Postal code for the address of the patient’s current usual residence. If the patient has multiple tumors, the postal codes should be the same. For U.S. residents, use either the 5-digit or the extended 9-digit ZIP code. Blanks follow the 5-digit code. For Canadian residents, use the 6-character alphanumeric postal code. Blanks follow the 6-character code. When available, enter postal code for other countries.

Patient Demographics

Current Address

US Core Patient Profile

Patient.address.postalCode

98101

2.16.840.1.113883.6.231

USPostalCodes

2.16.840.1.113883.3.88.12.80.2

1832

Addr Current--Country

Patient Address Country

Country code for the address of patient’s current usual residence. If the patient has multiple tumors, the current country of residence should be the same for all tumors.

Patient Demographics

Current Address

US Core Patient Profile

Patient.address.country

US

2.16.840.1.113883.3.88.12.80.63

Country

2.16.840.1.113883.3.88.12.80.63

Note: Doesn't map directly, but very important in determining current address vs. address at diagnosis

Patient Address Start Date

Address start date

Patient Demographics

Current Address or Previous Address?

US Core Patient Profile

Patient.address.period

June 23, 2005

Note: Doesn't map directly, but very important in determining current address vs. address at diagnosis

Patient Address End Date

address end date

Patient Demographics

Current Address or Previous Address?

US Core Patient Profile

Patient.address.period

nullFlavor="NA"

2360

Telephone

Patient Phone Number

Current telephone number with area code for the patient. Number is entered without dashes. Includes codes (in addition to valid telephone number).

Patient Demographics

Phone Number

US Core Patient Profile

Patient.telecom.value

(206)555-1313

220

Sex

Patient Gender

Administrative Gender - the gender that the patient is considered to have for administration and record keeping purposes.

US Core Patient Profile

Patient.gender

F

Female

2.16.840.1.113883.5.1

AdministrativeGender

2.16.840.1.113883.1.11.1

240

Date of Birth

Patient date of birth

Date of birth of the patient.

Patient Demographics

Date of Birth

US Core Patient Profile

Patient.birthDate

February 20, 1960

2300

Medical Record Number

Patient medical record number

Records medical record number used by the facility to identify the patient.

US Core Patient Profile

Patient.identifier.value

979746186

Patient identifier type

Patient Identifier System

Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

US Core Patient Profile

Patient.identifier.type=MR

MR

2320

Social Security Number

Patient Social Security Number

Records patient’s social security number. The number is entered without dashes and without any letter suffix. This is not always identical to the Medicare claim number.

US Core Patient Profile

Patient.identifier.value

333-44-5555

Patient identifier type

Patient Identifier System

Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

US Core Patient Profile

Patient.identifier.type=?

2315

Medicare Beneficiary Identifier

Patient Medicare Beneficiary number

Congress passed the Medicare Access and CHIP Reauthorization ACT to remove Social Security Number (SSN) from Medicare ID card and replace the existing Medicare Health Insurance Claim Numbers with a Medicare Beneficiary Identifier (MBI). The MBI will be a randomly generated identifier that will not include a SSN or any personal identifiable information.

US Core Patient Profile

Patient.identifier.value

Patient identifier type

Patient Identifier System

Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

US Core Patient Profile

Patient.identifier.type=SB

SB

160

Race 1

Patient first reported race

A person's self-identification with one or more social groups.
First reported race. (If the patient is multiracial, report all races using RACE 2 through RACE 5.)

Patient Demographics

Race

US Core Patient Profile

Patient.extension:us-core-race

2054-5

Black or African American

2.16.840.1.113883.6.238

Race & Ethnicity - CDC

2.16.840.1.113883.1.11.14914

190

Spanish/Hispanic Origin

Patient Ethnicity

A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin regardless of race

Patient Demographics

Ethnicity

US Core Patient Profile

Patient.extension:us-core-ethnicity

2186-5

Not Hispanic or Latino

2.16.840.1.113883.6.238

Race & Ethnicity - CDC

2.16.840.1.114222.4.11.837

252

Birthplace--State

Patient State of Birth

USPS abbreviation for the state, territory or U.S. possession.

PA

2.16.840.1.113883.6.92

FIPS 5-2 (State)

2.16.840.1.113883.3.88.12.80.1

254

Birthplace--Country

Patient Country of Birth

The country in which the patient was born.

