FHIR IG analytics| Package | iknl.fhir.nl.r4.palga |
| Resource Type | Bundle |
| Id | Bundle-DocumentExample.json |
| FHIR Version | R4 |
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No narrative content found in resource
FHIR
FHIRsmith{
"resourceType": "Bundle",
"id": "DocumentExample",
"meta": {
"profile": [
"http://fhir.iknl.nl/fhir/iknl-palga-r4/StructureDefinition/palga-document"
]
},
"identifier": {
"system": "urn:ietf:rfc:3986",
"value": "urn:uuid:0c3151bd-1cbf-4d64-b04d-cd9187a4c6e0"
},
"type": "document",
"timestamp": "2022-07-29T22:12:21Z",
"entry": [
{
"fullUrl": "http://fhir.palga.nl/R4/Composition/CompositionExample",
"resource": {
"resourceType": "Composition",
"id": "CompositionExample",
"meta": {
"profile": [
"http://fhir.iknl.nl/fhir/iknl-palga-r4/StructureDefinition/palga-composition"
]
},
"identifier": {
"value": "IKNLd9393aa2e27a622d40fbab65f9a0"
},
"status": "final",
"type": {
"coding": [
{
"system": "http://loinc.org",
"code": "11526-1"
}
],
"text": "Pathology study"
},
"subject": {
"reference": "Patient/PatientExample"
},
"date": "2022-07-29T22:12:21Z",
"author": [
{
"reference": "PractitionerRole/PathologistRoleExample",
"display": "pathologie"
}
],
"title": "Pathology study report",
"custodian": {
"reference": "Organization/LaboratoryExample"
},
"section": [
{
"entry": [
{
"reference": "DiagnosticReport/DiagnosticReportExample"
}
]
}
]
}
},
{
"fullUrl": "http://fhir.palga.nl/R4/Organization/HospitalExample",
"resource": {
"resourceType": "Organization",
"id": "HospitalExample",
"meta": {
"profile": [
"http://fhir.iknl.nl/fhir/iknl-palga-r4/StructureDefinition/palga-hospital"
]
},
"name": "St. Lucas Andreas Ziekenhuis"
}
},
{
"fullUrl": "http://fhir.palga.nl/R4/Patient/PatientExample",
"resource": {
"resourceType": "Patient",
"id": "PatientExample",
"meta": {
"profile": [
"http://fhir.iknl.nl/fhir/iknl-palga-r4/StructureDefinition/palga-patient"
]
},
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/patient-birthPlace",
"valueAddress": {
"city": "geboorteplaats"
}
}
],
"identifier": [
{
"type": {
"coding": [
{
"system": "http://iknl.nl/fhir/NamingSystem/patientnrs",
"code": "patientnummer"
},
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "MR"
}
]
},
"value": "123456789"
},
{
"type": {
"coding": [
{
"system": "http://iknl.nl/fhir/NamingSystem/patientnrs",
"code": "extpatientnr1"
},
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "MR"
}
]
},
"value": "987654321"
}
],
"name": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/humanname-assembly-order",
"valueCode": "NL1"
}
],
"use": "official",
"_family": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/humanname-own-name",
"valueString": "Woestijnzand"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/humanname-own-prefix",
"valueString": "van der"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/humanname-partner-prefix",
"valueString": "de"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/humanname-partner-name",
"valueString": "Machtigeberg"
}
]
},
"given": [
"A."
