INCISIVE Implementation Guide
0.1.1 - draft

INCISIVE Implementation Guide - Local Development build (v0.1.1) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

: Breast-Cancer-Message-Bundle-Example - TTL Representation

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <https://loinc.org/rdf/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix sct: <http://snomed.info/id/> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:Bundle ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "Breast-Cancer-Message-Bundle-Example"] ; # 
  fhir:identifier [
fhir:value [ fhir:v "Breast Cancer INCISIVE" ]
  ] ; # 
  fhir:type [ fhir:v "transaction"] ; # 
  fhir:timestamp [ fhir:v "2023-07-21T12:29:17.239+02:00"^^xsd:dateTime] ; # 
  fhir:entry ( [
    ( fhir:resource [
a fhir:MessageHeader ;
fhir:id [ fhir:v "breastmessageheader" ] ;
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MessageHeader_breastmessageheader\"> </a><p><b>Generated Narrative: MessageHeader</b><a name=\"breastmessageheader\"> </a><a name=\"hcbreastmessageheader\"> </a></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 MessageHeader &quot;breastmessageheader&quot; </p></div><p><b>event</b>: Malignant neoplasm of breast (disorder) (Details: http://snomed.org code 254837009 = '254837009', stated as 'Malignant neoplasm of breast (disorder)')</p><h3>Destinations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Name</b></td><td><b>Endpoint</b></td></tr><tr><td style=\"display: none\">*</td><td>example</td><td><a href=\"https://exemple.com/services?wsdl\">https://exemple.com/services?wsdl</a></td></tr></table><p><b>sender</b>: <a href=\"#Organization_breastorganization01\">See above (Organization/breastorganization01)</a></p><h3>Sources</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Name</b></td><td><b>Contact</b></td><td><b>Endpoint</b></td></tr><tr><td style=\"display: none\">*</td><td>example</td><td><a href=\"mailto:example@example.en\">example@example.en</a></td><td><a href=\"https://example.en/origin\">https://example.en/origin</a></td></tr></table><p><b>focus</b>: <a href=\"#Patient_breastpatient01\">See above (Patient/breastpatient01)</a></p></div>"       ] ;
fhir:event [
a fhir:Coding ;
fhir:system [ fhir:v "http://snomed.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "254837009" ] ;
fhir:display [ fhir:v "Malignant neoplasm of breast (disorder)" ]       ] ;
      ( fhir:destination [
fhir:name [ fhir:v "example" ] ;
fhir:endpoint [ fhir:v "https://exemple.com/services?wsdl"^^xsd:anyURI ]       ] ) ;
fhir:sender [
fhir:reference [ fhir:v "Organization/breastorganization01" ] ;
fhir:type [ fhir:v "Organization"^^xsd:anyURI ]       ] ;
fhir:source [
fhir:name [ fhir:v "example" ] ;
fhir:contact [
fhir:system [ fhir:v "email" ] ;
fhir:value [ fhir:v "example@example.en" ]         ] ;
fhir:endpoint [ fhir:v "https://example.en/origin"^^xsd:anyURI ]       ] ;
      ( fhir:focus [
fhir:reference [ fhir:v "Patient/breastpatient01" ] ;
fhir:type [ fhir:v "Patient"^^xsd:anyURI ]       ] )     ] ) ;
fhir:request [
fhir:method [ fhir:v "POST" ] ;
fhir:url [ fhir:v "MessageHeader"^^xsd:anyURI ]     ]
  ] [
    ( fhir:resource [
a fhir:Organization ;
fhir:id [ fhir:v "breastorganization01" ] ;
fhir:meta [
        ( fhir:profile [
fhir:v "https://fhir.incisive-project.eu/StructureDefinition/OrganizationINCISIVE"^^xsd:anyURI ;
fhir:link <https://fhir.incisive-project.eu/StructureDefinition/OrganizationINCISIVE>         ] )       ] ;
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_breastorganization01\"> </a><p><b>Generated Narrative: Organization</b><a name=\"breastorganization01\"> </a><a name=\"hcbreastorganization01\"> </a></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 Organization &quot;breastorganization01&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-OrganizationINCISIVE.html\">Organization for Breast, Colorectal, Lung and Prostate cancer</a></p></div><p><b>identifier</b>: AUTH/?ngen-9?</p><p><b>name</b>: Aristotle university of Thessaloniki</p></div>"       ] ;
      ( fhir:identifier [
fhir:type [
          ( fhir:coding [
fhir:system [ fhir:v "https://fhir.incisive-project.eu/CodeSystem/INCISIVEDataProviders"^^xsd:anyURI ] ;
fhir:code [ fhir:v "001" ] ;
fhir:display [ fhir:v "AUTH" ]           ] )         ]       ] ) ;
fhir:name [ fhir:v "Aristotle university of Thessaloniki" ]     ] ) ;
fhir:request [
fhir:method [ fhir:v "POST" ] ;
fhir:url [ fhir:v "Organization"^^xsd:anyURI ]     ]
  ] [
    ( fhir:resource [
a fhir:Medication ;
fhir:id [ fhir:v "breastmedication01" ] ;
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Medication_breastmedication01\"> </a><p><b>Generated Narrative: Medication</b><a name=\"breastmedication01\"> </a><a name=\"hcbreastmedication01\"> </a></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 Medication &quot;breastmedication01&quot; </p></div><p><b>code</b>: Medication therapy <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#373873005 &quot;Pharmaceutical / biologic product (product)&quot;)</span></p><p><b>status</b>: active</p></div>"       ] ;
fhir:code [
        ( fhir:coding [
fhir:system [ fhir:v "http://snomed.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "373873005" ] ;
fhir:display [ fhir:v "Pharmaceutical / biologic product (product)" ]         ] ) ;
fhir:text [ fhir:v "Medication therapy" ]       ] ;
fhir:status [ fhir:v "active" ]     ] ) ;
fhir:request [
fhir:method [ fhir:v "POST" ] ;
fhir:url [ fhir:v "Medication"^^xsd:anyURI ]     ]
  ] [
    ( fhir:resource [
a fhir:Patient ;
fhir:id [ fhir:v "breastpatient01" ] ;
fhir:meta [
        ( fhir:profile [
fhir:v "https://fhir.incisive-project.eu/StructureDefinition/PatientINCISIVE"^^xsd:anyURI ;
fhir:link <https://fhir.incisive-project.eu/StructureDefinition/PatientINCISIVE>         ] )       ] ;
fhir:text [
fhir:status [ fhir:v "extensions" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_breastpatient01\"> </a><p><b>Generated Narrative: Patient</b><a name=\"breastpatient01\"> </a><a name=\"hcbreastpatient01\"> </a></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 Patient &quot;breastpatient01&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-PatientINCISIVE.html\">Patient for Breast, Colorectal, Lung and Prostate cancer</a></p></div><p><b>CurrentState</b>: 0</p><p><b>Ethnicity</b>: White <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-EthnicityOfPatient.html\">Ethnicity_of_patient</a>#1)</span></p><p><b>identifier</b>: Pseudo-anonimized Identifier/004-000001</p><p><b>gender</b>: female</p><p><b>managingOrganization</b>: <a href=\"#Organization_breastorganization01\">See above (Organization/breastorganization01)</a></p></div>"       ] ;
      ( fhir:extension [
fhir:url [ fhir:v "https://fhir.incisive-project.eu/StructureDefinition/CurrentState"^^xsd:anyURI ] ;
fhir:value [ fhir:v "0" ]       ] [
fhir:url [ fhir:v "https://fhir.incisive-project.eu/StructureDefinition/Ethnicity"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
          ( fhir:coding [
fhir:system [ fhir:v "https://fhir.incisive-project.eu/CodeSystem/EthnicityOfPatient"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1" ] ;
fhir:display [ fhir:v "White" ]           ] )         ]       ] ) ;
      ( fhir:identifier [
fhir:type [
fhir:text [ fhir:v "Pseudo-anonimized Identifier" ]         ] ;
fhir:value [ fhir:v "004-000001" ]       ] ) ;
fhir:gender [ fhir:v "female" ] ;
fhir:managingOrganization [
fhir:reference [ fhir:v "Organization/breastorganization01" ]       ]     ] ) ;
fhir:request [
fhir:method [ fhir:v "POST" ] ;
fhir:url [ fhir:v "Patient"^^xsd:anyURI ]     ]
  ] [
    ( fhir:resource [
a fhir:Condition ;
fhir:id [ fhir:v "breastcondition01" ] ;
fhir:meta [
        ( fhir:profile [
fhir:v "https://fhir.incisive-project.eu/StructureDefinition/ConditionForBreastColorectalProstate"^^xsd:anyURI ;
fhir:link <https://fhir.incisive-project.eu/StructureDefinition/ConditionForBreastColorectalProstate>         ] )       ] ;
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_breastcondition01\"> </a><p><b>Generated Narrative: Condition</b><a name=\"breastcondition01\"> </a><a name=\"hcbreastcondition01\"> </a></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 Condition &quot;breastcondition01&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ConditionINCISIVE.html\">Condition for Breast, Colorectal, Lung and Prostate cancer</a></p></div><p><b>code</b>: N39.8 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#417662000 &quot;History of clinical finding in subject (situation)&quot;)</span></p><p><b>subject</b>: <a href=\"#Patient_breastpatient01\">See above (Patient/breastpatient01)</a></p></div>"       ] ;
fhir:code [
        ( fhir:coding [
a sct:417662000 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "417662000" ] ;
fhir:display [ fhir:v "History of clinical finding in subject (situation)" ]         ] ) ;
fhir:text [ fhir:v "N39.8" ]       ] ;
fhir:subject [
fhir:reference [ fhir:v "Patient/breastpatient01" ]       ]     ] ) ;
fhir:request [
fhir:method [ fhir:v "POST" ] ;
fhir:url [ fhir:v "Condition"^^xsd:anyURI ]     ]
  ] [
    ( fhir:resource [
a fhir:Condition ;
fhir:id [ fhir:v "breastcondition02" ] ;
fhir:meta [
        ( fhir:profile [
fhir:v "https://fhir.incisive-project.eu/StructureDefinition/ConditionForBreastColorectalProstate"^^xsd:anyURI ;
fhir:link <https://fhir.incisive-project.eu/StructureDefinition/ConditionForBreastColorectalProstate>         ] )       ] ;
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_breastcondition02\"> </a><p><b>Generated Narrative: Condition</b><a name=\"breastcondition02\"> </a><a name=\"hcbreastcondition02\"> </a></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 Condition &quot;breastcondition02&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ConditionINCISIVE.html\">Condition for Breast, Colorectal, Lung and Prostate cancer</a></p></div><p><b>code</b>: Symptoms and signs observed (record artifact) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#63671000122101)</span></p><p><b>subject</b>: <a href=\"#Patient_breastpatient01\">See above (Patient/breastpatient01)</a></p><h3>Evidences</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td></tr><tr><td style=\"display: none\">*</td><td>Nothing <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-BreastSymptomsGeneralInfo.html\">Symptoms_General_Info_Breast</a>#1)</span></td></tr></table></div>"       ] ;
fhir:code [
        ( fhir:coding [
fhir:system [ fhir:v "http://snomed.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "63671000122101" ] ;
fhir:display [ fhir:v "Symptoms and signs observed (record artifact)" ]         ] )       ] ;
fhir:subject [
fhir:reference [ fhir:v "Patient/breastpatient01" ]       ] ;
      ( fhir:evidence [
        ( fhir:code [
          ( fhir:coding [
fhir:system [ fhir:v "https://fhir.incisive-project.eu/CodeSystem/BreastSymptomsGeneralInfo"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1" ] ;
fhir:display [ fhir:v "Nothing" ]           ] )         ] )       ] )     ] ) ;
fhir:request [
fhir:method [ fhir:v "POST" ] ;
fhir:url [ fhir:v "Condition"^^xsd:anyURI ]     ]
  ] [
    ( fhir:resource [
a fhir:Condition ;
fhir:id [ fhir:v "breastcondition03" ] ;
fhir:meta [
        ( fhir:profile [
fhir:v "https://fhir.incisive-project.eu/StructureDefinition/ConditionForBreastColorectalProstate"^^xsd:anyURI ;
fhir:link <https://fhir.incisive-project.eu/StructureDefinition/ConditionForBreastColorectalProstate>         ] )       ] ;
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_breastcondition03\"> </a><p><b>Generated Narrative: Condition</b><a name=\"breastcondition03\"> </a><a name=\"hcbreastcondition03\"> </a></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 Condition &quot;breastcondition03&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ConditionINCISIVE.html\">Condition for Breast, Colorectal, Lung and Prostate cancer</a></p></div><p><b>code</b>: Clinical finding (finding) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#404684003)</span></p><p><b>subject</b>: <a href=\"#Patient_breastpatient01\">See above (Patient/breastpatient01)</a></p><p><b>note</b>: Dysuria</p></div>"       ] ;