US

2.16.840.1.113883.3.88.12.80.63

Country

2.16.840.1.113883.3.88.12.80.63

150

Marital Status at DX

Patient Marital Status

Code for the patient’s marital status. (removed the NAACCR requirement that it's status at time of diagnosis)

US Core Patient Profile

Patient.maritalStatus

M

Married

2.16.840.1.113883.5.2

MaritalStatus

2.16.840.1.113883.1.11.12212

1760

Vital Status

Vital status (dead or alive) of the patient as of the date entered in Date of Last Contact [1750]. If the patient has multiple tumors, vital status should be the same for all tumors.

Patient

Patient.deceasedBoolean

false

Date of First Contact

Date of Patient First Visit

Date of the patient's first visit with the reporting provider

eICR Encounter

period.start

1750

Date of Last Contact

Date of Death

Date of last contact with the patient, or date of death. If the patient has multiple tumors, Date of Last Contact should be the same for all tumors.

Patient.deceasedDateTime

Patient Smoking Status

Current smoking status

Smoking Status

US Core Smoking Status Observation Profile

Observation.valueCodeableConcept.code

8517006

Former smoker

2.16.840.1.113883.6.96

SNOMED CT

2.16.840.1.113883.11.20.9.38

Patient Smoking Status Date

Date patient's smoking status was recorded

US Core Smoking Status Observation Profile

Observation.effective[x]

Encounter Information

Note: Doesn't map directly, but important for context for other elements

Encounter period

The start and end times of the encounter.

US Core Encounter Profile

Encounter.period

Classification of Pt, Encounter

inpatient | outpatient | ambulatory | emergency +.

US Core Encounter Profile

Encounter.class

Encounter subject

The patient or group present at the encounter.

US Core Encounter Profile

Encounter.subject

Encounter Identifier

Identifier(s) by which this encounter is known.

US Core Encounter Profile

Encounter.identifier.value

Encounter participant type

Role of participant in encounter.

US Core Encounter Profile

Encounter.participant.type

Primary participant responsible for encounter

Encounter principal performer of service.

US Core Encounter Profile

Encounter.participant.type=PPRF

Participant overseeing the encounter

US Core Encounter Profile

Encounter.participant.type=ATND

Encounter participant individual

Persons involved in the encounter other than the patient. Reference(US Core Practitioner Profile)

US Core Encounter Profile

Encounter.participant.individual

Encounter primary performer NPI

NPI of encounter principal performer.

US Core Encounter Profile

Encounter.participant.individual.Practitioner.identifier:NPI

Encounter primary performer name

Name of encounter principal performer.

US Core Encounter Profile

Encounter.participant.individual.Practitioner.name

Encounter primary performer professional role

Professional role of encounter principal performer.

?

Encounter.participant.individual.PractitionerRole.code

Encounter location address

The location where the encounter takes place.

US Core Encounter Profile

Encounter.location.location.address

Encounter location NPI

The NPI Number for the facility where the encounter takes place

630

Primary Payer at DX

Primary payer type

The type of coverage: social program, medical plan, accident coverage (workers compensation, auto), group health or payment by an individual or organization.

US Core Encounter Profile

Encounter.account.coverage.type

BC Managed Care or equivalent

580

Date of First Contact

Date of Patient First Visit

Date of the patient's first visit with the reporting provider

Encounter Diagnosis

Enounter diagnosis.

Encounter Service Provider

The organization (facility) responsible for this encounter

Encounter Reason Code

Coded reason the encounter takes place

Encounter Reason Reference

Reason the encounter takes place (reference)

Provider Information

Practitioner Name

The full name of the physician playing a specific role for the patient during diagnosis and/or treatment for this cancer.

Care Team Members

USCorePractitionerProfile

Practitioner.name.text

Alex Karev, MD

Practitioner Last Name

The last name of the physician playing a specific role for the patient during diagnosis and/or treatment for this cancer.

Care Team Members

USCorePractitionerProfile

Practitioner.name.family

Karev

Practitioner First Name

The first name of the physician playing a specific role for the patient during diagnosis and/or treatment for this cancer.

Care Team Members

USCorePractitionerProfile

Practitioner.name.given

Alex

Practitioner Address

The address of the physician playing a specific role for the patient during diagnosis and/or treatment for this cancer.

