FHIR IG analytics| Package | hl7.fhir.uv.ebm |
| Resource Type | Citation |
| Id | Citation-179623.json |
| FHIR Version | R6 |
No resources found
No resources found
Note: links and images are rebased to the (stated) source
Generated Narrative: Citation 179623
version: 21; Last updated: 2025-10-13 12:34:35+0000
Profile: JournalArticleCitation
ArtifactPublicationStatus: Active
identifier: FEvIR Object Identifier/179623, https://pubmed.ncbi.nlm.nih.gov/23452809, Uniform Resource Identifier (URI)/urn:oid:2.16.840.1.113883.4.642.40.44.15.39
version: 1.0.0-ballot3
title: 23452809 Long-term follow-up of a phase II trial of chemotherapy plus hormone therapy for biochemical relapse after definitive local therapy for prostate cancer.
status: Active
date: 2026-02-10 14:00:26+0000
author: Computable Publishing®: MEDLINE-to-FEvIR Converter:
publisher: HL7 International / Clinical Decision Support
contact: HL7 International / Clinical Decision Support: http://www.hl7.org/Special/committees/dss
description:
This Citation Resource is referenced in an example for the EBMonFHIR Implementation Guide.
| Code | Value[x] |
| Citation Classification Type: fevir-platform-use (FEvIR Platform Use) | Medline Base |
jurisdiction: World
copyright:
https://creativecommons.org/licenses/by-nc-sa/4.0/
approvalDate: 2013-04-22
lastReviewDate: 2021-10-21
classification
type: Citation Source
classifier: MEDLINE
classification
type: MEDLINE Citation Owner
classifier: National Library of Medicine, Index Section
currentState: Medline Citation Status of Medline, PubMed PublicationStatus of ppublish
statusDate
activity: PubMed Pubstatus of Received
period: ?? --> 2012-11-21
statusDate
activity: PubMed Pubstatus of Revised
period: ?? --> 2012-12-14
statusDate
activity: PubMed Pubstatus of Accepted
period: ?? --> 2012-12-18
statusDate
activity: PubMed Pubstatus of Entrez
period: ?? --> 2013-03-05 06:00:00+0000
statusDate
activity: PubMed Pubstatus of Pubmed
period: ?? --> 2013-03-05 06:00:00+0000
statusDate
activity: PubMed Pubstatus of Medline
period: ?? --> 2013-04-23 06:00:00+0000
citedArtifact
identifier:
https://pubmed.ncbi.nlm.nih.gov/23452809,https://doi.org/10.1016/j.urology.2012.12.025, pii/S0090-4295(12)01569-5Titles
Type Text Primary title Long-term follow-up of a phase II trial of chemotherapy plus hormone therapy for biochemical relapse after definitive local therapy for prostate cancer.
Abstracts
Type Text Copyright Primary human use OBJECTIVE: To evaluate long-term follow-up of a phase II trial of chemohormonal therapy in 62 men with prostate cancer biochemical relapse (BR). METHODS: Treatment was 4 cycles of docetaxel (70 mg/m(2)) every 3 weeks and estramustine 280 mg three times a day (days 1-5) followed by 15 months of goserelin acetate/bicalutamide. The primary endpoint was the proportion with prostate-specific antigen (PSA) <0.1 with recovered testosterone 5 years after completion of therapy. Secondary endpoints included time to progression (TTP), time to reinitiate androgen deprivation therapy (ADT), the proportion with castration-resistant prostate cancer (CRPC), and overall survival (OS). RESULTS: Median follow-up was 8.6 years (range 1.3-11.1 years). At 5 year follow-up, 7 patients (11%) had PSA <0.1 (5 undetectable); 8 (13%) had PSA >0.1 but without reinitiation of ADT (median PSA 0.37). Of the 15 (24%) men without reinitiation of ADT, and 14 have recovered testosterone to normal range. Median TTP for the complete cohort was 35.0 months (95% confidence interval [CI] 31.7-39.2). Baseline PSA <3.0 ng/dL, no prior ADT, and prostatectomy (vs radiation) were associated with longer TTP (P = .0001, P = .0055, and P = .0398, respectively). At the time of analysis, 42 men (68%) had restarted ADT, 23 men had CRPC (37%), and 11 (18%) had chemotherapy. Median time to reinitiation of ADT was 32.6 months (range 0-107.6 months). Median OS has not been reached; there were 15 deaths. CONCLUSION: Chemotherapy plus ADT for BR resulted in durable (>5 years) complete responses (<0.1 ng/mL) in 7 men (11%). Twenty-four percent of men have not re-initiated ADT 5 years from completion of protocol therapy.
Copyright © 2013 Elsevier Inc. All rights reserved.
RelatesTos
Type Classifier Citation Has Comment In Comment J Urol. 2013 Sep;190(3):880. doi: 10.1016/j.juro.2013.05.105.
publicationForm
publishedIn
type: Periodical
identifier: Electronic ISSN Type/1527-9995, ISOAbbreviation/Urology, ISSN Linking/0090-4295, Medline Title Abbreviation/Urology, NLM Unique ID/0366151
title: Urology
publisherLocation: United States
citedMedium: Internet
volume: 81
issue: 3
articleDate: 2013-03
pageString: 611-6
webLocation
classifier: Abstract
webLocation
classifier: DOI Based
classification
type: Publishing Model
classifier: Print
classification
type: Chemical
classifier: Androgen Antagonists, Anilides, Antineoplastic Agents, Antineoplastic Agents, Hormonal, Nitriles, Taxoids, Tosyl Compounds, Goserelin, Docetaxel, Estramustine, bicalutamide
classification
type: MeSH heading
artifactAssessment: ArtifactAssessment: artifact[x] = this resource
classification
type: Publication type
classifier: Clinical Trial, Phase II, Journal Article, Research Support, Non-U.S. Gov't
classification
type: Knowledge Artifact Type
classifier: Journal Article
artifactAssessment: Classifier added by Computable Publishing LLC
classification
type: Citation subset
classifier: IM
contributorship
complete: true
entry
contributor: Nakabayashi M
forenameInitials: M
affiliation: Division of Medical Oncology, Department of Medicine, Lank Center for Genitourinary Oncology, Boston, MA 02215, USA.