],
"_given": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier",
"valueCode": "IN"
}
]
}
]
}
],
"gender": "female",
"_gender": {
"extension": [
{
"url": "http://nictiz.nl/fhir/StructureDefinition/ext-CodeSpecification",
"valueCodeableConcept": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-AdministrativeGender",
"code": "F",
"display": "Female"
}
]
}
}
]
},
"birthDate": "1946-07-19",
"address": [
{
"extension": [
{
"url": "http://nictiz.nl/fhir/StructureDefinition/ext-AddressInformation.AddressType",
"valueCodeableConcept": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-AddressUse",
"code": "HP",
"display": "Primary Home"
}
]
}
}
],
"use": "home",
"type": "both",
"postalCode": "1012 NX",
"country": "Nederland",
"_country": {
"extension": [
{
"url": "http://nictiz.nl/fhir/StructureDefinition/ext-CodeSpecification",
"valueCodeableConcept": {
"coding": [
{
"system": "urn:iso:std:iso:3166",
"code": "NL"
}
]
}
}
]
}
}
]
}
},
{
"fullUrl": "http://fhir.palga.nl/R4/PractitionerRole/PathologistRoleExample",
"resource": {
"resourceType": "PractitionerRole",
"id": "PathologistRoleExample",
"meta": {
"profile": [
"http://fhir.iknl.nl/fhir/iknl-palga-r4/StructureDefinition/palga-pathologist-role"
]
},
"practitioner": {
"reference": "Practitioner/PathologistExample",
"display": "Helderezon"
},
"organization": {
"reference": "Organization/LaboratoryExample",
"display": "182"
},
"specialty": [
{
"text": "pathologie"
}
]
}
},
{
"fullUrl": "http://fhir.palga.nl/R4/Practitioner/PathologistExample",
"resource": {
"resourceType": "Practitioner",
"id": "PathologistExample",
"meta": {
"profile": [
"http://fhir.iknl.nl/fhir/iknl-palga-r4/StructureDefinition/palga-pathologist"
]
},
"name": [
{
"use": "official",
"family": "Helderezon",
"_family": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/humanname-own-name",
"valueString": "Helderezon"
}
]
}
}
]
}
},
{
"fullUrl": "http://fhir.palga.nl/R4/Organization/LaboratoryExample",
"resource": {
"resourceType": "Organization",
"id": "LaboratoryExample",
"meta": {
"profile": [
"http://fhir.iknl.nl/fhir/iknl-palga-r4/StructureDefinition/palga-laboratory"
]
},
"name": "182"
}
},
{
"fullUrl": "http://fhir.palga.nl/R4/DiagnosticReport/DiagnosticReportExample",
"resource": {
"resourceType": "DiagnosticReport",
"id": "DiagnosticReportExample",
"meta": {
"profile": [
"http://fhir.iknl.nl/fhir/iknl-palga-r4/StructureDefinition/palga-diagnostic-report"
]
},
"contained": [
{
"resourceType": "ServiceRequest",
"id": "ProcedureRequestExample",
"meta": {
"profile": [
"http://fhir.iknl.nl/fhir/iknl-palga-r4/StructureDefinition/palga-procedure-request"
]
},
"status": "completed",
"intent": "order",
"subject": {
"reference": "Patient/PatientExample",
"display": "van der Woestijnzand"
},
"requester": {
"reference": "Organization/HospitalExample",
"display": "St. Lucas Andreas Ziekenhuis"
}
},
{
"resourceType": "Specimen",
"id": "SpecimenExample",
"meta": {
"profile": [
"http://fhir.iknl.nl/fhir/iknl-palga-r4/StructureDefinition/palga-specimen"
]
},
"type": {
"text": "mamma"
},
"receivedTime": "2022-05-23"
},
{
"resourceType": "Observation",
"id": "SampleObservationExample0",
"meta": {
"profile": [
"http://fhir.iknl.nl/fhir/iknl-palga-r4/StructureDefinition/palga-sample-observation"
]
},
"status": "final",
"code": {
"text": "0"
},
"hasMember": [
{
"reference": "#NameValueExample0AantalMacrometastasen"
},
{
"reference": "#NameValueExample0AantalMicrometastasen"
},
{
"reference": "#NameValueExample0Aantalonderzochtelymfklieren"
},
{
"reference": "#NameValueExample0Differentiatie1Iknl"
},
{