fhir:code [
        ( fhir:coding [
a sct:404684003 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "404684003" ] ;
fhir:display [ fhir:v "Clinical finding (finding)" ]         ] )       ] ;
fhir:subject [
fhir:reference [ fhir:v "Patient/breastpatient01" ]       ] ;
      ( fhir:note [
fhir:text [ fhir:v "Dysuria" ]       ] )     ] ) ;
fhir:request [
fhir:method [ fhir:v "POST" ] ;
fhir:url [ fhir:v "Condition"^^xsd:anyURI ]     ]
  ] [
    ( fhir:resource [
a fhir:Observation ;
fhir:id [ fhir:v "breastobservation01" ] ;
fhir:meta [
        ( fhir:profile [
fhir:v "https://fhir.incisive-project.eu/StructureDefinition/ObservationForBreast"^^xsd:anyURI ;
fhir:link <https://fhir.incisive-project.eu/StructureDefinition/ObservationForBreast>         ] )       ] ;
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_breastobservation01\"> </a><p><b>Generated Narrative: Observation</b><a name=\"breastobservation01\"> </a><a name=\"hcbreastobservation01\"> </a></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 Observation &quot;breastobservation01&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ObservationForBreast.html\">Observation for Breast cancer</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Malignant neoplasm of breast (disorder) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#254837009)</span></p><p><b>subject</b>: <a href=\"#Patient_breastpatient01\">See above (Patient/breastpatient01)</a></p><p><b>note</b>: Observation note</p><blockquote><p><b>component</b></p><p><b>code</b>: Number of births at term (observable entity) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#440425000)</span></p><p><b>value</b>: 2</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Menopause, function (observable entity) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#161712005)</span></p><p><b>value</b>: Pre <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-BreastPrePostMenopause.html\">Pre_post_menopause_Breast</a>#0)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: |Family history of cancer (situation)|:|Subject relationship context (attribute)|=|Father (person)| <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#275937001:408732007=66839005)</span></p><p><b>value</b>: true</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: |Family history of cancer (situation)|:|Subject relationship context (attribute)|=|Mother (person)| <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#275937001:408732007=72705000)</span></p><p><b>value</b>: true</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Carcinoembryonic Ag [Mass/volume] in Serum or Plasma <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#2039-6)</span></p><p><b>value</b>: 11.9 nanogram per milliliter<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code ng/mL = 'ng/mL')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Cancer Ag 15-3 [Units/volume] in Serum or Plasma <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#6875-9)</span></p><p><b>value</b>: 37 enzyme unit per millilitre<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code U/mL = 'U/mL')</span></p></blockquote></div>"       ] ;
fhir:status [ fhir:v "final" ] ;
fhir:code [
        ( fhir:coding [
fhir:system [ fhir:v "http://snomed.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "254837009" ] ;
fhir:display [ fhir:v "Malignant neoplasm of breast (disorder)" ]         ] )       ] ;
fhir:subject [
fhir:reference [ fhir:v "Patient/breastpatient01" ] ;
fhir:type [ fhir:v "Patient"^^xsd:anyURI ]       ] ;
      ( fhir:note [
fhir:text [ fhir:v "Observation note" ]       ] ) ;
      ( fhir:component [
fhir:code [
          ( fhir:coding [
fhir:system [ fhir:v "http://snomed.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "440425000" ] ;
fhir:display [ fhir:v "Number of births at term (observable entity)" ]           ] )         ] ;
fhir:value [ fhir:v "2"^^xsd:integer ]       ] [
fhir:code [
          ( fhir:coding [
fhir:system [ fhir:v "http://snomed.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "161712005" ] ;
fhir:display [ fhir:v "Menopause, function (observable entity)" ]           ] )         ] ;
fhir:value [
a fhir:CodeableConcept ;
          ( fhir:coding [
fhir:system [ fhir:v "https://fhir.incisive-project.eu/CodeSystem/BreastPrePostMenopause"^^xsd:anyURI ] ;
fhir:code [ fhir:v "0" ] ;
fhir:display [ fhir:v "Pre" ]           ] )         ]       ] [
fhir:code [
          ( fhir:coding [
fhir:system [ fhir:v "http://snomed.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "275937001:408732007=66839005" ] ;
fhir:display [ fhir:v "|Family history of cancer (situation)|:|Subject relationship context (attribute)|=|Father (person)|" ]           ] )         ] ;
fhir:value [ fhir:v "true"^^xsd:boolean ]       ] [
fhir:code [
          ( fhir:coding [
fhir:system [ fhir:v "http://snomed.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "275937001:408732007=72705000" ] ;
fhir:display [ fhir:v "|Family history of cancer (situation)|:|Subject relationship context (attribute)|=|Mother (person)|" ]           ] )         ] ;
fhir:value [ fhir:v "true"^^xsd:boolean ]       ] [
fhir:code [
          ( fhir:coding [
a loinc:2039-6 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "2039-6" ] ;
fhir:display [ fhir:v "Carcinoembryonic Ag [Mass/volume] in Serum or Plasma" ]           ] )         ] ;
fhir:value [
a fhir:Quantity ;
fhir:value [ fhir:v "11.9"^^xsd:decimal ] ;
fhir:unit [ fhir:v "nanogram per milliliter" ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "ng/mL" ]         ]       ] [
fhir:code [
          ( fhir:coding [
fhir:system [ fhir:v "http://snomed.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "6875-9" ] ;
fhir:display [ fhir:v "Cancer Ag 15-3 [Units/volume] in Serum or Plasma" ]           ] )         ] ;
fhir:value [
a fhir:Quantity ;
fhir:value [ fhir:v "37"^^xsd:decimal ] ;
fhir:unit [ fhir:v "enzyme unit per millilitre" ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "U/mL" ]         ]       ] )     ] ) ;
fhir:request [
fhir:method [ fhir:v "POST" ] ;
fhir:url [ fhir:v "Observation"^^xsd:anyURI ]     ]
  ] [
    ( fhir:resource [
a fhir:DiagnosticReport ;
fhir:id [ fhir:v "breastdiagnosticReport01" ] ;
fhir:meta [
        ( fhir:profile [
fhir:v "https://fhir.incisive-project.eu/StructureDefinition/DiagnosticReportINCISIVE"^^xsd:anyURI ;
fhir:link <https://fhir.incisive-project.eu/StructureDefinition/DiagnosticReportINCISIVE>         ] )       ] ;
fhir:text [
fhir:status [ fhir:v "extensions" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"DiagnosticReport_breastdiagnosticReport01\"> </a><p><b>Generated Narrative: DiagnosticReport</b><a name=\"breastdiagnosticReport01\"> </a><a name=\"hcbreastdiagnosticReport01\"> </a></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 DiagnosticReport &quot;breastdiagnosticReport01&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-DiagnosticReportINCISIVE.html\">DiagnosticReport for Breast, Colorectal, Lung and Prostate cancer</a></p></div><p><b>AgeAtDiagnosis</b>: 56</p><p><b>status</b>: final</p><p><b>code</b>: Malignant neoplasm of breast (disorder) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#254837009)</span></p><p><b>subject</b>: <a href=\"#Patient_breastpatient01\">See above (Patient/breastpatient01)</a></p><p><b>result</b>: <a href=\"#Observation_breastobservation01\">See above (Observation/breastobservation01)</a></p></div>"       ] ;
      ( fhir:extension [
fhir:url [ fhir:v "https://fhir.incisive-project.eu/StructureDefinition/AgeAtDiagnosis"^^xsd:anyURI ] ;
fhir:value [
a fhir:Age ;
fhir:value [ fhir:v "56"^^xsd:decimal ]         ]       ] ) ;
fhir:status [ fhir:v "final" ] ;
fhir:code [
        ( fhir:coding [
fhir:system [ fhir:v "http://snomed.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "254837009" ] ;
fhir:display [ fhir:v "Malignant neoplasm of breast (disorder)" ]         ] )       ] ;
fhir:subject [
fhir:reference [ fhir:v "Patient/breastpatient01" ]       ] ;
      ( fhir:result [
fhir:reference [ fhir:v "Observation/breastobservation01" ]       ] )     ] ) ;
fhir:request [
fhir:method [ fhir:v "POST" ] ;
fhir:url [ fhir:v "DiagnosticReport"^^xsd:anyURI ]     ]
  ] [
    ( fhir:resource [
a fhir:Observation ;
fhir:id [ fhir:v "breastobservation02" ] ;
fhir:meta [
        ( fhir:profile [
fhir:v "https://fhir.incisive-project.eu/StructureDefinition/ObservationForBreast"^^xsd:anyURI ;
fhir:link <https://fhir.incisive-project.eu/StructureDefinition/ObservationForBreast>         ] )       ] ;
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_breastobservation02\"> </a><p><b>Generated Narrative: Observation</b><a name=\"breastobservation02\"> </a><a name=\"hcbreastobservation02\"> </a></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 Observation &quot;breastobservation02&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ObservationForBreast.html\">Observation for Breast cancer</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Malignant neoplasm of breast (disorder) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#254837009)</span></p><p><b>subject</b>: <a href=\"#Patient_breastpatient01\">See above (Patient/breastpatient01)</a></p><p><b>bodySite</b>: Bone <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-BreastDistantMetastasisLocation.html\">Distant_metastasis_location_Breast</a>#1)</span></p><blockquote><p><b>component</b></p><p><b>code</b>: Laboratory procedure performed (situation) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#165331007)</span></p><p><b>value</b>: true</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Mammography.dcm-path <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#71651007 &quot;Mammography (procedure)&quot;)</span></p><p><b>value</b>: true</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Annotated Mammography.dcm-path <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#397137005 &quot;Mammography assessment finding (finding)&quot;)</span></p><p><b>value</b>: Positive annotation <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-BreastAnnotatedDicomFiles.html\">Annotated_Dicom_files_Breast</a>#1)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Ultrasound.dcm-path <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#16310003 &quot;Diagnostic ultrasonography (procedure)&quot;)</span></p><p><b>value</b>: true</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Annotated Ultrasound.dcm-path <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#370380004 &quot;Ultrasound scan finding (finding)&quot;)</span></p><p><b>value</b>: Positive annotation <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-BreastAnnotatedDicomFiles.html\">Annotated_Dicom_files_Breast</a>#1)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Primary tumor size (observable entity) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#399734001)</span></p><p><b>value</b>: 4.8 centimetre<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code cm = 'cm')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Laterality (attribute) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#272741003)</span></p><p><b>value</b>: Right breast <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-BreastLaterality.html\">Breast_laterality</a>#0)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Radiographic lesion shape finding (finding) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#129732008)</span></p><p><b>value</b>: Oval <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-BreastMassShape.html\">Mass_Shape_Breast</a>#1)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Radiographic