entry
contributor: Xie W
forenameInitials: W
entry
contributor: Buckle G
forenameInitials: G
entry
contributor: Bubley G
forenameInitials: G
entry
contributor: Ernstoff MS
forenameInitials: MS
entry
contributor: Walsh W
forenameInitials: W
entry
contributor: Morganstern DE
forenameInitials: DE
entry
contributor: Kantoff PW
forenameInitials: PW
entry
contributor: Taplin ME
forenameInitials: ME
Generated Narrative: Practitioner #contributor0
name: Mari Nakabayashi
Generated Narrative: Practitioner #contributor1
name: Wanling Xie
Generated Narrative: Practitioner #contributor2
name: Geoffrey Buckle
Generated Narrative: Practitioner #contributor3
name: Glenn Bubley
Generated Narrative: Practitioner #contributor4
name: Marc S Ernstoff
Generated Narrative: Practitioner #contributor5
name: William Walsh
Generated Narrative: Practitioner #contributor6
name: Daniel E Morganstern
Generated Narrative: Practitioner #contributor7
name: Philip W Kantoff
Generated Narrative: Practitioner #contributor8
name: Mary-Ellen Taplin
Generated Narrative: ArtifactAssessment #meshHeading0
content
type: components (if present) include qualifier codings
classifier: Aged
freeToShare: true
Components
Type Classifier qualifier is not a major topic content
type: components (if present) include qualifier codings
classifier: Androgen Antagonists
freeToShare: true
component
type: qualifier
classifier: is not a major topic
component
type: qualifier
classifier: therapeutic use
Components
Type Classifier is Major topic Yes content
type: components (if present) include qualifier codings
classifier: Anilides
freeToShare: true
component
type: qualifier
classifier: is not a major topic
component
type: qualifier
classifier: therapeutic use
Components
Type Classifier is Major topic Yes content
type: components (if present) include qualifier codings
classifier: Antineoplastic Agents
freeToShare: true
component
type: qualifier
classifier: is not a major topic
component
type: qualifier
classifier: administration & dosage
Components
Type Classifier is Major topic Yes content
type: components (if present) include qualifier codings
classifier: Antineoplastic Agents, Hormonal
freeToShare: true
component
type: qualifier
classifier: is not a major topic
component
type: qualifier
classifier: administration & dosage
Components
Type Classifier is Major topic No content
type: components (if present) include qualifier codings
classifier: Antineoplastic Combined Chemotherapy Protocols
freeToShare: true
component
type: qualifier
classifier: is not a major topic
component
type: qualifier
classifier: therapeutic use
Components
Type Classifier is Major topic Yes content
type: components (if present) include qualifier codings
classifier: Docetaxel
freeToShare: true
Components
Type Classifier qualifier is not a major topic content
type: components (if present) include qualifier codings
classifier: Drug Therapy, Combination
freeToShare: true
Components
Type Classifier qualifier is not a major topic content
type: components (if present) include qualifier codings
classifier: Estramustine
freeToShare: true
component
type: qualifier
classifier: is not a major topic
component
type: qualifier
classifier: administration & dosage
Components
Type Classifier is Major topic Yes content
type: components (if present) include qualifier codings
classifier: Follow-Up Studies
freeToShare: true
Components
Type Classifier qualifier is not a major topic content
type: components (if present) include qualifier codings
classifier: Goserelin
freeToShare: true
component
type: qualifier
classifier: is not a major topic
component
type: qualifier
classifier: administration & dosage
Components
Type Classifier is Major topic Yes content
type: components (if present) include qualifier codings
classifier: Humans
freeToShare: true
Components
Type Classifier qualifier is not a major topic content
type: components (if present) include qualifier codings
classifier: Male
freeToShare: true
Components
Type Classifier qualifier is not a major topic content
type: components (if present) include qualifier codings
classifier: Middle Aged
freeToShare: true
Components
Type Classifier qualifier is not a major topic content
type: components (if present) include qualifier codings
classifier: Neoplasm Recurrence, Local
freeToShare: true
component
type: qualifier
classifier: is not a major topic
component
type: qualifier
classifier: drug therapy
Components
Type Classifier is Major topic Yes content
type: components (if present) include qualifier codings
classifier: Nitriles
freeToShare: true
component
type: qualifier
classifier: is not a major topic
component
type: qualifier
classifier: therapeutic use
Components
Type Classifier is Major topic Yes content
type: components (if present) include qualifier codings
classifier: Prostatic Neoplasms
freeToShare: true
component
type: qualifier
classifier: is not a major topic
component
type: qualifier
classifier: drug therapy
Components
Type Classifier is Major topic Yes content
type: components (if present) include qualifier codings
classifier: Retrospective Studies
freeToShare: true
Components
Type Classifier qualifier is not a major topic content
type: components (if present) include qualifier codings
classifier: Taxoids
freeToShare: true
component
type: qualifier
classifier: is not a major topic
component
type: qualifier
classifier: administration & dosage
Components
Type Classifier is Major topic Yes content