Care Team Members

Practitioner Street Address

The street address of the physician playing a specific role for the patient during diagnosis and/or treatment for this cancer.

Care Team Members

USCorePractitionerProfile

Practitioner.address

999 Ellis Way

Practitioner Address City

The city of the physician playing a specific role for the patient during diagnosis and/or treatment for this cancer.

Care Team Members

USCorePractitionerProfile

Practitioner.address

Seattle

2.16.840.1.113883.6.245

U.S. Board on Geographic Names (USGS - GNIS)

2.16.840.1.114222.4.11.973

Practitioner Address State

the State of the physician playing a specific role for the patient during diagnosis and/or treatment for this cancer.

Care Team Members

USCorePractitionerProfile

Practitioner.address

WA

2.16.840.1.113883.6.92

FIPS 5-2 (State)

2.16.840.1.113883.3.88.12.80.1

Practitioner Address Postal Code

The postal code of the physician playing a specific role for the patient during diagnosis and/or treatment for this cancer.

Care Team Members

USCorePractitionerProfile

Practitioner.address

98101

2.16.840.1.113883.6.231

USPostalCodes

2.16.840.1.113883.3.88.12.80.2

Practitioner Address Country

The country of the physician playing a specific role for the patient during diagnosis and/or treatment for this cancer.

Care Team Members

USCorePractitionerProfile

Practitioner.address

US

2.16.840.1.113883.3.88.12.80.63

Country

2.16.840.1.113883.3.88.12.80.63

Practitioner Email Address

The email of the physician playing a specific role for the patient during diagnosis and/or treatment for this cancer.

Care Team Members

Provenance and/or Care Team Members?

Akarev@GraceOnc.com

Practitioner Telephone Number

The telephone number of the physician playing a specific role for the patient during diagnosis and/or treatment for this cancer.

Care Team Members

(206) 555-3921

Provider Role

The role of the provider, which would apply to each of the individual provider types (above)

Care Team Members

2495

NPI--Physician 3

Practitioner Specialty NPI

The NPI (National Provider Identifier) code for another physician (e.g., managing provider, radiation oncologist, medical oncologist) involved in the care of the patient.

Care Team Members

Primary Cancer Condition

1770

Cancer Status

Cancer Condition Clinical Status

The clinical status of the condition.

Problems

us-core-condition

us-core-condition.clinicalStatus

active

390

Date of Diagnosis

Cancer (Primary) Date of Diagnosis

Date of initial diagnosis by a recognized medical practitioner

Problems

Document Reference or Diagnostic Report or Condition

January 26, 2018

Doesn't map to a SINGLE item

Cancer (Primary) Diagnosis Code

Code for the cancer diagnosis being reported

Problems

Condition

408643008

Infiltrating duct carcinoma of breast (disorder)

2.16.840.1.113883.6.96

SNOMED CT

Needs to be developed

Doesn't map to a SINGLE item

Cancer Diagnosis Code

Code for the cancer diagnosis being reported

C50.411

Malignant neoplasm of upper-outer quadrant of right female breast

2.16.840.1.113883.6.90

ICD-10-CM

Have list of values in emarc; will need to publish as value set

522

523

Histologic Type ICD-O-3Cancer Histologic Type

Behavior Code ICD-O-3

Cancer (Primary) Histology/Behavior

The histologic type and behavior (morphology) of the tumor

Problems

Condition

8500/3 OR 8500

Infiltrating duct carcinoma, NOS

2.16.840.1.113883.6.43.1

ICD-O-3

Is there a way for us to create a VS to restrict these to only the Morphology codes?

Histologic Type ICD-O-3

Behavior Code ICD-O-3

Cancer Histologic Type

(Primary) Histology/Behavior

The histologic type and behavior (morphology) of the tumor

Problems

Condition

82711006

Infiltrating duct carcinoma

2.16.840.1.113883.6.96

SNOMED CT

2.16.840.1.114222.4.11.7256

523490

Behavior Code Diagnostic Confirmation ICD-O-3

Cancer BehaviorThe behavior of the tumor (morphology)(Primary) Evidence Type (Diagnostic Confirmation)

Code for the best method of diagnostic confirmation of the cancer being reported at any time in the patient’s history.