"reference": "#NameValueExample0DominanteTumor1"
},
{
"reference": "#NameValueExample0GraderingBloomRichardson1"
},
{
"reference": "#NameValueExample0Her21Iknl"
},
{
"reference": "#NameValueExample0Her2neuStatus1"
},
{
"reference": "#NameValueExample0LokalisatieTumor"
},
{
"reference": "#NameValueExample0Morfologie1Iknl"
},
{
"reference": "#NameValueExample0Oestrogeen1Iknl"
},
{
"reference": "#NameValueExample0OestrogeenReceptor1"
},
{
"reference": "#NameValueExample0Preparaat"
},
{
"reference": "#NameValueExample0PreparaatIknl"
},
{
"reference": "#NameValueExample0Progesteron1Iknl"
},
{
"reference": "#NameValueExample0ProgesteronReceptor1"
},
{
"reference": "#NameValueExample0ProtocolIknl"
},
{
"reference": "#NameValueExample0Protocolkeuze"
},
{
"reference": "#NameValueExample0Ptnm8Iknl"
},
{
"reference": "#NameValueExample0Radicaliteit1Iknl"
},
{
"reference": "#NameValueExample0Snvlkgrootsteinvasievetumor1"
},
{
"reference": "#NameValueExample0Tnm8"
},
{
"reference": "#NameValueExample0Topografie1Iknl"
},
{
"reference": "#NameValueExample0TypeInvasieveTumor1"
},
{
"reference": "#NameValueExample0TypeTumor"
},
{
"reference": "#NameValueExample0Waarde1Iknl"
},
{
"reference": "#NameValueExample0Zijdigheidmamma"
},
{
"reference": "#NameValueExample0ZijdigheidmammaIknl"
}
]
},
{
"resourceType": "Observation",
"id": "NameValueExample0AantalMacrometastasen",
"meta": {
"profile": [
"http://fhir.iknl.nl/fhir/iknl-palga-r4/StructureDefinition/palga-protocol-item"
]
},
"status": "final",
"code": {
"text": "aantal_macrometastasen"
},
"valueString": "1"
},
{
"resourceType": "Observation",
"id": "NameValueExample0AantalMicrometastasen",
"meta": {
"profile": [
"http://fhir.iknl.nl/fhir/iknl-palga-r4/StructureDefinition/palga-protocol-item"
]
},
"status": "final",
"code": {
"text": "aantal_micrometastasen"
},
"valueString": "1"
},
{
"resourceType": "Observation",
"id": "NameValueExample0Aantalonderzochtelymfklieren",
"meta": {
"profile": [
"http://fhir.iknl.nl/fhir/iknl-palga-r4/StructureDefinition/palga-protocol-item"
]
},
"status": "final",
"code": {
"text": "aantalonderzochtelymfklieren"
},
"valueString": "2"
},
{
"resourceType": "Observation",
"id": "NameValueExample0Differentiatie1Iknl",
"meta": {
"profile": [
"http://fhir.iknl.nl/fhir/iknl-palga-r4/StructureDefinition/palga-protocol-item"
]
},
"status": "final",
"code": {
"text": "differentiatie1_iknl"
},
"valueString": "I"
},
{
"resourceType": "Observation",
"id": "NameValueExample0DominanteTumor1",
"meta": {
"profile": [
"http://fhir.iknl.nl/fhir/iknl-palga-r4/StructureDefinition/palga-protocol-item"
]
},
"status": "final",
"code": {
"text": "dominante_tumor1"
},
"valueString": "0.30"
},
{
"resourceType": "Observation",
"id": "NameValueExample0GraderingBloomRichardson1",
"meta": {
"profile": [
"http://fhir.iknl.nl/fhir/iknl-palga-r4/StructureDefinition/palga-protocol-item"
]
},
"status": "final",
"code": {
"text": "gradering_bloom_richardson1"
},
"valueString": "I"
},
{
"resourceType": "Observation",
"id": "NameValueExample0Her21Iknl",
"meta": {
"profile": [
"http://fhir.iknl.nl/fhir/iknl-palga-r4/StructureDefinition/palga-protocol-item"
]
},
"status": "final",
"code": {
"text": "her2_1_iknl"
},
"valueString": "Positief"
},
{
"resourceType": "Observation",
"id": "NameValueExample0Her2neuStatus1",
"meta": {
"profile": [
"http://fhir.iknl.nl/fhir/iknl-palga-r4/StructureDefinition/palga-protocol-item"
]
},
"status": "final",
"code": {
"text": "her2neu_status1"
},
"valueString": "Positief"
},
{
"resourceType": "Observation",
"id": "NameValueExample0LokalisatieTumor",
"meta": {