type: components (if present) include qualifier codings
classifier: Time Factors
freeToShare: true
Components
Type Classifier qualifier is not a major topic content
type: components (if present) include qualifier codings
classifier: Tosyl Compounds
freeToShare: true
component
type: qualifier
classifier: is not a major topic
component
type: qualifier
classifier: therapeutic use
Components
Type Classifier is Major topic Yes content
type: components (if present) include qualifier codings
classifier: Treatment Outcome
freeToShare: true
Components
Type Classifier qualifier is not a major topic
{
"resourceType": "Citation",
"id": "179623",
"meta": {
"versionId": "21",
"lastUpdated": "2025-10-13T12:34:35.118Z",
"profile": [
"http://hl7.org/fhir/uv/ebm/StructureDefinition/journal-article-citation"
]
},
"text": {
"status": "extensions",
"div": "<!-- snip (see above) -->"
},
"contained": [
{
"resourceType": "Practitioner",
"id": "contributor0",
"name": [
{
"family": "Nakabayashi",
"given": [
"Mari"
]
}
]
},
{
"resourceType": "Practitioner",
"id": "contributor1",
"name": [
{
"family": "Xie",
"given": [
"Wanling"
]
}
]
},
{
"resourceType": "Practitioner",
"id": "contributor2",
"name": [
{
"family": "Buckle",
"given": [
"Geoffrey"
]
}
]
},
{
"resourceType": "Practitioner",
"id": "contributor3",
"name": [
{
"family": "Bubley",
"given": [
"Glenn"
]
}
]
},
{
"resourceType": "Practitioner",
"id": "contributor4",
"name": [
{
"family": "Ernstoff",
"given": [
"Marc S"
]
}
]
},
{
"resourceType": "Practitioner",
"id": "contributor5",
"name": [
{
"family": "Walsh",
"given": [
"William"
]
}
]
},
{
"resourceType": "Practitioner",
"id": "contributor6",
"name": [
{
"family": "Morganstern",
"given": [
"Daniel E"
]
}
]
},
{
"resourceType": "Practitioner",
"id": "contributor7",
"name": [
{
"family": "Kantoff",
"given": [
"Philip W"
]
}
]
},
{
"resourceType": "Practitioner",
"id": "contributor8",
"name": [
{
"family": "Taplin",
"given": [
"Mary-Ellen"
]
}
]
},
{
"resourceType": "ArtifactAssessment",
"id": "meshHeading0",
"artifactReference": {
"reference": "#",
"type": "Citation"
},
"content": [
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type",
"code": "mesh-heading",
"display": "MeSH heading"
}
],
"text": "components (if present) include qualifier codings"
},
"classifier": [
{
"coding": [
{
"system": "https://www.nlm.nih.gov/mesh",
"code": "D000368",
"display": "Aged",
"userSelected": false
}
]
}
],
"freeToShare": true,
"component": [
{
"type": {
"text": "qualifier"
},
"classifier": [
{
"text": "is not a major topic"
}
]
}
]
},
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type",
"code": "mesh-heading",
"display": "MeSH heading"
}
],
"text": "components (if present) include qualifier codings"
},
"classifier": [
{
"coding": [
{
"system": "https://www.nlm.nih.gov/mesh",
"code": "D000726",
"display": "Androgen Antagonists",
"userSelected": false
}
]
}
],
"freeToShare": true,
"component": [
{
"type": {
"text": "qualifier"
},
"classifier": [
{
"text": "is not a major topic"
}
]
},
{
"type": {
"text": "qualifier"
},
"classifier": [
{
"coding": [
{
"system": "https://www.nlm.nih.gov/mesh",
"code": "Q000627",
"display": "therapeutic use"
}
]
}
],
"component": [
{
"type": {
"text": "is Major topic"
},
"classifier": [
{
"coding": [
{
"system": "http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl",
"code": "C49488",
"display": "Yes"
}
]
}
]
}
]
}
]
},
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type",
"code": "mesh-heading",
"display": "MeSH heading"
}
],
"text": "components (if present) include qualifier codings"
},
"classifier": [
{
"coding": [
{
"system": "https://www.nlm.nih.gov/mesh",
"code": "D000813",
"display": "Anilides",
"userSelected": false
}
]
}
],
"freeToShare": true,
"component": [
{
"type": {
"text": "qualifier"
},
"classifier": [
{
"text": "is not a major topic"
}
]
},
{
"type": {
"text": "qualifier"
},
"classifier": [
{
"coding": [
{
"system": "https://www.nlm.nih.gov/mesh",
"code": "Q000627",
"display": "therapeutic use"
}
]
}
],
"component": [
{
"type": {
"text": "is Major topic"
},
"classifier": [
{
"coding": [
{
"system": "http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl",
"code": "C49488",
"display": "Yes"
}
]
}
]
}
]
}
]
},
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type",
"code": "mesh-heading",
"display": "MeSH heading"
}
],
"text": "components (if present) include qualifier codings"
},
"classifier": [
{
"coding": [
{
"system": "https://www.nlm.nih.gov/mesh",
"code": "D000970",
"display": "Antineoplastic Agents",
"userSelected": false
}
]
}
],
"freeToShare": true,
"component": [
{
"type": {
"text": "qualifier"
},
"classifier": [
{
"text": "is not a major topic"
}
]
},
{
"type": {
"text": "qualifier"
},
"classifier": [
{
"coding": [
{
"system": "https://www.nlm.nih.gov/mesh",
"code": "Q000008",
"display": "administration & dosage"
}
]
}
],
"component": [
{
"type": {
"text": "is Major topic"
},
"classifier": [
{
"coding": [
{
"system": "http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl",
"code": "C49488",
"display": "Yes"
}
]
}
]
}
]
}
]
},
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type",
"code": "mesh-heading",
"display": "MeSH heading"
}
],
"text": "components (if present) include qualifier codings"
},
"classifier": [
{
"coding": [
{
"system": "https://www.nlm.nih.gov/mesh",
"code": "D018931",
"display": "Antineoplastic Agents, Hormonal",
"userSelected": false
}
]
}
],