Problems

Condition

3

Malignant, primary site1

Positive histology

2.16.840.1.113883.3.520.3.143

NAACCR Behavior CodeDiagnostic Confirmation

2.16.840.1.113883.3.520.4.143

3843400

Grade ClinicalPrimary Site

Cancer Clinical GradeThe clinical grade of a solid primary tumor before any treatment (surgical resection or initiation of any treatment including neoadjuvant). (Primary) Primary Site

Code for the primary site of the tumor being reported

Problems

Condition

1

Grade IC50.4

Upper-outer quadrant of breast

2.16.840.1.113883.36.52043.3.15

NAACCR Grade

2.16.840.1.113883.3.520.4.15

3844

Grade Pathological

Cancer Pathological Grade

The pathological grade of a solid primary tumor that has been resected and for which no neoadjuvant therapy was administered

Problems

Condition

1

Grade I

TBD

3845

Grade Post Therapy Path (yp)

Cancer Post Treatment Grade

The post-treatment grade of a solid primary tumor that has been resected following neoadjuvant therapy

Problems

Condition

1

Grade I

TBD

490

Diagnostic Confirmation ICD-O-3

Cancer Diagnostic Confirmation Method

Code for the best method of diagnostic confirmation of the cancer being reported at any time in the patient’s history.

Problems

Condition

1

Positive histology1

ICD-O-3

Is there a way for us to create a VS to restrict these to only the Topography codes?

Primary Site

Cancer (Primary) Primary Site

110496004

Upper outer quadrant of right breast

2.16.840.1.113883.6.96

SNOMED CT

2.16.840.1.113883.3.88.12.3221.8.9

410

Laterality

Cancer (Primary) Laterality

The side of a paired organ, or the side of the body on which the reportable tumor originated

Problems

Condition

24028007

Right (qualifier value)

2.16.840.1.113883.3.520.3.3NAACCR Diagnostic Confirmation6.96

SNOMED CT

2.16.840.1.113883.3.520.4.3

400

Primary Site

Cancer Primary Site

Code for the primary site of the tumor being reported

Problems

Condition

C50.4

Upper-outer quadrant of breast

2.16.840.1.113883.6.43.1

ICD-O-3

Is there a way for us to create a VS to restrict these to only the Topography codes?

Primary Site

Cancer Primary Site

110496004

Upper outer quadrant of right breast

2.16.840.1.113883.6.96

SNOMED CT

2.16.840.1.113883.3.88.12.3221.8.9

Primary Site

Cancer Primary Site

C50.411

Malignant neoplasm of upper-outer quadrant of right female breast

2.16.840.1.113883.6.90

ICD-10-CM

410

Laterality

Cancer Laterality

The side of a paired organ, or the side of the body on which the reportable tumor originated

Problems

Condition

24028007

Right (qualifier value)

2.16.840.1.113883.6.96

SNOMED CT

2.16.840.1.113883.3.520.4.22

1060

TNM Edition Number

Cancer TNM Stage Edition/Version Number

The edition of the AJCC manual used to stage the cancer

Problems

Condition

No mapping, but can be used to determine stage at diagnosis

Cancer Date TNM Clinical Stage Assigned

Date/time TNM clinical stage information was assigned

Problems

Condition

February 11, 2018

1004

AJCC TNM Clin Stage Group

Cancer TNM Clinical Stage Group

Detailed site-specific codes for the clinical stage group as defined by AJCC

Problems

Condition

IIIA OR 3A

2.16.840.1.113883.3.520.3.18

TNM 8. Edition

2.16.840.1.113883.3.520.4.30

980

TNM Clin Descriptor

Cancer TNM Clinical Descriptor

Identifies the AJCC clinical stage (prefix/suffix) descriptor as recorded by the physician. AJCC stage descriptors identify special cases that need separate data analysis. The descriptors are adjuncts to and do not change the stage group.