lesion margin characteristics (finding) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#129737002)</span></p><p><b>value</b>: Angular <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-BreastMassMargin.html\">Mass_Margin_Breast</a>#2)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Mammography reference location (finding) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#129771006)</span></p><p><b>value</b>: Parallel <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-BreastMassOrientation.html\">Mass_orientation_Breast</a>#1)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Acoustic feature of mass (observable entity) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#420415002)</span></p><p><b>value</b>: Anechoic <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-BreastMassEchoPattern.html\">Mass_echo_pattern_Breast</a>#1)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Finding of change compared to previous radiologic examination (finding) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#442301001)</span></p><p><b>value</b>: Shadowing <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-BreastPosteriorFeatures.html\">Posterior_features_Breast</a>#3)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Tumor calcification (finding) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#409769002)</span></p><p><b>value</b>: In mass <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-BreastCalcificationsBaseline.html\">Calcifications_baseline_Breast</a>#1)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Associated finding (attribute) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#246090004)</span></p><p><b>value</b>: Skin thickness <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-BreastAssociatedFeatures.html\">Associated_Features_Breast</a>#1)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Mammographic breast composition finding (finding) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#129715009)</span></p><p><b>value</b>: Fatty <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-BreastComposition.html\">Breast_composition</a>#1)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Mammographic architectural distortion of breast (finding) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#129792006)</span></p><p><b>value</b>: Minimal <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-BreastParenchymalEnhancementLevel.html\">Parenchymal_enhancement_level_Breast</a>#1)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Tumor configuration (observable entity) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#371500007)</span></p><p><b>value</b>: Symmetric <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-BreastParenchymalEnhancementSymmetry.html\">Parenchymal_enhancement_symmetry_Breast</a>#1)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Qualitative distribution of primary malignant neoplasm (observable entity) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#1163261007)</span></p><p><b>value</b>: Unifocal <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-BreastPresenceOfFoci.html\">Presence_of_foci_Breast</a>#1)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Tumor staging (tumor staging) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#254292007)</span></p><p><b>value</b>: Incomplete need additional imaging evaluation <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-BreastBIRADSClassification.html\">Breast_BIRADS_classification</a>#BI-RADS 0)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Tumor staging (tumor staging) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#254292007)</span></p><p><b>value</b>: Negative symmetrical and no masses, architectural distortion, or suspicious calcifications <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-BreastBIRADSClassification.html\">Breast_BIRADS_classification</a>#BI-RADS 1)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Primary malignant neoplasm of breast with axillary lymph node invasion (disorder) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#1082901000112100)</span></p><p><b>value</b>: true</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Injury of breast (disorder) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#62112002)</span></p><p><b>value</b>: true</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: pM category (observable entity) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#371497001)</span></p><p><b>value</b>: true</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: T category (observable entity) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#78873005)</span></p><p><b>value</b>: T0</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: N category (observable entity) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#277206009)</span></p><p><b>value</b>: N0</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: M category (observable entity) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#277208005)</span></p><p><b>value</b>: M0</p></blockquote></div>"       ] ;
fhir:status [ fhir:v "final" ] ;
fhir:code [
        ( fhir:coding [
fhir:system [ fhir:v "http://snomed.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "254837009" ] ;
fhir:display [ fhir:v "Malignant neoplasm of breast (disorder)" ]         ] )       ] ;
fhir:subject [
fhir:reference [ fhir:v "Patient/breastpatient01" ] ;
fhir:type [ fhir:v "Patient"^^xsd:anyURI ]       ] ;
fhir:bodySite [
        ( fhir:coding [
fhir:system [ fhir:v "https://fhir.incisive-project.eu/CodeSystem/BreastDistantMetastasisLocation"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1" ] ;
fhir:display [ fhir:v "Bone" ]         ] )       ] ;
      ( fhir:component [
fhir:code [
          ( fhir:coding [
fhir:system [ fhir:v "http://snomed.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "165331007" ] ;
fhir:display [ fhir:v "Laboratory procedure performed (situation)" ]           ] )         ] ;
fhir:value [ fhir:v "true"^^xsd:boolean ]       ] [
fhir:code [
          ( fhir:coding [
fhir:system [ fhir:v "http://snomed.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "71651007" ] ;
fhir:display [ fhir:v "Mammography (procedure)" ]           ] ) ;
fhir:text [ fhir:v "Mammography.dcm-path" ]         ] ;
fhir:value [ fhir:v "true"^^xsd:boolean ]       ] [
fhir:code [
          ( fhir:coding [
fhir:system [ fhir:v "http://snomed.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "397137005" ] ;
fhir:display [ fhir:v "Mammography assessment finding (finding)" ]           ] ) ;
fhir:text [ fhir:v "Annotated Mammography.dcm-path" ]         ] ;
fhir:value [
a fhir:CodeableConcept ;
          ( fhir:coding [
fhir:system [ fhir:v "https://fhir.incisive-project.eu/CodeSystem/BreastAnnotatedDicomFiles"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1" ] ;
fhir:display [ fhir:v "Positive annotation" ]           ] )         ]       ] [
fhir:code [
          ( fhir:coding [
fhir:system [ fhir:v "http://snomed.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "16310003" ] ;
fhir:display [ fhir:v "Diagnostic ultrasonography (procedure)" ]           ] ) ;
fhir:text [ fhir:v "Ultrasound.dcm-path" ]         ] ;
fhir:value [ fhir:v "true"^^xsd:boolean ]       ] [
fhir:code [
          ( fhir:coding [
fhir:system [ fhir:v "http://snomed.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "370380004" ] ;
fhir:display [ fhir:v "Ultrasound scan finding (finding)" ]           ] ) ;
fhir:text [ fhir:v "Annotated Ultrasound.dcm-path" ]         ] ;
fhir:value [
a fhir:CodeableConcept ;
          ( fhir:coding [
fhir:system [ fhir:v "https://fhir.incisive-project.eu/CodeSystem/BreastAnnotatedDicomFiles"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1" ] ;
fhir:display [ fhir:v "Positive annotation" ]           ] )         ]       ] [
fhir:code [
          ( fhir:coding [
fhir:system [ fhir:v "http://snomed.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "399734001" ] ;
fhir:display [ fhir:v "Primary tumor size (observable entity)" ]           ] )         ] ;
fhir:value [
a fhir:Quantity ;
fhir:value [ fhir:v "4.8"^^xsd:decimal ] ;
fhir:unit [ fhir:v "centimetre" ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "cm" ]         ]       ] [
fhir:code [
          ( fhir:coding [
fhir:system [ fhir:v "http://snomed.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "272741003" ] ;
fhir:display [ fhir:v "Laterality (attribute)" ]           ] )         ] ;
fhir:value [
a fhir:CodeableConcept ;
          ( fhir:coding [
fhir:system [ fhir:v "https://fhir.incisive-project.eu/CodeSystem/BreastLaterality"^^xsd:anyURI ] ;
fhir:code [ fhir:v "0" ] ;
fhir:display [ fhir:v "Right breast" ]           ] )         ]       ] [
fhir:code [
          ( fhir:coding [
fhir:system [ fhir:v "http://snomed.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "129732008" ] ;
fhir:display [ fhir:v "Radiographic lesion shape finding (finding)" ]           ] )         ] ;
fhir:value [
a fhir:CodeableConcept ;
          ( fhir:coding [
fhir:system [ fhir:v "https://fhir.incisive-project.eu/CodeSystem/BreastMassShape"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1" ] ;
fhir:display [ fhir:v "Oval" ]           ] )         ]       ] [
fhir:code [
          ( fhir:coding [
fhir:system [ fhir:v "http://snomed.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "129737002" ] ;
fhir:display [ fhir:v "Radiographic lesion margin characteristics (finding)" ]           ] )         ] ;
fhir:value [
a fhir:CodeableConcept ;
          ( fhir:coding [
fhir:system [ fhir:v "https://fhir.incisive-project.eu/CodeSystem/BreastMassMargin"^^xsd:anyURI ] ;
fhir:code [ fhir:v "2" ] ;
fhir:display [ fhir:v "Angular" ]           ] )         ]       ] [
fhir:code [
          ( fhir:coding [
fhir:system [ fhir:v "http://snomed.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "129771006" ] ;
fhir:display [ fhir:v "Mammography reference location (finding)" ]           ] )         ] ;
fhir:value [
a fhir:CodeableConcept ;
          ( fhir:coding [
fhir:system [ fhir:v "https://fhir.incisive-project.eu/CodeSystem/BreastMassOrientation"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1" ] ;
fhir:display [ fhir:v "Parallel" ]           ] )         ]       ] [
fhir:code [
          ( fhir:coding [
fhir:system [ fhir:v "http://snomed.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "420415002" ] ;
fhir:display [ fhir:v "Acoustic feature of mass (observable entity)" ]           ] )         ] ;
fhir:value [
a fhir:CodeableConcept ;
          ( fhir:coding [
fhir:system [ fhir:v "https://fhir.incisive-project.eu/CodeSystem/BreastMassEchoPattern"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1" ] ;
fhir:display [ fhir:v "Anechoic" ]           ] )         ]       ] [
fhir:code [
          ( fhir:coding [
fhir:system [ fhir:v "http://snomed.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "442301001" ] ;
fhir:display [ fhir:v "Finding of change compared to previous radiologic examination (finding)" ]           ] )         ] ;
fhir:value [
a fhir:CodeableConcept ;
          ( fhir:coding [
fhir:system [ fhir:v "https://fhir.incisive-project.eu/CodeSystem/BreastPosteriorFeatures"^^xsd:anyURI ] ;
fhir:code [ fhir:v "3" ] ;
fhir:display [ fhir:v "Shadowing" ]           ] )         ]       ] [
fhir:code [
          ( fhir:coding [
fhir:system [ fhir:v "http://snomed.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "409769002" ] ;
fhir:display [ fhir:v "Tumor calcification (finding)" ]           ] )         ] ;
fhir:value [
a fhir:CodeableConcept ;
          ( fhir:coding [
fhir:system [ fhir:v "https://fhir.incisive-project.eu/CodeSystem/BreastCalcificationsBaseline"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1" ] ;
fhir:display [ fhir:v "In mass" ]           ] )         ]       ] [
fhir:code [