"freeToShare": true,
"component": [
{
"type": {
"text": "qualifier"
},
"classifier": [
{
"text": "is not a major topic"
}
]
},
{
"type": {
"text": "qualifier"
},
"classifier": [
{
"coding": [
{
"system": "https://www.nlm.nih.gov/mesh",
"code": "Q000008",
"display": "administration & dosage"
}
]
}
],
"component": [
{
"type": {
"text": "is Major topic"
},
"classifier": [
{
"coding": [
{
"system": "http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl",
"code": "C49487",
"display": "No"
}
]
}
]
}
]
}
]
},
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type",
"code": "mesh-heading",
"display": "MeSH heading"
}
],
"text": "components (if present) include qualifier codings"
},
"classifier": [
{
"coding": [
{
"system": "https://www.nlm.nih.gov/mesh",
"code": "D000971",
"display": "Antineoplastic Combined Chemotherapy Protocols",
"userSelected": false
}
]
}
],
"freeToShare": true,
"component": [
{
"type": {
"text": "qualifier"
},
"classifier": [
{
"text": "is not a major topic"
}
]
},
{
"type": {
"text": "qualifier"
},
"classifier": [
{
"coding": [
{
"system": "https://www.nlm.nih.gov/mesh",
"code": "Q000627",
"display": "therapeutic use"
}
]
}
],
"component": [
{
"type": {
"text": "is Major topic"
},
"classifier": [
{
"coding": [
{
"system": "http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl",
"code": "C49488",
"display": "Yes"
}
]
}
]
}
]
}
]
},
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type",
"code": "mesh-heading",
"display": "MeSH heading"
}
],
"text": "components (if present) include qualifier codings"
},
"classifier": [
{
"coding": [
{
"system": "https://www.nlm.nih.gov/mesh",
"code": "D000077143",
"display": "Docetaxel",
"userSelected": false
}
]
}
],
"freeToShare": true,
"component": [
{
"type": {
"text": "qualifier"
},
"classifier": [
{
"text": "is not a major topic"
}
]
}
]
},
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type",
"code": "mesh-heading",
"display": "MeSH heading"
}
],
"text": "components (if present) include qualifier codings"
},
"classifier": [
{
"coding": [
{
"system": "https://www.nlm.nih.gov/mesh",
"code": "D004359",
"display": "Drug Therapy, Combination",
"userSelected": false
}
]
}
],
"freeToShare": true,
"component": [
{
"type": {
"text": "qualifier"
},
"classifier": [
{
"text": "is not a major topic"
}
]
}
]
},
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type",
"code": "mesh-heading",
"display": "MeSH heading"
}
],
"text": "components (if present) include qualifier codings"
},
"classifier": [
{
"coding": [
{
"system": "https://www.nlm.nih.gov/mesh",
"code": "D004961",
"display": "Estramustine",
"userSelected": false
}
]
}
],
"freeToShare": true,
"component": [
{
"type": {
"text": "qualifier"
},
"classifier": [
{
"text": "is not a major topic"
}
]
},
{
"type": {
"text": "qualifier"
},
"classifier": [
{
"coding": [
{
"system": "https://www.nlm.nih.gov/mesh",
"code": "Q000008",
"display": "administration & dosage"
}
]
}
],
"component": [
{
"type": {
"text": "is Major topic"
},
"classifier": [
{
"coding": [
{
"system": "http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl",
"code": "C49488",
"display": "Yes"
}
]
}
]
}
]
}
]
},
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type",
"code": "mesh-heading",
"display": "MeSH heading"
}
],
"text": "components (if present) include qualifier codings"
},
"classifier": [
{
"coding": [
{
"system": "https://www.nlm.nih.gov/mesh",
"code": "D005500",
"display": "Follow-Up Studies",
"userSelected": false
}
]
}
],
"freeToShare": true,
"component": [
{
"type": {
"text": "qualifier"
},
"classifier": [
{
"text": "is not a major topic"
}
]
}
]
},
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type",
"code": "mesh-heading",
"display": "MeSH heading"
}
],
"text": "components (if present) include qualifier codings"
},
"classifier": [
{
"coding": [
{
"system": "https://www.nlm.nih.gov/mesh",
"code": "D017273",
"display": "Goserelin",
"userSelected": false
}
]
}
],
"freeToShare": true,
"component": [
{
"type": {
"text": "qualifier"
},
"classifier": [
{
"text": "is not a major topic"
}
]
},
{
"type": {
"text": "qualifier"
},
"classifier": [
{
"coding": [
{
"system": "https://www.nlm.nih.gov/mesh",
"code": "Q000008",
"display": "administration & dosage"
}
]
}
],
"component": [
{
"type": {
"text": "is Major topic"
},
"classifier": [
{
"coding": [
{
"system": "http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl",
"code": "C49488",
"display": "Yes"
}
]
}
]
}
]
}
]
},
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type",
"code": "mesh-heading",
"display": "MeSH heading"
}
],
"text": "components (if present) include qualifier codings"
},
"classifier": [
{
"coding": [
{
"system": "https://www.nlm.nih.gov/mesh",
"code": "D006801",
"display": "Humans",
"userSelected": false
}
]
}
],
"freeToShare": true,
"component": [
{
"type": {
"text": "qualifier"
},
"classifier": [
{
"text": "is not a major topic"
}
]
}
]
},
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type",
"code": "mesh-heading",
"display": "MeSH heading"
}
],
"text": "components (if present) include qualifier codings"
},
"classifier": [
{
"coding": [
{
"system": "https://www.nlm.nih.gov/mesh",
"code": "D008297",
"display": "Male",
"userSelected": false
}
]
}
],
"freeToShare": true,
"component": [
{
"type": {
"text": "qualifier"
},
"classifier": [
{
"text": "is not a major topic"
}
]
}
]
},
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type",
"code": "mesh-heading",