Problems

Condition

0

None

2.16.840.1.113883.15.6

TNM 7. Edition

2.16.840.1.113883.3.520.4.10

1001

AJCC TNM Clin T

Cancer TNM Clinical Tumor

Detailed site-specific codes for the clinical tumor (T) as defined by AJCC

Problems

Condition

cT2 or c2

2.16.840.1.113883.3.520.3.18

TNM 8. Edition

2.16.840.1.113883.3.520.4.32

1002

AJCC TNM Clin N

Cancer TNM Clinical Nodes

Detailed site-specific codes for the clinical nodes (N) as defined by AJCC

Problems

Condition

cN2 OR c2

2.16.840.1.113883.3.520.3.18

TNM 8. Edition

2.16.840.1.113883.3.520.4.33

1003

AJCC TNM Clin M

Cancer TNM Clinical Metastases

Detailed site-specific codes for the clinical metastases (M) as defined by AJCC

Problems

Condition

cM0 OR c0

2.16.840.1.113883.3.520.3.18

TNM 8. Edition

2.16.840.1.113883.3.520.4.34

22

Secondary Cancer Condition

Cancer (Secondary) Date of Diagnosis

The date of onset of metastases

Cancer (Secondary) Diagnosis Code

Code for the cancer that has spread (metastasized) from the place where it first started to another part of the body

Cancer (Secondary) Histology/Behavior

The histologic type and behavior (morphology) of the metastatic tumor

Cancer (Secondary) Histology/Behavior

The histologic type and behavior (morphology) of the metastatic tumor

Cancer (Secondary) Primary Site

Code for the metastatic site of the tumor being reported

Cancer (Secondary) Primary Site

Code for the metastatic site of the tumor being reported

Cancer (Secondary) Laterality

The side of a paired organ, or the side of the body on which the reportable metastatic tumor originated

Cancer Stage Group

Cancer Stage Group Code

Indication of whether the stage group, T, N, M is clinical or pathological.

No mapping, but can be used to determine stage at diagnosis

Cancer Date TNM Pathological Clinical Stage Assigned

Date/time TNM pathological clinical stage information was assigned

Problems

Condition

February 11, 2018

1014

AJCC TNM Path Stage Group1060

TNM Edition Number

Cancer TNM Pathological Stage GroupDetailed site-specific codes for the pathologic stage group as defined by AJCC Edition/Version Number

The edition of the AJCC manual used to stage the cancer

Problems

Condition

1004

IIIA OR 3A

2.16.840.1.113883.3.520.3.18

TNM 8. Edition

2.16.840.1.113883.3.520.4.35

920

TNM Path Descriptor

Cancer TNM Pathological Descriptor

Identified the AJCC pathologic stage (prefix/suffix) descriptor as recorded by the physician. AJCC stage descriptors identify special cases that need separate data analysis. The descriptors are adjuncts to and do not change the stage group.1014

AJCC TNM Clin Stage Group

AJCC TNM Path Stage Group

Cancer TNM Clinical Stage Group

Detailed site-specific codes for the clinical stage group as defined by AJCC

Problems

Condition

0

IIIA OR 3A

None

2.16.840.1.113883.3.520.153.618

TNM 78. Edition

2.16.840.1.113883.3.520.4.2130

1001

1011

AJCC TNM Clin T

AJCC TNM Path T

Cancer TNM Pathological Tumor

Detailed site-specific codes for the pathologic tumor (T) as defined by AJCC

Problems

Condition

pT2 OR p2

cT2 or c2

2.16.840.1.113883.3.520.3.18

TNM 8. Edition

2.16.840.1.113883.3.520.4.3732

1002

1012

AJCC TNM Clin N

AJCC TNM Path N

Cancer TNM Pathological Nodes

Detailed site-specific codes for the pathologic nodes (N) as defined by AJCC

Problems

Condition

pN2 cN2 OR p2c2

2.16.840.1.113883.3.520.3.18

TNM 8. Edition

2.16.840.1.113883.3.520.4.3833

1003

1013

AJCC TNM Clin M

AJCC TNM Path M

Cancer TNM Pathological Clinical Metastases

Detailed site-specific codes for the pathologic metastases (M) as defined by AJCCAJCC

Problems

Condition

cM0 OR c0

2.16.840.1.113883.3.520.3.18

TNM 8. Edition

2.16.840.1.113883.3.520.4.3934

Medications (Treatment)

Does not map, but might be similar concept in FHIR that we need to use.

Medication Status

Indicates whether the medication was prescribed, administered, etc. (Discuss with the WG--what do we want to capture for systemic therapy/meds?)