          ( fhir:coding [
fhir:system [ fhir:v "http://snomed.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "246090004" ] ;
fhir:display [ fhir:v "Associated finding (attribute)" ]           ] )         ] ;
fhir:value [
a fhir:CodeableConcept ;
          ( fhir:coding [
fhir:system [ fhir:v "https://fhir.incisive-project.eu/CodeSystem/BreastAssociatedFeatures"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1" ] ;
fhir:display [ fhir:v "Skin thickness" ]           ] )         ]       ] [
fhir:code [
          ( fhir:coding [
fhir:system [ fhir:v "http://snomed.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "129715009" ] ;
fhir:display [ fhir:v "Mammographic breast composition finding (finding)" ]           ] )         ] ;
fhir:value [
a fhir:CodeableConcept ;
          ( fhir:coding [
fhir:system [ fhir:v "https://fhir.incisive-project.eu/CodeSystem/BreastComposition"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1" ] ;
fhir:display [ fhir:v "Fatty" ]           ] )         ]       ] [
fhir:code [
          ( fhir:coding [
fhir:system [ fhir:v "http://snomed.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "129792006" ] ;
fhir:display [ fhir:v "Mammographic architectural distortion of breast (finding)" ]           ] )         ] ;
fhir:value [
a fhir:CodeableConcept ;
          ( fhir:coding [
fhir:system [ fhir:v "https://fhir.incisive-project.eu/CodeSystem/BreastParenchymalEnhancementLevel"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1" ] ;
fhir:display [ fhir:v "Minimal" ]           ] )         ]       ] [
fhir:code [
          ( fhir:coding [
fhir:system [ fhir:v "http://snomed.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "371500007" ] ;
fhir:display [ fhir:v "Tumor configuration (observable entity)" ]           ] )         ] ;
fhir:value [
a fhir:CodeableConcept ;
          ( fhir:coding [
fhir:system [ fhir:v "https://fhir.incisive-project.eu/CodeSystem/BreastParenchymalEnhancementSymmetry"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1" ] ;
fhir:display [ fhir:v "Symmetric" ]           ] )         ]       ] [
fhir:code [
          ( fhir:coding [
fhir:system [ fhir:v "http://snomed.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1163261007" ] ;
fhir:display [ fhir:v "Qualitative distribution of primary malignant neoplasm (observable entity)" ]           ] )         ] ;
fhir:value [
a fhir:CodeableConcept ;
          ( fhir:coding [
fhir:system [ fhir:v "https://fhir.incisive-project.eu/CodeSystem/BreastPresenceOfFoci"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1" ] ;
fhir:display [ fhir:v "Unifocal" ]           ] )         ]       ] [
fhir:code [
          ( fhir:coding [
fhir:system [ fhir:v "http://snomed.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "254292007" ] ;
fhir:display [ fhir:v "Tumor staging (tumor staging)" ]           ] )         ] ;
fhir:value [
a fhir:CodeableConcept ;
          ( fhir:coding [
fhir:system [ fhir:v "https://fhir.incisive-project.eu/CodeSystem/BreastBIRADSClassification"^^xsd:anyURI ] ;
fhir:code [ fhir:v "BI-RADS 0" ] ;
fhir:display [ fhir:v "Incomplete need additional imaging evaluation" ]           ] )         ]       ] [
fhir:code [
          ( fhir:coding [
fhir:system [ fhir:v "http://snomed.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "254292007" ] ;
fhir:display [ fhir:v "Tumor staging (tumor staging)" ]           ] )         ] ;
fhir:value [
a fhir:CodeableConcept ;
          ( fhir:coding [
fhir:system [ fhir:v "https://fhir.incisive-project.eu/CodeSystem/BreastBIRADSClassification"^^xsd:anyURI ] ;
fhir:code [ fhir:v "BI-RADS 1" ] ;
fhir:display [ fhir:v "Negative symmetrical and no masses, architectural distortion, or suspicious calcifications" ]           ] )         ]       ] [
fhir:code [
          ( fhir:coding [
fhir:system [ fhir:v "http://snomed.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1082901000112100" ] ;
fhir:display [ fhir:v "Primary malignant neoplasm of breast with axillary lymph node invasion (disorder)" ]           ] )         ] ;
fhir:value [ fhir:v "true"^^xsd:boolean ]       ] [
fhir:code [
          ( fhir:coding [
fhir:system [ fhir:v "http://snomed.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "62112002" ] ;
fhir:display [ fhir:v "Injury of breast (disorder)" ]           ] )         ] ;
fhir:value [ fhir:v "true"^^xsd:boolean ]       ] [
fhir:code [
          ( fhir:coding [
fhir:system [ fhir:v "http://snomed.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "371497001" ] ;
fhir:display [ fhir:v "pM category (observable entity)" ]           ] )         ] ;
fhir:value [ fhir:v "true"^^xsd:boolean ]       ] [
fhir:code [
          ( fhir:coding [
fhir:system [ fhir:v "http://snomed.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "78873005" ] ;
fhir:display [ fhir:v "T category (observable entity)" ]           ] )         ] ;
fhir:value [ fhir:v "T0" ]       ] [
fhir:code [
          ( fhir:coding [
fhir:system [ fhir:v "http://snomed.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "277206009" ] ;
fhir:display [ fhir:v "N category (observable entity)" ]           ] )         ] ;
fhir:value [ fhir:v "N0" ]       ] [
fhir:code [
          ( fhir:coding [
fhir:system [ fhir:v "http://snomed.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "277208005" ] ;
fhir:display [ fhir:v "M category (observable entity)" ]           ] )         ] ;
fhir:value [ fhir:v "M0" ]       ] )     ] ) ;
fhir:request [
fhir:method [ fhir:v "POST" ] ;
fhir:url [ fhir:v "Observation"^^xsd:anyURI ]     ]
  ] [
    ( fhir:resource [
a fhir:Observation ;
fhir:id [ fhir:v "breastobservation03" ] ;
fhir:meta [
        ( fhir:profile [
fhir:v "https://fhir.incisive-project.eu/StructureDefinition/ObservationForBreast"^^xsd:anyURI ;
fhir:link <https://fhir.incisive-project.eu/StructureDefinition/ObservationForBreast>         ] )       ] ;
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_breastobservation03\"> </a><p><b>Generated Narrative: Observation</b><a name=\"breastobservation03\"> </a><a name=\"hcbreastobservation03\"> </a></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 Observation &quot;breastobservation03&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ObservationForBreast.html\">Observation for Breast cancer</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Malignant neoplasm of breast (disorder) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#254837009)</span></p><p><b>subject</b>: <a href=\"#Patient_breastpatient01\">See above (Patient/breastpatient01)</a></p><p><b>bodySite</b>: Nipple and Areola <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-BreastBaselineLocation.html\">Baseline_location_Breast</a>#AN)</span></p><blockquote><p><b>component</b></p><p><b>code</b>: CT.dcm-path <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#77477000 &quot;Computed tomography (procedure)&quot;)</span></p><p><b>value</b>: true</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Annotated CT.dcm-path <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#118247008:418775008=77477000 &quot;|Radiologic finding (finding)|:|Finding method (attribute)|=|Computed tomography (procedure)|&quot;)</span></p><p><b>value</b>: Positive annotation <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-BreastAnnotatedDicomFiles.html\">Annotated_Dicom_files_Breast</a>#1)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: MRI.dcm-path <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#113091000 &quot;Magnetic resonance imaging (procedure)&quot;)</span></p><p><b>value</b>: true</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Annotated MRI.dcm-path <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#365853002:418775008=113091000 &quot;|Imaging finding (finding)|:|Finding method (attribute)|=|Magnetic resonance imaging (procedure)|&quot;)</span></p><p><b>value</b>: Positive annotation <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-BreastAnnotatedDicomFiles.html\">Annotated_Dicom_files_Breast</a>#1)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: PET/CT.dcm-path <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#82918005 &quot;Positron emission tomography (procedure)&quot;)</span></p><p><b>value</b>: true</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Annotated PET/CT.dcm-path <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#118247008:418775008=450436003 &quot;|Radiologic finding (finding)|:|Finding method (attribute)|=|Positron emission tomography with computed tomography (procedure)|&quot;)</span></p><p><b>value</b>: Positive annotation <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-BreastAnnotatedDicomFiles.html\">Annotated_Dicom_files_Breast</a>#1)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Histopathology Image.dcm-path <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#252416005 &quot;Histopathology test (procedure)&quot;)</span></p><p><b>value</b>: true</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Annotated Histopathology Image.dcm-path <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#250537006 &quot;Histopathology finding (finding)&quot;)</span></p><p><b>value</b>: Positive annotation <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-BreastAnnotatedDicomFiles.html\">Annotated_Dicom_files_Breast</a>#1)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Xray.dcm-path <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#363680008 &quot;Radiographic imaging procedure (procedure)&quot;)</span></p><p><b>value</b>: true</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Annotated Xray.dcm-path <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#118247008:418775008=168537006 &quot;|Radiologic finding (finding)|:|Finding method (attribute)|=|Plain radiography (procedure)|&quot;)</span></p><p><b>value</b>: Positive annotation <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-BreastAnnotatedDicomFiles.html\">Annotated_Dicom_files_Breast</a>#1)</span></p></blockquote></div>"       ] ;
fhir:status [ fhir:v "final" ] ;
fhir:code [
        ( fhir:coding [
fhir:system [ fhir:v "http://snomed.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "254837009" ] ;
fhir:display [ fhir:v "Malignant neoplasm of breast (disorder)" ]         ] )       ] ;
fhir:subject [
fhir:reference [ fhir:v "Patient/breastpatient01" ] ;
fhir:type [ fhir:v "Patient"^^xsd:anyURI ]       ] ;
fhir:bodySite [
        ( fhir:coding [
fhir:system [ fhir:v "https://fhir.incisive-project.eu/CodeSystem/BreastBaselineLocation"^^xsd:anyURI ] ;
fhir:code [ fhir:v "AN" ] ;
fhir:display [ fhir:v "Nipple and Areola" ]         ] )       ] ;
      ( fhir:component [
fhir:code [
          ( fhir:coding [
fhir:system [ fhir:v "http://snomed.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "77477000" ] ;
fhir:display [ fhir:v "Computed tomography (procedure)" ]           ] ) ;
fhir:text [ fhir:v "CT.dcm-path" ]         ] ;
fhir:value [ fhir:v "true"^^xsd:boolean ]       ] [
fhir:code [
          ( fhir:coding [
fhir:system [ fhir:v "http://snomed.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "118247008:418775008=77477000" ] ;
fhir:display [ fhir:v "|Radiologic finding (finding)|:|Finding method (attribute)|=|Computed tomography (procedure)|" ]           ] ) ;
fhir:text [ fhir:v "Annotated CT.dcm-path" ]         ] ;
fhir:value [
a fhir:CodeableConcept ;
          ( fhir:coding [
fhir:system [ fhir:v "https://fhir.incisive-project.eu/CodeSystem/BreastAnnotatedDicomFiles"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1" ] ;
fhir:display [ fhir:v "Positive annotation" ]           ] )         ]       ] [
fhir:code [
          ( fhir:coding [
fhir:system [ fhir:v "http://snomed.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "113091000" ] ;
fhir:display [ fhir:v "Magnetic resonance imaging (procedure)" ]           ] ) ;
fhir:text [ fhir:v "MRI.dcm-path" ]         ] ;