"display": "MeSH heading"
}
],
"text": "components (if present) include qualifier codings"
},
"classifier": [
{
"coding": [
{
"system": "https://www.nlm.nih.gov/mesh",
"code": "D008875",
"display": "Middle Aged",
"userSelected": false
}
]
}
],
"freeToShare": true,
"component": [
{
"type": {
"text": "qualifier"
},
"classifier": [
{
"text": "is not a major topic"
}
]
}
]
},
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type",
"code": "mesh-heading",
"display": "MeSH heading"
}
],
"text": "components (if present) include qualifier codings"
},
"classifier": [
{
"coding": [
{
"system": "https://www.nlm.nih.gov/mesh",
"code": "D009364",
"display": "Neoplasm Recurrence, Local",
"userSelected": false
}
]
}
],
"freeToShare": true,
"component": [
{
"type": {
"text": "qualifier"
},
"classifier": [
{
"text": "is not a major topic"
}
]
},
{
"type": {
"text": "qualifier"
},
"classifier": [
{
"coding": [
{
"system": "https://www.nlm.nih.gov/mesh",
"code": "Q000188",
"display": "drug therapy"
}
]
}
],
"component": [
{
"type": {
"text": "is Major topic"
},
"classifier": [
{
"coding": [
{
"system": "http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl",
"code": "C49488",
"display": "Yes"
}
]
}
]
}
]
}
]
},
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type",
"code": "mesh-heading",
"display": "MeSH heading"
}
],
"text": "components (if present) include qualifier codings"
},
"classifier": [
{
"coding": [
{
"system": "https://www.nlm.nih.gov/mesh",
"code": "D009570",
"display": "Nitriles",
"userSelected": false
}
]
}
],
"freeToShare": true,
"component": [
{
"type": {
"text": "qualifier"
},
"classifier": [
{
"text": "is not a major topic"
}
]
},
{
"type": {
"text": "qualifier"
},
"classifier": [
{
"coding": [
{
"system": "https://www.nlm.nih.gov/mesh",
"code": "Q000627",
"display": "therapeutic use"
}
]
}
],
"component": [
{
"type": {
"text": "is Major topic"
},
"classifier": [
{
"coding": [
{
"system": "http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl",
"code": "C49488",
"display": "Yes"
}
]
}
]
}
]
}
]
},
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type",
"code": "mesh-heading",
"display": "MeSH heading"
}
],
"text": "components (if present) include qualifier codings"
},
"classifier": [
{
"coding": [
{
"system": "https://www.nlm.nih.gov/mesh",
"code": "D011471",
"display": "Prostatic Neoplasms",
"userSelected": false
}
]
}
],
"freeToShare": true,
"component": [
{
"type": {
"text": "qualifier"
},
"classifier": [
{
"text": "is not a major topic"
}
]
},
{
"type": {
"text": "qualifier"
},
"classifier": [
{
"coding": [
{
"system": "https://www.nlm.nih.gov/mesh",
"code": "Q000188",
"display": "drug therapy"
}
]
}
],
"component": [
{
"type": {
"text": "is Major topic"
},
"classifier": [
{
"coding": [
{
"system": "http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl",
"code": "C49488",
"display": "Yes"
}
]
}
]
}
]
}
]
},
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type",
"code": "mesh-heading",
"display": "MeSH heading"
}
],
"text": "components (if present) include qualifier codings"
},
"classifier": [
{
"coding": [
{
"system": "https://www.nlm.nih.gov/mesh",
"code": "D012189",
"display": "Retrospective Studies",
"userSelected": false
}
]
}
],
"freeToShare": true,
"component": [
{
"type": {
"text": "qualifier"
},
"classifier": [
{
"text": "is not a major topic"
}
]
}
]
},
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type",
"code": "mesh-heading",
"display": "MeSH heading"
}
],
"text": "components (if present) include qualifier codings"
},
"classifier": [
{
"coding": [
{
"system": "https://www.nlm.nih.gov/mesh",
"code": "D043823",
"display": "Taxoids",
"userSelected": false
}
]
}
],
"freeToShare": true,
"component": [
{
"type": {
"text": "qualifier"
},
"classifier": [
{
"text": "is not a major topic"
}
]
},
{
"type": {
"text": "qualifier"
},
"classifier": [
{
"coding": [
{
"system": "https://www.nlm.nih.gov/mesh",
"code": "Q000008",
"display": "administration & dosage"
}
]
}
],
"component": [
{
"type": {
"text": "is Major topic"
},
"classifier": [
{
"coding": [
{
"system": "http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl",
"code": "C49488",
"display": "Yes"
}
]
}
]
}
]
}
]
},
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type",
"code": "mesh-heading",
"display": "MeSH heading"
}
],
"text": "components (if present) include qualifier codings"
},
"classifier": [
{
"coding": [
{
"system": "https://www.nlm.nih.gov/mesh",
"code": "D013997",
"display": "Time Factors",
"userSelected": false
}
]
}
],
"freeToShare": true,
"component": [
{
"type": {
"text": "qualifier"
},
"classifier": [
{
"text": "is not a major topic"
}
]
}
]
},
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type",
"code": "mesh-heading",
"display": "MeSH heading"
}
],
"text": "components (if present) include qualifier codings"
},
"classifier": [
{
"coding": [
{
"system": "https://www.nlm.nih.gov/mesh",
"code": "D014105",
"display": "Tosyl Compounds",
"userSelected": false
}
]
}
],
"freeToShare": true,
"component": [
{
"type": {
"text": "qualifier"
},
"classifier": [
{
"text": "is not a major topic"
}
]
},
{
"type": {
"text": "qualifier"
},
"classifier": [
{
"coding": [
{
"system": "https://www.nlm.nih.gov/mesh",
"code": "Q000627",
"display": "therapeutic use"
}
]
}
],
"component": [
{
"type": {
"text": "is Major topic"
},
"classifier": [
{
"coding": [
{
"system": "http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl",
