "Organization/AbteilungPatho"
},
"onBehalfOf" : {
"reference" : "Organization/SpitalSeeblickDoktorPatho"
}
}
],
"reasonReference" : [
{
"reference" : "Observation/ICD-10-Kolon-final"
}
]
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/Organization/SpitalSeeblickDoktorPatho",
"resource" : {
"resourceType" : "Organization",
"id" : "SpitalSeeblickDoktorPatho",
"meta" : {
"profile" : [
"http://fhir.ch/ig/ch-crl/StructureDefinition/ch-crl-organization"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><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\">Resource \"SpitalSeeblickDoktorPatho\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ch-crl-organization.html\">CH CRL Organization</a></p></div><p><b>identifier</b>: id: 76010088</p><p><b>active</b>: true</p><p><b>type</b>: Healthcare Provider <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.0.0/CodeSystem-organization-type.html\">Organization type</a>#prov)</span></p><p><b>name</b>: Spital Seeblick</p><p><b>telecom</b>: ph: 031 409 88 60, <a href=\"mailto:spital@spital.ch\">spital@spital.ch</a></p><p><b>address</b>: Seeblick 14 Zürich ZH 8005 </p><h3>Contacts</h3><table class=\"grid\"><tr><td>-</td><td><b>Extension</b></td><td><b>Name</b></td></tr><tr><td>*</td><td></td><td>Doktor Patho </td></tr></table></div>"
},
"identifier" : [
{
"system" : "urn:oid:2.16.756.5.45",
"value" : "76010088"
}
],
"active" : true,
"type" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/organization-type",
"code" : "prov",
"display" : "Healthcare Provider"
}
]
}
],
"name" : "Spital Seeblick",
"telecom" : [
{
"system" : "phone",
"value" : "031 409 88 60"
},
{
"system" : "email",
"value" : "spital@spital.ch"
}
],
"address" : [
{
"line" : [
"Seeblick 14"
],
"city" : "Zürich",
"state" : "ZH",
"postalCode" : "8005"
}
],
"contact" : [
{
"extension" : [
{
"url" : "http://fhir.ch/ig/ch-crl/StructureDefinition/ch-crl-organization-contact-functionofcontactperson",
"valueString" : "Pathologe"
}
],
"name" : {
"family" : "Patho",
"given" : [
"Doktor"
]
}
}
]
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/Observation/pM-20181202",
"resource" : {
"resourceType" : "Observation",
"id" : "pM-20181202",
"meta" : {
"profile" : [
"http://fhir.ch/ig/ch-crl/StructureDefinition/ch-crl-observation-pm"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><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\">Resource \"pM-20181202\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ch-crl-observation-pm.html\">CH CRL Observation pM</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Distant metastases.pathology [Class] Cancer <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#21901-4)</span></p><p><b>subject</b>: <a href=\"#Patient_RobertMeier\">See above (Patient/RobertMeier)</a></p><p><b>effective</b>: 2018-12-02</p><p><b>dataAbsentReason</b>: Unknown <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.0.0/CodeSystem-data-absent-reason.html\">DataAbsentReason</a>#unknown)</span></p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "21901-4",
"display" : "Distant metastases.pathology [Class] Cancer"
}
]
},
"subject" : {
"reference" : "Patient/RobertMeier"
},
"effectiveDateTime" : "2018-12-02",
"dataAbsentReason" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/data-absent-reason",
"code" : "unknown",
"display" : "Unknown"
}
]
}
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/Observation/cM-20181202",
"resource" : {
"resourceType" : "Observation",
"id" : "cM-20181202",
"meta" : {
"profile" : [
"http://fhir.ch/ig/ch-crl/StructureDefinition/ch-crl-observation-cm"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><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\">Resource \"cM-20181202\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ch-crl-observation-cm.html\">CH CRL Observation cM</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Distant metastases.clinical [Class] Cancer <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#21907-1)</span></p><p><b>subject</b>: <a href=\"#Patient_RobertMeier\">See above (Patient/RobertMeier)</a></p><p><b>effective</b>: 2018-12-02</p><p><b>dataAbsentReason</b>: Not Applicable <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.0.0/CodeSystem-data-absent-reason.html\">DataAbsentReason</a>#not-applicable)</span></p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "21907-1",
"display" : "Distant metastases.clinical [Class] Cancer"
}
]
},
"subject" : {
"reference" : "Patient/RobertMeier"
},
"effectiveDateTime" : "2018-12-02",
"dataAbsentReason" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/data-absent-reason",
"code" : "not-applicable",
"display" : "Not Applicable"
}
]
}
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/Observation/pN-20181202",
"resource" : {
"resourceType" : "Observation",
"id" : "pN-20181202",
"meta" : {
"profile" : [