fhir:value [ fhir:v "true"^^xsd:boolean ]       ] [
fhir:code [
          ( fhir:coding [
fhir:system [ fhir:v "http://snomed.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "365853002:418775008=113091000" ] ;
fhir:display [ fhir:v "|Imaging finding (finding)|:|Finding method (attribute)|=|Magnetic resonance imaging (procedure)|" ]           ] ) ;
fhir:text [ fhir:v "Annotated MRI.dcm-path" ]         ] ;
fhir:value [
a fhir:CodeableConcept ;
          ( fhir:coding [
fhir:system [ fhir:v "https://fhir.incisive-project.eu/CodeSystem/BreastAnnotatedDicomFiles"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1" ] ;
fhir:display [ fhir:v "Positive annotation" ]           ] )         ]       ] [
fhir:code [
          ( fhir:coding [
fhir:system [ fhir:v "http://snomed.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "82918005" ] ;
fhir:display [ fhir:v "Positron emission tomography (procedure)" ]           ] ) ;
fhir:text [ fhir:v "PET/CT.dcm-path" ]         ] ;
fhir:value [ fhir:v "true"^^xsd:boolean ]       ] [
fhir:code [
          ( fhir:coding [
fhir:system [ fhir:v "http://snomed.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "118247008:418775008=450436003" ] ;
fhir:display [ fhir:v "|Radiologic finding (finding)|:|Finding method (attribute)|=|Positron emission tomography with computed tomography (procedure)|" ]           ] ) ;
fhir:text [ fhir:v "Annotated PET/CT.dcm-path" ]         ] ;
fhir:value [
a fhir:CodeableConcept ;
          ( fhir:coding [
fhir:system [ fhir:v "https://fhir.incisive-project.eu/CodeSystem/BreastAnnotatedDicomFiles"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1" ] ;
fhir:display [ fhir:v "Positive annotation" ]           ] )         ]       ] [
fhir:code [
          ( fhir:coding [
fhir:system [ fhir:v "http://snomed.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "252416005" ] ;
fhir:display [ fhir:v "Histopathology test (procedure)" ]           ] ) ;
fhir:text [ fhir:v "Histopathology Image.dcm-path" ]         ] ;
fhir:value [ fhir:v "true"^^xsd:boolean ]       ] [
fhir:code [
          ( fhir:coding [
fhir:system [ fhir:v "http://snomed.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "250537006" ] ;
fhir:display [ fhir:v "Histopathology finding (finding)" ]           ] ) ;
fhir:text [ fhir:v "Annotated Histopathology Image.dcm-path" ]         ] ;
fhir:value [
a fhir:CodeableConcept ;
          ( fhir:coding [
fhir:system [ fhir:v "https://fhir.incisive-project.eu/CodeSystem/BreastAnnotatedDicomFiles"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1" ] ;
fhir:display [ fhir:v "Positive annotation" ]           ] )         ]       ] [
fhir:code [
          ( fhir:coding [
fhir:system [ fhir:v "http://snomed.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "363680008" ] ;
fhir:display [ fhir:v "Radiographic imaging procedure (procedure)" ]           ] ) ;
fhir:text [ fhir:v "Xray.dcm-path" ]         ] ;
fhir:value [ fhir:v "true"^^xsd:boolean ]       ] [
fhir:code [
          ( fhir:coding [
fhir:system [ fhir:v "http://snomed.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "118247008:418775008=168537006" ] ;
fhir:display [ fhir:v "|Radiologic finding (finding)|:|Finding method (attribute)|=|Plain radiography (procedure)|" ]           ] ) ;
fhir:text [ fhir:v "Annotated Xray.dcm-path" ]         ] ;
fhir:value [
a fhir:CodeableConcept ;
          ( fhir:coding [
fhir:system [ fhir:v "https://fhir.incisive-project.eu/CodeSystem/BreastAnnotatedDicomFiles"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1" ] ;
fhir:display [ fhir:v "Positive annotation" ]           ] )         ]       ] )     ] ) ;
fhir:request [
fhir:method [ fhir:v "POST" ] ;
fhir:url [ fhir:v "Observation"^^xsd:anyURI ]     ]
  ] [
    ( fhir:resource [
a fhir:Procedure ;
fhir:id [ fhir:v "breastprocedure01" ] ;
fhir:meta [
        ( fhir:profile [
fhir:v "https://fhir.incisive-project.eu/StructureDefinition/ProcedureForBreast"^^xsd:anyURI ;
fhir:link <https://fhir.incisive-project.eu/StructureDefinition/ProcedureForBreast>         ] )       ] ;
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Procedure_breastprocedure01\"> </a><p><b>Generated Narrative: Procedure</b><a name=\"breastprocedure01\"> </a><a name=\"hcbreastprocedure01\"> </a></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 Procedure &quot;breastprocedure01&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ProcedureForBreast.html\">Procedure for Breast cancer</a></p></div><p><b>status</b>: completed</p><p><b>code</b>: Surgery <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#129125009 &quot;Procedure with explicit context (situation)&quot;)</span></p><p><b>subject</b>: <a href=\"#Patient_breastpatient01\">See above (Patient/breastpatient01)</a></p></div>"       ] ;
fhir:status [ fhir:v "completed" ] ;
fhir:code [
        ( fhir:coding [
fhir:system [ fhir:v "http://snomed.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "129125009" ] ;
fhir:display [ fhir:v "Procedure with explicit context (situation)" ]         ] ) ;
fhir:text [ fhir:v "Surgery" ]       ] ;
fhir:subject [
fhir:reference [ fhir:v "Patient/breastpatient01" ] ;
fhir:type [ fhir:v "Patient"^^xsd:anyURI ]       ]     ] ) ;
fhir:request [
fhir:method [ fhir:v "POST" ] ;
fhir:url [ fhir:v "Procedure"^^xsd:anyURI ]     ]
  ] [
    ( fhir:resource [
a fhir:Observation ;
fhir:id [ fhir:v "breastobservation04" ] ;
fhir:meta [
        ( fhir:profile [
fhir:v "https://fhir.incisive-project.eu/StructureDefinition/ObservationForBreast"^^xsd:anyURI ;
fhir:link <https://fhir.incisive-project.eu/StructureDefinition/ObservationForBreast>         ] )       ] ;
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_breastobservation04\"> </a><p><b>Generated Narrative: Observation</b><a name=\"breastobservation04\"> </a><a name=\"hcbreastobservation04\"> </a></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 Observation &quot;breastobservation04&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ObservationForBreast.html\">Observation for Breast cancer</a></p></div><p><b>partOf</b>: <a href=\"#Procedure_breastprocedure01\">See above (Procedure/breastprocedure01)</a></p><p><b>status</b>: final</p><p><b>category</b>: Between 1st and 2nd dose of CT <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span>, Label timepoints <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p><p><b>code</b>: After 1st Treatment <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-LabelTimepoints.html\">Label_Timepoints</a>#1)</span></p><p><b>subject</b>: <a href=\"#Patient_breastpatient01\">See above (Patient/breastpatient01)</a></p><p><b>value</b>: 2</p><p><b>note</b>: Observation note</p><p><b>bodySite</b>: Bone <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-BreastDistantMetastasisLocation.html\">Distant_metastasis_location_Breast</a>#1)</span></p><blockquote><p><b>component</b></p><p><b>code</b>: Mammography.dcm-path <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#71651007 &quot;Mammography (procedure)&quot;)</span></p><p><b>value</b>: true</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Annotated Mammography.dcm-path <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#397137005 &quot;Mammography assessment finding (finding)&quot;)</span></p><p><b>value</b>: Positive annotation <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-BreastAnnotatedDicomFiles.html\">Annotated_Dicom_files_Breast</a>#1)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Ultrasound.dcm-path <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#16310003 &quot;Diagnostic ultrasonography (procedure)&quot;)</span></p><p><b>value</b>: true</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Annotated Ultrasound.dcm-path <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#370380004 &quot;Ultrasound scan finding (finding)&quot;)</span></p><p><b>value</b>: Positive annotation <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-BreastAnnotatedDicomFiles.html\">Annotated_Dicom_files_Breast</a>#1)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: CT.dcm-path <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#77477000 &quot;Computed tomography (procedure)&quot;)</span></p><p><b>value</b>: true</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Annotated CT.dcm-path <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#118247008:418775008=77477000 &quot;|Radiologic finding (finding)|:|Finding method (attribute)|=|Computed tomography (procedure)|&quot;)</span></p><p><b>value</b>: Positive annotation <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-BreastAnnotatedDicomFiles.html\">Annotated_Dicom_files_Breast</a>#1)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: MRI.dcm-path <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#113091000 &quot;Magnetic resonance imaging (procedure)&quot;)</span></p><p><b>value</b>: true</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Annotated MRI.dcm-path <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#365853002:418775008=113091000 &quot;|Imaging finding (finding)|:|Finding method (attribute)|=|Magnetic resonance imaging (procedure)|&quot;)</span></p><p><b>value</b>: Positive annotation <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-BreastAnnotatedDicomFiles.html\">Annotated_Dicom_files_Breast</a>#1)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: PET/CT.dcm-path <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#82918005 &quot;Positron emission tomography (procedure)&quot;)</span></p><p><b>value</b>: true</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Annotated PET/CT.dcm-path <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#118247008:418775008=450436003 &quot;|Radiologic finding (finding)|:|Finding method (attribute)|=|Positron emission tomography with computed tomography (procedure)|&quot;)</span></p><p><b>value</b>: Positive annotation <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-BreastAnnotatedDicomFiles.html\">Annotated_Dicom_files_Breast</a>#1)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Histopathology Image.dcm-path <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#252416005 &quot;Histopathology test (procedure)&quot;)</span></p><p><b>value</b>: true</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Annotated Histopathology Image.dcm-path <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#250537006 &quot;Histopathology finding (finding)&quot;)</span></p><p><b>value</b>: Positive annotation <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-BreastAnnotatedDicomFiles.html\">Annotated_Dicom_files_Breast</a>#1)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Xray.dcm-path <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#363680008 &quot;Radiographic imaging procedure (procedure)&quot;)</span></p><p><b>value</b>: true</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Annotated Xray.dcm-path <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#118247008:418775008=168537006 &quot;|Radiologic finding (finding)|:|Finding method (attribute)|=|Plain radiography (procedure)|&quot;)</span></p><p><b>value</b>: Positive annotation <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-BreastAnnotatedDicomFiles.html\">Annotated_Dicom_files_Breast</a>#1)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Laboratory procedure performed (situation) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#165331007)</span></p><p><b>value</b>: true</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Response to treatment (situation) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#182985004)</span></p><p><b>value</b>: CR <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-BreastResponseToTreatment.html\">Response_to_treatment_Breast</a>#1)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: T category (observable entity) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#78873005)</span></p><p><b>value</b>: T0</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: N category (observable entity) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#277206009)</span></p><p><b>value</b>: N0</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: M category (observable entity) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#277208005)</span></p><p><b>value</b>: M0</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Tumor staging (tumor staging) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#254292007)</span></p><p><b>value</b>: Incomplete need additional imaging evaluation <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-BreastBIRADSClassification.html\">Breast_BIRADS_classification</a>#BI-RADS 0)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Tumor staging (tumor staging) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#254292007)</span></p><p><b>value</b>: Negative symmetrical and no masses, architectural distortion, or suspicious calcifications <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-BreastBIRADSClassification.html\">Breast_BIRADS_classification</a>#BI-RADS 1)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Length dimension of neoplasm (observable entity) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#263605001)</span></p><p><b>value</b>: 4.8 centimetre<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code cm = 'cm')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Primary malignant neoplasm of breast with axillary lymph node invasion (disorder) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#1082901000112100)</span></p><p><b>value</b>: true</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: |Lesion observable (observable entity)|:|Relative to part of (attribute)|=|Breast structure (body structure)| <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#364636000:719715003=76752008)</span></p><p><b>value</b>: true</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: pM category (observable entity) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#371497001)</span></p><p><b>value</b>: true</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: |Follow-up status (finding)|:|After (attribute)=|Biopsy (procedure)| <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#308273005:255234002=86273004)</span></p><p><b>value</b>: true</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: |Follow-up status (finding)|:|After (attribute)|=|Surgical procedure (procedure)| <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#308273005:255234002=387713003)</span></p><p><b>value</b>: true</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Tumor progression (finding) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#419835002)</span></p><p><b>value</b>: true</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Radiographic lesion shape finding (finding) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#129732008)</span></p><p><b>value</b>: Oval <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-BreastMassShape.html\">Mass_Shape_Breast</a>#1)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Radiographic lesion margin characteristics (finding) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#129737002)</span></p><p><b>value</b>: Angular <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-BreastMassMargin.html\">Mass_Margin_Breast</a>#2)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Mammography reference location (finding) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#129771006)</span></p><p><b>value</b>: Parallel <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-BreastMassOrientation.html\">Mass_orientation_Breast</a>#1)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Acoustic feature of mass (observable entity) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#420415002)</span></p><p><b>value</b>: Anechoic <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-BreastMassEchoPattern.html\">Mass_echo_pattern_Breast</a>#1)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Finding of change compared to previous radiologic examination (finding) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#442301001)</span></p><p><b>value</b>: Shadowing <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-BreastPosteriorFeatures.html\">Posterior_features_Breast</a>#3)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Tumor calcification (finding) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#409769002)</span></p><p><b>value</b>: In mass <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-BreastCalcificationsTimepoints.html\">Calcifications_timepoints_Breast</a>#1)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Tumor calcification (finding) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#246090004)</span></p><p><b>value</b>: Skin thickness <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-BreastAssociatedFeatures.html\">Associated_Features_Breast</a>#1)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Mammographic breast composition finding (finding) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#129715009)</span></p><p><b>value</b>: Fatty <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-BreastComposition.html\">Breast_composition</a>#1)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Mammographic architectural distortion of breast (finding) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#129792006)</span></p><p><b>value</b>: Minimal <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-BreastParenchymalEnhancementLevel.html\">Parenchymal_enhancement_level_Breast</a>#1)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Tumor configuration (observable entity) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#371500007)</span></p><p><b>value</b>: Symmetric <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-BreastParenchymalEnhancementSymmetry.html\">Parenchymal_enhancement_symmetry_Breast</a>#1)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Qualitative distribution of primary malignant neoplasm (observable entity) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#1163261007)</span></p><p><b>value</b>: Unifocal <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-BreastPresenceOfFoci.html\">Presence_of_foci_Breast</a>#1)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Treatment changed (situation) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#445528004)</span></p><p><b>value</b>: true</p></blockquote></div>"       ] ;
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fhir:display [ fhir:v "Response to treatment (situation)" ]           ] )         ] ;
fhir:value [
a fhir:CodeableConcept ;
          ( fhir:coding [
fhir:system [ fhir:v "https://fhir.incisive-project.eu/CodeSystem/BreastResponseToTreatment"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1" ] ;
fhir:display [ fhir:v "CR" ]           ] )         ]       ] [
fhir:code [
          ( fhir:coding [
fhir:system [ fhir:v "http://snomed.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "78873005" ] ;
fhir:display [ fhir:v "T category (observable entity)" ]           ] )         ] ;
fhir:value [ fhir:v "T0" ]       ] [
fhir:code [
          ( fhir:coding [
fhir:system [ fhir:v "http://snomed.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "277206009" ] ;
fhir:display [ fhir:v "N category (observable entity)" ]           ] )         ] ;
fhir:value [ fhir:v "N0" ]       ] [
fhir:code [
          ( fhir:coding [
fhir:system [ fhir:v "http://snomed.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "277208005" ] ;
fhir:display [ fhir:v "M category (observable entity)" ]           ] )         ] ;
fhir:value [ fhir:v "M0" ]       ] [
fhir:code [
          ( fhir:coding [
fhir:system [ fhir:v "http://snomed.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "254292007" ] ;
fhir:display [ fhir:v "Tumor staging (tumor staging)" ]           ] )         ] ;
fhir:value [
a fhir:CodeableConcept ;
          ( fhir:coding [
fhir:system [ fhir:v "https://fhir.incisive-project.eu/CodeSystem/BreastBIRADSClassification"^^xsd:anyURI ] ;
fhir:code [ fhir:v "BI-RADS 0" ] ;
fhir:display [ fhir:v "Incomplete need additional imaging evaluation" ]           ] )         ]       ] [
fhir:code [
          ( fhir:coding [
fhir:system [ fhir:v "http://snomed.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "254292007" ] ;
fhir:display [ fhir:v "Tumor staging (tumor staging)" ]           ] )         ] ;
fhir:value [
a fhir:CodeableConcept ;
          ( fhir:coding [
fhir:system [ fhir:v "https://fhir.incisive-project.eu/CodeSystem/BreastBIRADSClassification"^^xsd:anyURI ] ;
fhir:code [ fhir:v "BI-RADS 1" ] ;
fhir:display [ fhir:v "Negative symmetrical and no masses, architectural distortion, or suspicious calcifications" ]           ] )         ]       ] [
fhir:code [
          ( fhir:coding [
fhir:system [ fhir:v "http://snomed.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "263605001" ] ;
fhir:display [ fhir:v "Length dimension of neoplasm (observable entity)" ]           ] )         ] ;
fhir:value [
a fhir:Quantity ;
fhir:value [ fhir:v "4.8"^^xsd:decimal ] ;
fhir:unit [ fhir:v "centimetre" ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "cm" ]         ]       ] [
fhir:code [
          ( fhir:coding [
fhir:system [ fhir:v "http://snomed.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1082901000112100" ] ;
fhir:display [ fhir:v "Primary malignant neoplasm of breast with axillary lymph node invasion (disorder)" ]           ] )         ] ;
fhir:value [ fhir:v "true"^^xsd:boolean ]       ] [
fhir:code [
          ( fhir:coding [
fhir:system [ fhir:v "http://snomed.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "364636000:719715003=76752008" ] ;
fhir:display [ fhir:v "|Lesion observable (observable entity)|:|Relative to part of (attribute)|=|Breast structure (body structure)|" ]           ] )         ] ;
fhir:value [ fhir:v "true"^^xsd:boolean ]       ] [
fhir:code [
          ( fhir:coding [
fhir:system [ fhir:v "http://snomed.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "371497001" ] ;
fhir:display [ fhir:v "pM category (observable entity)" ]           ] )         ] ;
fhir:value [ fhir:v "true"^^xsd:boolean ]       ] [
fhir:code [
          ( fhir:coding [
fhir:system [ fhir:v "http://snomed.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "308273005:255234002=86273004" ] ;
fhir:display [ fhir:v "|Follow-up status (finding)|:|After (attribute)=|Biopsy (procedure)|" ]           ] )         ] ;
fhir:value [ fhir:v "true"^^xsd:boolean ]       ] [
fhir:code [
          ( fhir:coding [
fhir:system [ fhir:v "http://snomed.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "308273005:255234002=387713003" ] ;
fhir:display [ fhir:v "|Follow-up status (finding)|:|After (attribute)|=|Surgical procedure (procedure)|" ]           ] )         ] ;
fhir:value [ fhir:v "true"^^xsd:boolean ]       ] [
fhir:code [
          ( fhir:coding [
fhir:system [ fhir:v "http://snomed.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "419835002" ] ;
fhir:display [ fhir:v "Tumor progression (finding)" ]           ] )         ] ;
fhir:value [ fhir:v "true"^^xsd:boolean ]       ] [
fhir:code [
          ( fhir:coding [
fhir:system [ fhir:v "http://snomed.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "129732008" ] ;
fhir:display [ fhir:v "Radiographic lesion shape finding (finding)" ]           ] )         ] ;
fhir:value [
a fhir:CodeableConcept ;
          ( fhir:coding [
fhir:system [ fhir:v "https://fhir.incisive-project.eu/CodeSystem/BreastMassShape"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1" ] ;
fhir:display [ fhir:v "Oval" ]           ] )         ]       ] [
fhir:code [
          ( fhir:coding [
fhir:system [ fhir:v "http://snomed.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "129737002" ] ;