"code": "C49488",
"display": "Yes"
}
]
}
]
}
]
}
]
},
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type",
"code": "mesh-heading",
"display": "MeSH heading"
}
],
"text": "components (if present) include qualifier codings"
},
"classifier": [
{
"coding": [
{
"system": "https://www.nlm.nih.gov/mesh",
"code": "D016896",
"display": "Treatment Outcome",
"userSelected": false
}
]
}
],
"freeToShare": true,
"component": [
{
"type": {
"text": "qualifier"
},
"classifier": [
{
"text": "is not a major topic"
}
]
}
]
}
]
}
],
"extension": [
{
"url": "http://hl7.org/fhir/uv/ebm/StructureDefinition/artifact-publication-status",
"valueCodeableConcept": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/cited-artifact-status-type",
"code": "active",
"display": "Active"
}
]
}
}
],
"url": "https://fevir.net/resources/Citation/179623",
"identifier": [
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "ACSN",
"display": "Accession ID"
}
],
"text": "FEvIR Object Identifier"
},
"system": "https://fevir.net/FOI",
"value": "179623",
"assigner": {
"display": "Computable Publishing LLC"
}
},
{
"system": "https://pubmed.ncbi.nlm.nih.gov",
"value": "23452809"
},
{
"system": "urn:ietf:rfc:3986",
"value": "urn:oid:2.16.840.1.113883.4.642.40.44.15.39"
}
],
"version": "1.0.0-ballot3",
"title": "23452809 Long-term follow-up of a phase II trial of chemotherapy plus hormone therapy for biochemical relapse after definitive local therapy for prostate cancer.",
"status": "active",
"date": "2026-02-10T14:00:26+00:00",
"author": [
{
"name": "Computable Publishing®: MEDLINE-to-FEvIR Converter"
}
],
"publisher": "HL7 International / Clinical Decision Support",
"contact": [
{
"name": "HL7 International / Clinical Decision Support",
"telecom": [
{
"system": "url",
"value": "http://www.hl7.org/Special/committees/dss"
}
]
}
],
"description": "This Citation Resource is referenced in an example for the EBMonFHIR Implementation Guide.",
"useContext": [
{
"code": {
"system": "http://terminology.hl7.org/CodeSystem/citation-classification-type",
"code": "fevir-platform-use",
"display": "FEvIR Platform Use"
},
"valueCodeableConcept": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/citation-artifact-classifier",
"code": "medline-base",
"display": "Medline Base",
"userSelected": false
}
]
}
}
],
"jurisdiction": [
{
"coding": [
{
"system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
"code": "001",
"display": "World"
}
]
}
],
"copyright": "https://creativecommons.org/licenses/by-nc-sa/4.0/",
"approvalDate": "2013-04-22",
"lastReviewDate": "2021-10-21",
"classification": [
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/citation-classification-type",
"code": "citation-source",
"display": "Citation Source"
}
]
},
"classifier": [
{
"text": "MEDLINE"
}
]
},
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/citation-classification-type",
"code": "medline-owner",
"display": "MEDLINE Citation Owner"
}
]
},
"classifier": [
{
"coding": [
{
"system": "https://www.nlm.nih.gov/bsd/licensee/elements_descriptions.html#owner_value",
"code": "NLM",
"display": "National Library of Medicine, Index Section",
"userSelected": false
}
]
}
]
}
],
"currentState": [
{
"coding": [
{
"system": "http://hl7.org/fhir/citation-status-type",
"code": "medline-medline",
"display": "Medline Citation Status of Medline"
}
]
},
{
"coding": [
{
"system": "http://hl7.org/fhir/citation-status-type",
"code": "pubmed-publication-status-ppublish",
"display": "PubMed PublicationStatus of ppublish"
}
]
}
],
"statusDate": [
{
"activity": {
"coding": [
{
"system": "http://hl7.org/fhir/citation-status-type",
"code": "pubmed-pubstatus-received",
"display": "PubMed Pubstatus of Received"
}
]
},
"period": {
"end": "2012-11-21"
}
},
{
"activity": {
"coding": [
{
"system": "http://hl7.org/fhir/citation-status-type",
"code": "pubmed-pubstatus-revised",
"display": "PubMed Pubstatus of Revised"
}
]
},
"period": {
"end": "2012-12-14"
}
},
{
"activity": {
"coding": [
{
"system": "http://hl7.org/fhir/citation-status-type",
"code": "pubmed-pubstatus-accepted",
"display": "PubMed Pubstatus of Accepted"
}
]
},
"period": {
"end": "2012-12-18"
}
},
{
"activity": {
"coding": [
{
"system": "http://hl7.org/fhir/citation-status-type",
"code": "pubmed-pubstatus-entrez",
"display": "PubMed Pubstatus of Entrez"
}
]
},
"period": {
"end": "2013-03-05T06:00:00.000Z"
}
},
{
"activity": {
"coding": [
{
"system": "http://hl7.org/fhir/citation-status-type",
"code": "pubmed-pubstatus-pubmed",
"display": "PubMed Pubstatus of Pubmed"
}
]
},
"period": {
"end": "2013-03-05T06:00:00.000Z"
}
},
{
"activity": {
"coding": [
{
"system": "http://hl7.org/fhir/citation-status-type",
"code": "pubmed-pubstatus-medline",
"display": "PubMed Pubstatus of Medline"
}
]
},
"period": {
"end": "2013-04-23T06:00:00.000Z"
}
}
],
"citedArtifact": {
"identifier": [
{
"system": "https://pubmed.ncbi.nlm.nih.gov",
"value": "23452809"
},
{
"system": "https://doi.org",
"value": "10.1016/j.urology.2012.12.025"
},
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "ACSN",
"display": "Accession ID"
}
],
"text": "pii"
},
"value": "S0090-4295(12)01569-5"
}
],
"title": [
{
"type": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/title-type",
"code": "primary",
"display": "Primary title"
}
]
}
],
"text": "Long-term follow-up of a phase II trial of chemotherapy plus hormone therapy for biochemical relapse after definitive local therapy for prostate cancer."