"profile": [
"http://fhir.iknl.nl/fhir/iknl-palga-r4/StructureDefinition/palga-protocol-item"
]
},
"status": "final",
"code": {
"text": "lokalisatie_tumor"
},
"valueString": "laterale bovenkwadrant"
},
{
"resourceType": "Observation",
"id": "NameValueExample0Morfologie1Iknl",
"meta": {
"profile": [
"http://fhir.iknl.nl/fhir/iknl-palga-r4/StructureDefinition/palga-protocol-item"
]
},
"status": "final",
"code": {
"text": "morfologie1_iknl"
},
"valueString": "invasief carcinoom NST"
},
{
"resourceType": "Observation",
"id": "NameValueExample0Oestrogeen1Iknl",
"meta": {
"profile": [
"http://fhir.iknl.nl/fhir/iknl-palga-r4/StructureDefinition/palga-protocol-item"
]
},
"status": "final",
"code": {
"text": "oestrogeen1_iknl"
},
"valueString": "negatief"
},
{
"resourceType": "Observation",
"id": "NameValueExample0OestrogeenReceptor1",
"meta": {
"profile": [
"http://fhir.iknl.nl/fhir/iknl-palga-r4/StructureDefinition/palga-protocol-item"
]
},
"status": "final",
"code": {
"text": "oestrogeen_receptor1"
},
"valueString": "negatief"
},
{
"resourceType": "Observation",
"id": "NameValueExample0Preparaat",
"meta": {
"profile": [
"http://fhir.iknl.nl/fhir/iknl-palga-r4/StructureDefinition/palga-protocol-item"
]
},
"status": "final",
"code": {
"text": "preparaat"
},
"valueString": "draadgeleide lumpectomie"
},
{
"resourceType": "Observation",
"id": "NameValueExample0PreparaatIknl",
"meta": {
"profile": [
"http://fhir.iknl.nl/fhir/iknl-palga-r4/StructureDefinition/palga-protocol-item"
]
},
"status": "final",
"code": {
"text": "preparaat_iknl"
},
"valueString": "draadgeleide lumpectomie"
},
{
"resourceType": "Observation",
"id": "NameValueExample0Progesteron1Iknl",
"meta": {
"profile": [
"http://fhir.iknl.nl/fhir/iknl-palga-r4/StructureDefinition/palga-protocol-item"
]
},
"status": "final",
"code": {
"text": "progesteron1_iknl"
},
"valueString": "progesteron1_iknl"
},
{
"resourceType": "Observation",
"id": "NameValueExample0ProgesteronReceptor1",
"meta": {
"profile": [
"http://fhir.iknl.nl/fhir/iknl-palga-r4/StructureDefinition/palga-protocol-item"
]
},
"status": "final",
"code": {
"text": "progesteron_receptor1"
},
"valueString": "negatief"
},
{
"resourceType": "Observation",
"id": "NameValueExample0ProtocolIknl",
"meta": {
"profile": [
"http://fhir.iknl.nl/fhir/iknl-palga-r4/StructureDefinition/palga-protocol-item"
]
},
"status": "final",
"code": {
"text": "protocol_iknl"
},
"valueString": "mammacarcinoom + schildwachtklier (SWK / niet-SWK)"
},
{
"resourceType": "Observation",
"id": "NameValueExample0Protocolkeuze",
"meta": {
"profile": [
"http://fhir.iknl.nl/fhir/iknl-palga-r4/StructureDefinition/palga-protocol-item"
]
},
"status": "final",
"code": {
"text": "protocolkeuze"
},
"valueString": "mammacarcinoom + schildwachtklier (SWK / niet-SWK)"
},
{
"resourceType": "Observation",
"id": "NameValueExample0Ptnm8Iknl",
"meta": {
"profile": [
"http://fhir.iknl.nl/fhir/iknl-palga-r4/StructureDefinition/palga-protocol-item"
]
},
"status": "final",
"code": {
"text": "ptnm8_iknl"
},
"valueString": "pT1aN1a(sn)"
},
{
"resourceType": "Observation",
"id": "NameValueExample0Radicaliteit1Iknl",
"meta": {
"profile": [
"http://fhir.iknl.nl/fhir/iknl-palga-r4/StructureDefinition/palga-protocol-item"
]
},
"status": "final",
"code": {
"text": "radicaliteit1_iknl"
},
"valueString": "vrij"
},
{
"resourceType": "Observation",
"id": "NameValueExample0Snvlkgrootsteinvasievetumor1",
"meta": {
"profile": [
"http://fhir.iknl.nl/fhir/iknl-palga-r4/StructureDefinition/palga-protocol-item"
]
},
"status": "final",
"code": {
"text": "snvlkgrootsteinvasievetumor1"