fhir:display [ fhir:v "Radiographic lesion margin characteristics (finding)" ]           ] )         ] ;
fhir:value [
a fhir:CodeableConcept ;
          ( fhir:coding [
fhir:system [ fhir:v "https://fhir.incisive-project.eu/CodeSystem/BreastMassMargin"^^xsd:anyURI ] ;
fhir:code [ fhir:v "2" ] ;
fhir:display [ fhir:v "Angular" ]           ] )         ]       ] [
fhir:code [
          ( fhir:coding [
fhir:system [ fhir:v "http://snomed.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "129771006" ] ;
fhir:display [ fhir:v "Mammography reference location (finding)" ]           ] )         ] ;
fhir:value [
a fhir:CodeableConcept ;
          ( fhir:coding [
fhir:system [ fhir:v "https://fhir.incisive-project.eu/CodeSystem/BreastMassOrientation"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1" ] ;
fhir:display [ fhir:v "Parallel" ]           ] )         ]       ] [
fhir:code [
          ( fhir:coding [
fhir:system [ fhir:v "http://snomed.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "420415002" ] ;
fhir:display [ fhir:v "Acoustic feature of mass (observable entity)" ]           ] )         ] ;
fhir:value [
a fhir:CodeableConcept ;
          ( fhir:coding [
fhir:system [ fhir:v "https://fhir.incisive-project.eu/CodeSystem/BreastMassEchoPattern"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1" ] ;
fhir:display [ fhir:v "Anechoic" ]           ] )         ]       ] [
fhir:code [
          ( fhir:coding [
fhir:system [ fhir:v "http://snomed.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "442301001" ] ;
fhir:display [ fhir:v "Finding of change compared to previous radiologic examination (finding)" ]           ] )         ] ;
fhir:value [
a fhir:CodeableConcept ;
          ( fhir:coding [
fhir:system [ fhir:v "https://fhir.incisive-project.eu/CodeSystem/BreastPosteriorFeatures"^^xsd:anyURI ] ;
fhir:code [ fhir:v "3" ] ;
fhir:display [ fhir:v "Shadowing" ]           ] )         ]       ] [
fhir:code [
          ( fhir:coding [
fhir:system [ fhir:v "http://snomed.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "409769002" ] ;
fhir:display [ fhir:v "Tumor calcification (finding)" ]           ] )         ] ;
fhir:value [
a fhir:CodeableConcept ;
          ( fhir:coding [
fhir:system [ fhir:v "https://fhir.incisive-project.eu/CodeSystem/BreastCalcificationsTimepoints"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1" ] ;
fhir:display [ fhir:v "In mass" ]           ] )         ]       ] [
fhir:code [
          ( fhir:coding [
fhir:system [ fhir:v "http://snomed.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "246090004" ] ;
fhir:display [ fhir:v "Tumor calcification (finding)" ]           ] )         ] ;
fhir:value [
a fhir:CodeableConcept ;
          ( fhir:coding [
fhir:system [ fhir:v "https://fhir.incisive-project.eu/CodeSystem/BreastAssociatedFeatures"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1" ] ;
fhir:display [ fhir:v "Skin thickness" ]           ] )         ]       ] [
fhir:code [
          ( fhir:coding [
fhir:system [ fhir:v "http://snomed.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "129715009" ] ;
fhir:display [ fhir:v "Mammographic breast composition finding (finding)" ]           ] )         ] ;
fhir:value [
a fhir:CodeableConcept ;
          ( fhir:coding [
fhir:system [ fhir:v "https://fhir.incisive-project.eu/CodeSystem/BreastComposition"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1" ] ;
fhir:display [ fhir:v "Fatty" ]           ] )         ]       ] [
fhir:code [
          ( fhir:coding [
fhir:system [ fhir:v "http://snomed.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "129792006" ] ;
fhir:display [ fhir:v "Mammographic architectural distortion of breast (finding)" ]           ] )         ] ;
fhir:value [
a fhir:CodeableConcept ;
          ( fhir:coding [
fhir:system [ fhir:v "https://fhir.incisive-project.eu/CodeSystem/BreastParenchymalEnhancementLevel"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1" ] ;
fhir:display [ fhir:v "Minimal" ]           ] )         ]       ] [
fhir:code [
          ( fhir:coding [
fhir:system [ fhir:v "http://snomed.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "371500007" ] ;
fhir:display [ fhir:v "Tumor configuration (observable entity)" ]           ] )         ] ;
fhir:value [
a fhir:CodeableConcept ;
          ( fhir:coding [
fhir:system [ fhir:v "https://fhir.incisive-project.eu/CodeSystem/BreastParenchymalEnhancementSymmetry"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1" ] ;
fhir:display [ fhir:v "Symmetric" ]           ] )         ]       ] [
fhir:code [
          ( fhir:coding [
fhir:system [ fhir:v "http://snomed.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1163261007" ] ;
fhir:display [ fhir:v "Qualitative distribution of primary malignant neoplasm (observable entity)" ]           ] )         ] ;
fhir:value [
a fhir:CodeableConcept ;
          ( fhir:coding [
fhir:system [ fhir:v "https://fhir.incisive-project.eu/CodeSystem/BreastPresenceOfFoci"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1" ] ;
fhir:display [ fhir:v "Unifocal" ]           ] )         ]       ] [
fhir:code [
          ( fhir:coding [
fhir:system [ fhir:v "http://snomed.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "445528004" ] ;
fhir:display [ fhir:v "Treatment changed (situation)" ]           ] )         ] ;
fhir:value [ fhir:v "true"^^xsd:boolean ]       ] )     ] ) ;
fhir:request [
fhir:method [ fhir:v "POST" ] ;
fhir:url [ fhir:v "Observation"^^xsd:anyURI ]     ]
  ] [
    ( fhir:resource [
a fhir:Condition ;
fhir:id [ fhir:v "breastcondition04" ] ;
fhir:meta [
        ( fhir:profile [
fhir:v "https://fhir.incisive-project.eu/StructureDefinition/ConditionForBreastColorectalProstate"^^xsd:anyURI ;
fhir:link <https://fhir.incisive-project.eu/StructureDefinition/ConditionForBreastColorectalProstate>         ] )       ] ;
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_breastcondition04\"> </a><p><b>Generated Narrative: Condition</b><a name=\"breastcondition04\"> </a><a name=\"hcbreastcondition04\"> </a></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 Condition &quot;breastcondition04&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ConditionINCISIVE.html\">Condition for Breast, Colorectal, Lung and Prostate cancer</a></p></div><p><b>code</b>: Symptoms and signs observed (record artifact) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#63671000122101)</span></p><p><b>subject</b>: <a href=\"#Patient_breastpatient01\">See above (Patient/breastpatient01)</a></p><h3>Evidences</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td></tr><tr><td style=\"display: none\">*</td><td>Breast pain <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-BreastSymptomsTimepoints.html\">Symptoms_Timepoints_Breast</a>#1)</span></td></tr></table></div>"       ] ;
fhir:code [
        ( fhir:coding [
fhir:system [ fhir:v "http://snomed.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "63671000122101" ] ;
fhir:display [ fhir:v "Symptoms and signs observed (record artifact)" ]         ] )       ] ;
fhir:subject [
fhir:reference [ fhir:v "Patient/breastpatient01" ]       ] ;
      ( fhir:evidence [
        ( fhir:code [
          ( fhir:coding [
fhir:system [ fhir:v "https://fhir.incisive-project.eu/CodeSystem/BreastSymptomsTimepoints"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1" ] ;
fhir:display [ fhir:v "Breast pain" ]           ] )         ] )       ] )     ] ) ;
fhir:request [
fhir:method [ fhir:v "POST" ] ;
fhir:url [ fhir:v "Condition"^^xsd:anyURI ]     ]
  ] [
    ( fhir:resource [
a fhir:Condition ;
fhir:id [ fhir:v "breastcondition05" ] ;
fhir:meta [
        ( fhir:profile [
fhir:v "https://fhir.incisive-project.eu/StructureDefinition/ConditionForBreastColorectalProstate"^^xsd:anyURI ;
fhir:link <https://fhir.incisive-project.eu/StructureDefinition/ConditionForBreastColorectalProstate>         ] )       ] ;
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_breastcondition05\"> </a><p><b>Generated Narrative: Condition</b><a name=\"breastcondition05\"> </a><a name=\"hcbreastcondition05\"> </a></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 Condition &quot;breastcondition05&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ConditionINCISIVE.html\">Condition for Breast, Colorectal, Lung and Prostate cancer</a></p></div><p><b>code</b>: Clinical finding (finding) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#404684003)</span></p><p><b>subject</b>: <a href=\"#Patient_breastpatient01\">See above (Patient/breastpatient01)</a></p><p><b>note</b>: Dysuria</p></div>"       ] ;
fhir:code [
        ( fhir:coding [
a sct:404684003 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "404684003" ] ;
fhir:display [ fhir:v "Clinical finding (finding)" ]         ] )       ] ;
fhir:subject [
fhir:reference [ fhir:v "Patient/breastpatient01" ]       ] ;
      ( fhir:note [
fhir:text [ fhir:v "Dysuria" ]       ] )     ] ) ;
fhir:request [
fhir:method [ fhir:v "POST" ] ;
fhir:url [ fhir:v "Condition"^^xsd:anyURI ]     ]
  ] [
    ( fhir:resource [
a fhir:MedicationAdministration ;
fhir:id [ fhir:v "breastmedicationAdministration01" ] ;
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationAdministration_breastmedicationAdministration01\"> </a><p><b>Generated Narrative: MedicationAdministration</b><a name=\"breastmedicationAdministration01\"> </a><a name=\"hcbreastmedicationAdministration01\"> </a></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 MedicationAdministration &quot;breastmedicationAdministration01&quot; </p></div><p><b>status</b>: completed</p><p><b>medication</b>: <a href=\"#Medication_breastmedication01\">See above (Medication/breastmedication01)</a></p><p><b>subject</b>: <a href=\"#Patient_breastpatient01\">See above (Patient/breastpatient01)</a></p><p><b>effective</b>: 2023-07-21 17:07:54+0000</p><h3>Dosages</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Route</b></td><td><b>Dose</b></td><td><b>Rate[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>|Delivered radiation dose (observable entity)|:|Direct site (attribute)|=|Breast structure (body structure)|, |Units (attribute)|=|Gray (qualifier value)| <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#371892002:704327008=76752008, 246514001=229029004)</span></td><td>40.4</td><td>28 fractions</td></tr></table></div>"       ] ;
fhir:status [ fhir:v "completed" ] ;
fhir:medication [
a fhir:Reference ;
fhir:reference [ fhir:v "Medication/breastmedication01" ] ;
fhir:type [ fhir:v "Medication"^^xsd:anyURI ]       ] ;
fhir:subject [
fhir:reference [ fhir:v "Patient/breastpatient01" ] ;
fhir:type [ fhir:v "Patient"^^xsd:anyURI ]       ] ;
fhir:effective [ fhir:v "2023-07-21T17:07:54+00:00"^^xsd:dateTime ] ;
fhir:dosage [
fhir:route [
          ( fhir:coding [
fhir:system [ fhir:v "http://snomed.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "371892002:704327008=76752008, 246514001=229029004" ] ;
fhir:display [ fhir:v "|Delivered radiation dose (observable entity)|:|Direct site (attribute)|=|Breast structure (body structure)|, |Units (attribute)|=|Gray (qualifier value)|" ]           ] )         ] ;
fhir:dose [
fhir:value [ fhir:v "40.4"^^xsd:decimal ]         ] ;
fhir:rate [
a fhir:Quantity ;
fhir:value [ fhir:v "28"^^xsd:decimal ] ;
fhir:unit [ fhir:v "fractions" ]         ]       ]     ] ) ;
fhir:request [
fhir:method [ fhir:v "POST" ] ;
fhir:url [ fhir:v "MedicationAdministration"^^xsd:anyURI ]     ]
  ] [
    ( fhir:resource [
a fhir:MedicationAdministration ;
fhir:id [ fhir:v "breastmedicationAdministration02" ] ;