}
],
"abstract": [
{
"type": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/cited-artifact-abstract-type",
"code": "primary-human-use",
"display": "Primary human use"
}
]
}
],
"text": "**OBJECTIVE:** To evaluate long-term follow-up of a phase II trial of chemohormonal therapy in 62 men with prostate cancer biochemical relapse (BR).\n**METHODS:** Treatment was 4 cycles of docetaxel (70 mg/m(2)) every 3 weeks and estramustine 280 mg three times a day (days 1-5) followed by 15 months of goserelin acetate/bicalutamide. The primary endpoint was the proportion with prostate-specific antigen (PSA) <0.1 with recovered testosterone 5 years after completion of therapy. Secondary endpoints included time to progression (TTP), time to reinitiate androgen deprivation therapy (ADT), the proportion with castration-resistant prostate cancer (CRPC), and overall survival (OS).\n**RESULTS:** Median follow-up was 8.6 years (range 1.3-11.1 years). At 5 year follow-up, 7 patients (11%) had PSA <0.1 (5 undetectable); 8 (13%) had PSA >0.1 but without reinitiation of ADT (median PSA 0.37). Of the 15 (24%) men without reinitiation of ADT, and 14 have recovered testosterone to normal range. Median TTP for the complete cohort was 35.0 months (95% confidence interval [CI] 31.7-39.2). Baseline PSA <3.0 ng/dL, no prior ADT, and prostatectomy (vs radiation) were associated with longer TTP (P = .0001, P = .0055, and P = .0398, respectively). At the time of analysis, 42 men (68%) had restarted ADT, 23 men had CRPC (37%), and 11 (18%) had chemotherapy. Median time to reinitiation of ADT was 32.6 months (range 0-107.6 months). Median OS has not been reached; there were 15 deaths.\n**CONCLUSION:** Chemotherapy plus ADT for BR resulted in durable (>5 years) complete responses (<0.1 ng/mL) in 7 men (11%). Twenty-four percent of men have not re-initiated ADT 5 years from completion of protocol therapy.",
"copyright": "Copyright © 2013 Elsevier Inc. All rights reserved."
}
],
"relatesTo": [
{
"type": "comment-in",
"classifier": [
{
"coding": [
{
"system": "https://www.nlm.nih.gov/mesh",
"code": "D016420",
"display": "Comment",
"userSelected": false
}
]
}
],
"citation": "J Urol. 2013 Sep;190(3):880. doi: 10.1016/j.juro.2013.05.105."
}
],
"publicationForm": [
{
"publishedIn": {
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/published-in-type",
"code": "D020492",
"display": "Periodical"
}
]
},
"identifier": [
{
"type": {
"coding": [
{
"system": "https://www.nlm.nih.gov/bsd/licensee/elements_descriptions.html#issn",
"code": "Electronic",
"display": "Electronic"
}
],
"text": "Electronic ISSN Type"
},
"system": "https://portal.issn.org",
"value": "1527-9995"
},
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "XX",
"display": "Organization identifier"
}
],
"text": "ISOAbbreviation"
},
"system": "https://www.issn.org/services/online-services/access-to-the-ltwa/",
"value": "Urology"
},
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "XX",
"display": "Organization identifier"
}
],
"text": "ISSN Linking"
},
"system": "https://www.issn.org/understanding-the-issn/assignment-rules/the-issn-l-for-publications-on-multiple-media/",
"value": "0090-4295"
},
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "XX",
"display": "Organization identifier"
}
],
"text": "Medline Title Abbreviation"
},
"system": "https://www.nlm.nih.gov/tsd/cataloging/contructitleabbre.html",
"value": "Urology"
},
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "XX",
"display": "Organization identifier"
}
],
"text": "NLM Unique ID"
},
"system": "https://locatorplus.gov/cgi-bin/Pwebrecon.cgi?DB=local",
"value": "0366151"
}
],
"title": "Urology",
"publisherLocation": "United States"
},
"citedMedium": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/cited-medium",
"code": "internet",
"display": "Internet"
}
]
},
"volume": "81",
"issue": "3",
"articleDate": "2013-03",
"pageString": "611-6"
}
],
"webLocation": [
{
"classifier": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/artifact-url-classifier",
"code": "abstract",
"display": "Abstract"
}
]
}
],
"url": "https://pubmed.ncbi.nlm.nih.gov/23452809/"
},
{
"classifier": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/artifact-url-classifier",
"code": "doi-based",
"display": "DOI Based"
}
]
}
],
"url": "https://doi.org/10.1016/j.urology.2012.12.025"
}
],
"classification": [
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type",
"code": "publishing-model",
"display": "Publishing Model",
"userSelected": false
}
]
},
"classifier": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/citation-artifact-classifier",
"code": "Print",
"display": "Print",
"userSelected": false
}
]
}
]
},
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type",
"code": "chemical",
"display": "Chemical",
"userSelected": false
}
]
},
"classifier": [
{
"coding": [
{