Medications

EVN

2.16.840.1.113883.5.1001

ActMood

2.16.840.1.113883.11.20.9.18

1220
1230
1240
1250

RX Date Chemo
RX Date Hormone
RX Date BRM
RX Date Other

Date medication prescribed

Date medication was prescribed

Medications

1390
1400
1410
1420

RX Summ--Chemo
RX Summ--Hormone
RX Summ--BRM
RX Summ--Other

Medication prescribed code

Code (with associated name) for the medication that was prescribed

Medications

1720960

26.3 ML gemcitabine 38 MG/ML Injection

2.16.840.1.113883.6.88

RxNorm

2.16.840.1.113762.1.4.1010.4

Does not map; ask WG whether to keep

Medication prescribed dose

Dose for the medication that was prescribed

2225

Does not map; ask WG whether to keep

Medication prescribed dose units

Units of measure for the medication that was prescribed

mg

2.16.840.1.113883.6.8

UCUM

2.16.840.1.113883.1.11.12839

RX Date Chemo
RX Date Hormone
RX Date BRM
RX Date Other

Date medication administered

A specific date/time or interval of time during which the medication administration took place.

RX Summ--Chemo
RX Summ--Hormone
RX Summ--BRM
RX Summ--Other

Medication administered code

Identifies the code (with associated name) for the medication that was administered.

Does not map; ask WG whether to keep

Medication administered dose

Dose for the medication that was administered

Does not map; ask WG whether to keep

Medication administered dose units

Units of measure for the medication that was administered

Medication Reason

We need a way to link medications to the correct cancer diagnosis when there is more than one cancer diagnosis in the same report. Note: will there multiple cancer diagnoses in the same FHIR bundle, or would they each be sent in a separate bundle, in which case this linkage is not needed? (A code indicating why the medication was given.)

Problems

Patient Problem Onset Date

Date of onset of the patient’s preexisting medical conditions, factors influencing health status, and/or complications for the treatment of this cancer

Problems

May 12, 1990

3780, 3782, 3784, 3786, 3788, 3790, 3792, 3794, 3796, 3798

Secondary Diagnosis 1-10

Patient Problem Code

Records the patient’s preexisting medical conditions, factors influencing health status, and/or complications for the treatment of this cancer.

Problems

44054006

Diabetes mellitus type 2

2.16.840.1.113883.6.96

SNOMED CT

2.16.840.1.113883.3.88.12.3221.7.4

3780, 3782, 3784, 3786, 3788, 3790, 3792, 3794, 3796, 3798

Secondary Diagnosis 1-10

Patient Problem Code

E11.9

Type 2 diabetes mellitus without complications

2.16.840.1.113883.6.90

ICD-10-CM

Procedures

1290
670

RX Summ--Surg Prim Site
RX Hosp--Surg Prim Site

Procedure Code

Procedure to the primary site performed as part of the first course of treatment.

Procedures

442963006

Percutaneous needle biopsy of breast using ultrasound guidance

2.16.840.1.113883.6.96

SNOMED CT

Is there a value set for procedures? If not, should/can we create one?

1290
670

RX Summ--Surg Prim Site
RX Hosp--Surg Prim Site

Procedure Code

Procedures

19083

Biopsy, breast, with placement of breast localization device(s) (e.g., clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including ultrasound guidance

2.16.840.1.113883.6.12

CPT-4

We can't publish a CPT value set.

1290
670

RX Summ--Surg Prim Site
RX Hosp--Surg Prim Site

Procedure Code

Procedures

0HBT3ZX

Excision of Right Breast, Percutaneous Approach, Diagnostic

2.16.840.1.113883.6.4

ICD10 PCS

See item in TFS for value set

1200
3170

RX Date Surg
RX Date Mst Defn Srg

Procedure Performed Date

Date/time of the procedure to the primary site performed as part of the first course of treatment.

Procedures

January 26, 2018

Procedure Performed Facility

Facility (NPI/Name) where the procedure was performed

Procedure Reason

We need a way to link procedures to the correct cancer diagnosis when there is more than one cancer diagnosis in the same report. Note: will there multiple cancer diagnoses in the same FHIR bundle, or would they each be sent in a separate bundle, in which case this linkage is not needed?