"http://fhir.ch/ig/ch-crl/StructureDefinition/ch-crl-observation-pn"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><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\">Resource \"pN-20181202\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ch-crl-observation-pn.html\">CH CRL Observation pN</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Regional lymph nodes.pathology [Class] Cancer <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#21900-6)</span></p><p><b>subject</b>: <a href=\"#Patient_RobertMeier\">See above (Patient/RobertMeier)</a></p><p><b>effective</b>: 2018-12-02</p><p><b>value</b>: pN0 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-nkrs-pn.html\">NKRS - pN</a>#0)</span></p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "21900-6",
"display" : "Regional lymph nodes.pathology [Class] Cancer"
}
]
},
"subject" : {
"reference" : "Patient/RobertMeier"
},
"effectiveDateTime" : "2018-12-02",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://fhir.ch/ig/ch-crl/CodeSystem/nkrs-pn",
"code" : "0",
"display" : "pN0"
}
]
}
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/Observation/cN-20181202",
"resource" : {
"resourceType" : "Observation",
"id" : "cN-20181202",
"meta" : {
"profile" : [
"http://fhir.ch/ig/ch-crl/StructureDefinition/ch-crl-observation-cn"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><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\">Resource \"cN-20181202\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ch-crl-observation-cn.html\">CH CRL Observation cN</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Regional lymph nodes.clinical [Class] Cancer <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#21906-3)</span></p><p><b>subject</b>: <a href=\"#Patient_RobertMeier\">See above (Patient/RobertMeier)</a></p><p><b>effective</b>: 2018-12-02</p><p><b>dataAbsentReason</b>: Not Applicable <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.0.0/CodeSystem-data-absent-reason.html\">DataAbsentReason</a>#not-applicable)</span></p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "21906-3",
"display" : "Regional lymph nodes.clinical [Class] Cancer"
}
]
},
"subject" : {
"reference" : "Patient/RobertMeier"
},
"effectiveDateTime" : "2018-12-02",
"dataAbsentReason" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/data-absent-reason",
"code" : "not-applicable",
"display" : "Not Applicable"
}
]
}
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/Observation/pT-20181202",
"resource" : {
"resourceType" : "Observation",
"id" : "pT-20181202",
"meta" : {
"profile" : [
"http://fhir.ch/ig/ch-crl/StructureDefinition/ch-crl-observation-pt"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><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\">Resource \"pT-20181202\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ch-crl-observation-pt.html\">CH CRL Observation pT</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Primary tumor.pathology Cancer <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#21899-0)</span></p><p><b>subject</b>: <a href=\"#Patient_RobertMeier\">See above (Patient/RobertMeier)</a></p><p><b>effective</b>: 2018-12-02</p><p><b>value</b>: pT1 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-nkrs-pt.html\">NKRS - pT</a>#1)</span></p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "21899-0",
"display" : "Primary tumor.pathology Cancer"
}
]
},
"subject" : {
"reference" : "Patient/RobertMeier"
},
"effectiveDateTime" : "2018-12-02",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://fhir.ch/ig/ch-crl/CodeSystem/nkrs-pt",
"code" : "1",
"display" : "pT1"
}
]
}
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/Observation/cT-20181202",
"resource" : {
"resourceType" : "Observation",
"id" : "cT-20181202",
"meta" : {
"profile" : [
"http://fhir.ch/ig/ch-crl/StructureDefinition/ch-crl-observation-ct"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><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\">Resource \"cT-20181202\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ch-crl-observation-ct.html\">CH CRL Observation cT</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Primary tumor.clinical [Class] Cancer <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#21905-5)</span></p><p><b>subject</b>: <a href=\"#Patient_RobertMeier\">See above (Patient/RobertMeier)</a></p><p><b>effective</b>: 2018-12-02</p><p><b>dataAbsentReason</b>: Not Applicable <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.0.0/CodeSystem-data-absent-reason.html\">DataAbsentReason</a>#not-applicable)</span></p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "21905-5",
"display" : "Primary tumor.clinical [Class] Cancer"
}
]
},
"subject" : {
"reference" : "Patient/RobertMeier"
},
"effectiveDateTime" : "2018-12-02",
"dataAbsentReason" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/data-absent-reason",
"code" : "not-applicable",
"display" : "Not Applicable"
}
]
}
}
}
]
}