"system": "https://www.nlm.nih.gov/mesh",
"code": "D000726",
"display": "Androgen Antagonists",
"userSelected": false
}
]
},
{
"coding": [
{
"system": "https://www.nlm.nih.gov/mesh",
"code": "D000813",
"display": "Anilides",
"userSelected": false
}
]
},
{
"coding": [
{
"system": "https://www.nlm.nih.gov/mesh",
"code": "D000970",
"display": "Antineoplastic Agents",
"userSelected": false
}
]
},
{
"coding": [
{
"system": "https://www.nlm.nih.gov/mesh",
"code": "D018931",
"display": "Antineoplastic Agents, Hormonal",
"userSelected": false
}
]
},
{
"coding": [
{
"system": "https://www.nlm.nih.gov/mesh",
"code": "D009570",
"display": "Nitriles",
"userSelected": false
}
]
},
{
"coding": [
{
"system": "https://www.nlm.nih.gov/mesh",
"code": "D043823",
"display": "Taxoids",
"userSelected": false
}
]
},
{
"coding": [
{
"system": "https://www.nlm.nih.gov/mesh",
"code": "D014105",
"display": "Tosyl Compounds",
"userSelected": false
}
]
},
{
"coding": [
{
"system": "https://www.cas.org/support/documentation/chemical-substances",
"code": "0F65R8P09N",
"userSelected": false
},
{
"system": "https://www.nlm.nih.gov/mesh",
"code": "D017273",
"display": "Goserelin",
"userSelected": false
}
]
},
{
"coding": [
{
"system": "https://www.cas.org/support/documentation/chemical-substances",
"code": "15H5577CQD",
"userSelected": false
},
{
"system": "https://www.nlm.nih.gov/mesh",
"code": "D000077143",
"display": "Docetaxel",
"userSelected": false
}
]
},
{
"coding": [
{
"system": "https://www.cas.org/support/documentation/chemical-substances",
"code": "35LT29625A",
"userSelected": false
},
{
"system": "https://www.nlm.nih.gov/mesh",
"code": "D004961",
"display": "Estramustine",
"userSelected": false
}
]
},
{
"coding": [
{
"system": "https://www.cas.org/support/documentation/chemical-substances",
"code": "A0Z3NAU9DP",
"userSelected": false
},
{
"system": "https://www.nlm.nih.gov/mesh",
"code": "C053541",
"display": "bicalutamide",
"userSelected": false
}
]
}
]
},
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type",
"code": "mesh-heading",
"display": "MeSH heading"
}
]
},
"artifactAssessment": [
{
"reference": "#meshHeading0",
"type": "ArtifactAssessment"
}
]
},
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type",
"code": "publication-type",
"display": "Publication type"
}
]
},
"classifier": [
{
"coding": [
{
"system": "https://www.nlm.nih.gov/mesh",
"code": "D017427",
"display": "Clinical Trial, Phase II",
"userSelected": false
}
]
},
{
"coding": [
{
"system": "https://www.nlm.nih.gov/mesh",
"code": "D016428",
"display": "Journal Article",
"userSelected": false
}
]
},
{
"coding": [
{
"system": "https://www.nlm.nih.gov/mesh",
"code": "D013485",
"display": "Research Support, Non-U.S. Gov't",
"userSelected": false
}
]
}
]
},
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type",
"code": "knowledge-artifact-type",
"display": "Knowledge Artifact Type",
"userSelected": false
}
]
},
"classifier": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/citation-artifact-classifier",
"code": "D016428",
"display": "Journal Article",
"userSelected": false
}
]
}
],
"artifactAssessment": [
{
"display": "Classifier added by Computable Publishing LLC"
}
]
},
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type",
"code": "citation-subset",
"display": "Citation subset",
"userSelected": false
}
]
},
"classifier": [
{
"coding": [
{
"system": "https://www.nlm.nih.gov/bsd/licensee/elements_descriptions.html#citationsubset",
"code": "IM",
"display": "IM",
"userSelected": false
}
]
}
]
}
],
"contributorship": {
"complete": true,
"entry": [
{
"contributor": {
"reference": "#contributor0",
"type": "Practitioner",
"display": "Nakabayashi M"
},
"forenameInitials": "M",
"affiliation": [
{
"display": "Division of Medical Oncology, Department of Medicine, Lank Center for Genitourinary Oncology, Boston, MA 02215, USA."
}
]
},
{
"contributor": {
"reference": "#contributor1",
"type": "Practitioner",
"display": "Xie W"
},
"forenameInitials": "W"
},
{
"contributor": {
"reference": "#contributor2",
"type": "Practitioner",
"display": "Buckle G"
},
"forenameInitials": "G"
},
{
"contributor": {
"reference": "#contributor3",
"type": "Practitioner",
"display": "Bubley G"
},
"forenameInitials": "G"
},
{
"contributor": {
"reference": "#contributor4",
"type": "Practitioner",
"display": "Ernstoff MS"
},
"forenameInitials": "MS"
},
{
"contributor": {
"reference": "#contributor5",
"type": "Practitioner",
"display": "Walsh W"
},
"forenameInitials": "W"
},
{
"contributor": {
"reference": "#contributor6",
"type": "Practitioner",
"display": "Morganstern DE"
},
"forenameInitials": "DE"
},
{
"contributor": {
"reference": "#contributor7",
"type": "Practitioner",
"display": "Kantoff PW"
},
"forenameInitials": "PW"
},
{
"contributor": {
"reference": "#contributor8",
"type": "Practitioner",
"display": "Taplin ME"
},
"forenameInitials": "ME"
}
]
}
}
}