1506

Phase 1 Radiation Treatment Modality

Radiation Code

Identifies the radiation modality administered during the first phase of radiation treatment delivered as part of the first course of treatment

Procedures?

77412

Radiation treatment delivery, ≥ 1 MeV; complex

2.16.840.1.113883.6.14

HCPCS

2.16.840.1.113883.3.520.4.23; but we can't publish the CPT codes in this value set.

1506

Phase 1 Radiation Treatment Modality

Radiation Code

448385000

Megavoltage radiation therapy using photons

2.16.840.1.113883.6.96

SNOMED CT

2.16.840.1.113883.3.520.4.23

1506

Phase 1 Radiation Treatment Modality

Radiation Code

DM011ZZ

Beam Radiation of Right Breast using Photons 1 - 10 MeV

2.16.840.1.113883.6.4

ICD10 PCS

2.16.840.1.113883.3.520.4.23

1210

RX Date Radiation

Radiation Administered Start Date

Date on which radiation therapy began at any facility that is part of the first course of treatment.

Procedures?

09/14/2018

Radiation Reason

We need a way to link radiation procedures to the correct cancer diagnosis when there is more than one cancer diagnosis in the same report. Note: will there multiple cancer diagnoses in the same FHIR bundle, or would they each be sent in a separate bundle, in which case this linkage is not needed?

Lab Results

Laboratory Test/Panel Code

The test (or panel of tests) that was performed relevant to the cancer diagnosis . A LOINC SHALL be used if the concept is present in LOINC.

Laboratory

Tests

10480-2

Estrogen+Progesterone receptor Ag [Presence] in Tissue by Immune stain

2.16.840.1.113883.6.1

LOINC

Value set to be developed to restrict to cancer-related (or can we do a "blacklist" approach--which tests are NOT wanted)

Laboratory Test Result Status

The status of the result value

completed

2.16.840.1.113883.5.14

ActStatus

2.16.840.1.113883.11.20.9.39

Laboratory Test Performed Date

Date test was performed

Laboratory

January 26, 2018

Laboratory Result Value

The Laboratory result value.

Laboratory

Values/Results

Positive

2.16.840.1.113883.6.96

SNOMED CT

Laboratory Result Units of Measure

Units of measure for the laboratory result value.

Laboratory

Values/Results

2.16.840.1.113883.6.8

UCUM

2.16.840.1.113883.1.11.12839

Employment History

Patient Industry Period

Date patient's industry code was recorded

April 1985-present

272

Census Ind Code 2010 CDC

Patient Industry Code

Code for the patient's usual industry, using U.S. Census Bureau codes and NIOSH non-paid worker codes

6570

Motion pictures and video industries

2.16.840.1.114222.4.5.315

Industry CDC Census 2010

2.16.840.1.114222.4.11.7187

Patient Occupation Period

Date patient's occupation code was recorded

April 1985-present

282

Census Occ Code 2010 CDC

Patient Occupation Code

Code for the patient's usual occupation, using U.S. Census Bureau codes and NIOSH non-paid worker codes

2700

Actors

2.16.840.1.114222.4.5.314

Occupation CDC Census 2010

2.16.840.1.114222.4.11.7186

Vital Signs

Patient Height Code

Patient Height code

Vital Signs

Body height

8302-2

Height

2.16.840.1.113883.6.1

LOINC

2.16.840.1.113883.3.88.12.80.62

Patient Height Recorded Date

Date patient's height was recorded

Patient Height Value

Patient Height value

Vital Signs

Body height

162.5

Patient Height Units

Patient Height units

Vital Signs

Body height

cm

2.16.840.1.113883.6.8

UCUM

2.16.840.1.113883.1.11.12839

Patient Weight Code

Patient Weight code

Vital Signs

Body weight

3141-9 or 29463-7

Weight Measured or Weight

2.16.840.1.113883.6.1

LOINC

2.16.840.1.113883.3.88.12.80.62

Patient Weight Recorded Date

Date patient's weight was recorded

Patient Weight Value

Patient Weight value

Vital Signs

Body weight

72.5

Patient Weight Units

Patient Weight units

Vital Signs

Body weight

kg

2.16.840.1.113883.6.8

UCUM

2.16.840.1.113883.1.11.12839

Clinical Notes/Text Fields

TBD

Consultation Note Content