},
"valueString": "vrij"
},
{
"resourceType": "Observation",
"id": "NameValueExample0Tnm8",
"meta": {
"profile": [
"http://fhir.iknl.nl/fhir/iknl-palga-r4/StructureDefinition/palga-protocol-item"
]
},
"status": "final",
"code": {
"text": "tnm8"
},
"valueString": "pT1aN1a(sn)"
},
{
"resourceType": "Observation",
"id": "NameValueExample0Topografie1Iknl",
"meta": {
"profile": [
"http://fhir.iknl.nl/fhir/iknl-palga-r4/StructureDefinition/palga-protocol-item"
]
},
"status": "final",
"code": {
"text": "topografie1_iknl"
},
"valueString": "laterale bovenkwadrant"
},
{
"resourceType": "Observation",
"id": "NameValueExample0TypeInvasieveTumor1",
"meta": {
"profile": [
"http://fhir.iknl.nl/fhir/iknl-palga-r4/StructureDefinition/palga-protocol-item"
]
},
"status": "final",
"code": {
"text": "type_invasieve_tumor1"
},
"valueString": "invasief carcinoom NST"
},
{
"resourceType": "Observation",
"id": "NameValueExample0TypeTumor",
"meta": {
"profile": [
"http://fhir.iknl.nl/fhir/iknl-palga-r4/StructureDefinition/palga-protocol-item"
]
},
"status": "final",
"code": {
"text": "type_tumor"
},
"valueString": "invasief carcinoom zonder CIS"
},
{
"resourceType": "Observation",
"id": "NameValueExample0Waarde1Iknl",
"meta": {
"profile": [
"http://fhir.iknl.nl/fhir/iknl-palga-r4/StructureDefinition/palga-protocol-item"
]
},
"status": "final",
"code": {
"text": "waarde1_iknl"
},
"valueString": "0.30"
},
{
"resourceType": "Observation",
"id": "NameValueExample0Zijdigheidmamma",
"meta": {
"profile": [
"http://fhir.iknl.nl/fhir/iknl-palga-r4/StructureDefinition/palga-protocol-item"
]
},
"status": "final",
"code": {
"text": "zijdigheidmamma"
},
"valueString": "links"
},
{
"resourceType": "Observation",
"id": "NameValueExample0ZijdigheidmammaIknl",
"meta": {
"profile": [
"http://fhir.iknl.nl/fhir/iknl-palga-r4/StructureDefinition/palga-protocol-item"
]
},
"status": "final",
"code": {
"text": "zijdigheidmamma_iknl"
},
"valueString": "links"
}
],
"extension": [
{
"url": "http://www.palga.nl/professionals/profession/protocollen/",
"valueString": "110"
}
],
"basedOn": [
{
"reference": "#ProcedureRequestExample"
}
],
"status": "final",
"code": {
"text": "mammacarcinoomtotaal"
},
"subject": {
"reference": "Patient/PatientExample"
},
"performer": [
{
"reference": "Organization/LaboratoryExample"
}
],
"specimen": [
{
"reference": "#SpecimenExample"
}
],
"result": [
{
"reference": "#SampleObservationExample0"
}
],
"conclusion": "Mamma draadgeleide lumpectomie links: invasief carcinoom NST. Bloom Richardson graad 1; afmeting tumor 0,30 cm; angioinvasie: niet aangetroffen (pT1a). locatie: laterale bovenkwadrant. Snijvlak: vrij, kleinste tumorvrije marge: <0,1 cm. Oestrogeen receptor (resectie) negatief. Progesteron receptor (resectie) negatief. HER2 status (resectie): positief. Schildwachtklier axillair links. 1 lymfklier SWK met macrometastase (> 2,0 mm) en 1 lymfklier SWK met micrometastase (>0,2 mm en =< 2,0 mm); extranodale groei: niet aangetroffen; (in 2 lymfklieren SWK). TNM classificatie Mamma (8e editie UICC): pT1aN1a(sn).",
"conclusionCode": [
{
"coding": [
{
"system": "urn:oid:2.16.840.1.113883.2.4.3.23.5.2",
"code": "T04000*E99999*TYY990*T04000P11110*PX1490*M85003*M09410*P38001",
"display": "mamma*systeem*links*lumpectomie*rontgenlocalisatie*invasief carcinoom nst*snijvlak vrij*immunohistochemie"
}
]
},
{
"coding": [
{
"system": "urn:oid:2.16.840.1.113883.2.4.3.23.5.2",
"code": "T08000*TY8100*TYY990*P11320*M81406*T04000*E99999",
"display": "lymfklier*axilla*links*schildwachtklier procedure*metastase adenocarcinoom*mamma*systeem"
}
]
}
]
}
}
]
}