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationAdministration_breastmedicationAdministration02\"> </a><p><b>Generated Narrative: MedicationAdministration</b><a name=\"breastmedicationAdministration02\"> </a><a name=\"hcbreastmedicationAdministration02\"> </a></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 MedicationAdministration &quot;breastmedicationAdministration02&quot; </p></div><p><b>status</b>: completed</p><p><b>category</b>: Boost radiation therapy (procedure) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#445232009)</span></p><p><b>medication</b>: <a href=\"#Medication_breastmedication01\">See above (Medication/breastmedication01)</a></p><p><b>subject</b>: <a href=\"#Patient_breastpatient01\">See above (Patient/breastpatient01)</a></p><p><b>effective</b>: 2023-07-21 17:07:54+0000</p><h3>Dosages</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Route</b></td><td><b>Dose</b></td><td><b>Rate[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>|Delivered radiation dose (observable entity)|:|Direct site (attribute)|=|Tumor bed (morphologic abnormality)|, |Units (attribute)|=|Gray (qualifier value)| <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#371892002:704327008=1162492000, 246514001=229029004)</span></td><td>50.4</td><td>7 fractions</td></tr></table></div>"       ] ;
fhir:status [ fhir:v "completed" ] ;
fhir:category [
        ( fhir:coding [
fhir:system [ fhir:v "http://snomed.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "445232009" ] ;
fhir:display [ fhir:v "Boost radiation therapy (procedure)" ]         ] )       ] ;
fhir:medication [
a fhir:Reference ;
fhir:reference [ fhir:v "Medication/breastmedication01" ] ;
fhir:type [ fhir:v "Medication"^^xsd:anyURI ]       ] ;
fhir:subject [
fhir:reference [ fhir:v "Patient/breastpatient01" ] ;
fhir:type [ fhir:v "Patient"^^xsd:anyURI ]       ] ;
fhir:effective [ fhir:v "2023-07-21T17:07:54+00:00"^^xsd:dateTime ] ;
fhir:dosage [
fhir:route [
          ( fhir:coding [
fhir:system [ fhir:v "http://snomed.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "371892002:704327008=1162492000, 246514001=229029004" ] ;
fhir:display [ fhir:v "|Delivered radiation dose (observable entity)|:|Direct site (attribute)|=|Tumor bed (morphologic abnormality)|, |Units (attribute)|=|Gray (qualifier value)|" ]           ] )         ] ;
fhir:dose [
fhir:value [ fhir:v "50.4"^^xsd:decimal ]         ] ;
fhir:rate [
a fhir:Quantity ;
fhir:value [ fhir:v "7"^^xsd:decimal ] ;
fhir:unit [ fhir:v "fractions" ]         ]       ]     ] ) ;
fhir:request [
fhir:method [ fhir:v "POST" ] ;
fhir:url [ fhir:v "MedicationAdministration"^^xsd:anyURI ]     ]
  ] [
    ( fhir:resource [
a fhir:Observation ;
fhir:id [ fhir:v "breastobservation05" ] ;
fhir:meta [
        ( fhir:profile [
fhir:v "https://fhir.incisive-project.eu/StructureDefinition/ObservationForBreast"^^xsd:anyURI ;
fhir:link <https://fhir.incisive-project.eu/StructureDefinition/ObservationForBreast>         ] )       ] ;
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_breastobservation05\"> </a><p><b>Generated Narrative: Observation</b><a name=\"breastobservation05\"> </a><a name=\"hcbreastobservation05\"> </a></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 Observation &quot;breastobservation05&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ObservationForBreast.html\">Observation for Breast cancer</a></p></div><p><b>partOf</b>: </p><ul><li><a href=\"#MedicationAdministration_breastmedicationAdministration01\">See above (MedicationAdministration/breastmedicationAdministration01)</a></li><li><a href=\"#MedicationAdministration_breastmedicationAdministration02\">See above (MedicationAdministration/breastmedicationAdministration02)</a></li></ul><p><b>status</b>: final</p><p><b>code</b>: |Administration of drug or medicament (procedure)|:|Has intent (attribute)|=|Neo-adjuvant - intent (qualifier value)| <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#18629005:363703001=373847000)</span></p><p><b>subject</b>: <a href=\"#Patient_breastpatient01\">See above (Patient/breastpatient01)</a></p><p><b>value</b>: true</p></div>"       ] ;
      ( fhir:partOf [
fhir:reference [ fhir:v "MedicationAdministration/breastmedicationAdministration01" ]       ] [
fhir:reference [ fhir:v "MedicationAdministration/breastmedicationAdministration02" ]       ] ) ;
fhir:status [ fhir:v "final" ] ;
fhir:code [
        ( fhir:coding [
fhir:system [ fhir:v "http://snomed.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "18629005:363703001=373847000" ] ;
fhir:display [ fhir:v "|Administration of drug or medicament (procedure)|:|Has intent (attribute)|=|Neo-adjuvant - intent (qualifier value)|" ]         ] )       ] ;
fhir:subject [
fhir:reference [ fhir:v "Patient/breastpatient01" ] ;
fhir:type [ fhir:v "Patient"^^xsd:anyURI ]       ] ;
fhir:value [ fhir:v "true"^^xsd:boolean ]     ] ) ;
fhir:request [
fhir:method [ fhir:v "POST" ] ;
fhir:url [ fhir:v "Observation"^^xsd:anyURI ]     ]
  ] [
    ( fhir:resource [
a fhir:Observation ;
fhir:id [ fhir:v "breastobservation06" ] ;
fhir:meta [
        ( fhir:profile [
fhir:v "https://fhir.incisive-project.eu/StructureDefinition/ObservationForBreast"^^xsd:anyURI ;
fhir:link <https://fhir.incisive-project.eu/StructureDefinition/ObservationForBreast>         ] )       ] ;
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_breastobservation06\"> </a><p><b>Generated Narrative: Observation</b><a name=\"breastobservation06\"> </a><a name=\"hcbreastobservation06\"> </a></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 Observation &quot;breastobservation06&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ObservationForBreast.html\">Observation for Breast cancer</a></p></div><p><b>partOf</b>: </p><ul><li><a href=\"#MedicationAdministration_breastmedicationAdministration01\">See above (MedicationAdministration/breastmedicationAdministration01)</a></li><li><a href=\"#MedicationAdministration_breastmedicationAdministration02\">See above (MedicationAdministration/breastmedicationAdministration02)</a></li></ul><p><b>status</b>: final</p><p><b>code</b>: |Administration of drug or medicament (procedure)|:|Has intent (attribute)|=|Adjuvant - intent (qualifier value)| <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#18629005:363703001=373846009)</span></p><p><b>subject</b>: <a href=\"#Patient_breastpatient01\">See above (Patient/breastpatient01)</a></p><p><b>value</b>: true</p></div>"       ] ;
      ( fhir:partOf [
fhir:reference [ fhir:v "MedicationAdministration/breastmedicationAdministration01" ]       ] [
fhir:reference [ fhir:v "MedicationAdministration/breastmedicationAdministration02" ]       ] ) ;
fhir:status [ fhir:v "final" ] ;
fhir:code [
        ( fhir:coding [
fhir:system [ fhir:v "http://snomed.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "18629005:363703001=373846009" ] ;
fhir:display [ fhir:v "|Administration of drug or medicament (procedure)|:|Has intent (attribute)|=|Adjuvant - intent (qualifier value)|" ]         ] )       ] ;
fhir:subject [
fhir:reference [ fhir:v "Patient/breastpatient01" ] ;
fhir:type [ fhir:v "Patient"^^xsd:anyURI ]       ] ;
fhir:value [ fhir:v "true"^^xsd:boolean ]     ] ) ;
fhir:request [
fhir:method [ fhir:v "POST" ] ;
fhir:url [ fhir:v "Observation"^^xsd:anyURI ]     ]
  ] [
    ( fhir:resource [
a fhir:Observation ;
fhir:id [ fhir:v "breastobservation07" ] ;
fhir:meta [
        ( fhir:profile [
fhir:v "https://fhir.incisive-project.eu/StructureDefinition/ObservationForBreast"^^xsd:anyURI ;
fhir:link <https://fhir.incisive-project.eu/StructureDefinition/ObservationForBreast>         ] )       ] ;
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_breastobservation07\"> </a><p><b>Generated Narrative: Observation</b><a name=\"breastobservation07\"> </a><a name=\"hcbreastobservation07\"> </a></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 Observation &quot;breastobservation07&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ObservationForBreast.html\">Observation for Breast cancer</a></p></div><p><b>status</b>: final</p><p><b>category</b>: Between 1st and 2nd dose of CT <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span>, Label treatment <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p><p><b>code</b>: After 1st Treatment-1st FollowUp <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-LabelTreatment.html\">Label_Treatment</a>#1)</span></p><p><b>subject</b>: <a href=\"#Patient_breastpatient01\">See above (Patient/breastpatient01)</a></p><p><b>value</b>: Other treatment details</p><h3>Components</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td><td><b>Value[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>Performance measure status (finding) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#241000124106)</span></td><td>5</td></tr></table></div>"       ] ;
fhir:status [ fhir:v "final" ] ;
      ( fhir:category [
fhir:text [ fhir:v "Between 1st and 2nd dose of CT" ]       ] [
fhir:text [ fhir:v "Label treatment" ]       ] ) ;
fhir:code [
        ( fhir:coding [
fhir:system [ fhir:v "https://fhir.incisive-project.eu/CodeSystem/LabelTreatment"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1" ] ;
fhir:display [ fhir:v "After 1st Treatment-1st FollowUp" ]         ] )       ] ;
fhir:subject [
fhir:reference [ fhir:v "Patient/breastpatient01" ] ;
fhir:type [ fhir:v "Patient"^^xsd:anyURI ]       ] ;
fhir:value [ fhir:v "Other treatment details" ] ;
      ( fhir:component [
fhir:code [
          ( fhir:coding [
fhir:system [ fhir:v "http://snomed.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "241000124106" ] ;
fhir:display [ fhir:v "Performance measure status (finding)" ]           ] )         ] ;
fhir:value [ fhir:v "5"^^xsd:integer ]       ] )     ] ) ;
fhir:request [
fhir:method [ fhir:v "POST" ] ;
fhir:url [ fhir:v "Observation"^^xsd:anyURI ]     ]
  ] [
    ( fhir:resource [
a fhir:Observation ;
fhir:id [ fhir:v "breastobservation08" ] ;
fhir:meta [
        ( fhir:profile [
fhir:v "https://fhir.incisive-project.eu/StructureDefinition/ObservationForBreast"^^xsd:anyURI ;
fhir:link <https://fhir.incisive-project.eu/StructureDefinition/ObservationForBreast>         ] )       ] ;
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_breastobservation08\"> </a><p><b>Generated Narrative: Observation</b><a name=\"breastobservation08\"> </a><a name=\"hcbreastobservation08\"> </a></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 Observation &quot;breastobservation08&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ObservationForBreast.html\">Observation for Breast cancer</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Procedure on lymph node (procedure) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#118890000)</span></p><p><b>subject</b>: <a href=\"#Patient_breastpatient01\">See above (Patient/breastpatient01)</a></p><p><b>value</b>: No <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-BreastLymphNodeSurgery.html\">Lymph_node_surgery_Breast</a>#0)</span></p></div>"       ] ;
fhir:status [ fhir:v "final" ] ;
fhir:code [
        ( fhir:coding [
fhir:system [ fhir:v "http://snomed.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "118890000" ] ;
fhir:display [ fhir:v "Procedure on lymph node (procedure)" ]         ] )       ] ;
fhir:subject [
fhir:reference [ fhir:v "Patient/breastpatient01" ] ;
fhir:type [ fhir:v "Patient"^^xsd:anyURI ]       ] ;
fhir:value [
a fhir:CodeableConcept ;
        ( fhir:coding [
fhir:system [ fhir:v "https://fhir.incisive-project.eu/CodeSystem/BreastLymphNodeSurgery"^^xsd:anyURI ] ;
fhir:code [ fhir:v "0" ] ;
fhir:display [ fhir:v "No" ]         ] )       ]     ] ) ;
fhir:request [
fhir:method [ fhir:v "POST" ] ;
fhir:url [ fhir:v "Observation"^^xsd:anyURI ]     ]
  ] [
    ( fhir:resource [
a fhir:Procedure ;
fhir:id [ fhir:v "breastprocedure02" ] ;
fhir:meta [
        ( fhir:profile [
fhir:v "https://fhir.incisive-project.eu/StructureDefinition/ProcedureForBreast"^^xsd:anyURI ;
fhir:link <https://fhir.incisive-project.eu/StructureDefinition/ProcedureForBreast>         ] )       ] ;
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Procedure_breastprocedure02\"> </a><p><b>Generated Narrative: Procedure</b><a name=\"breastprocedure02\"> </a><a name=\"hcbreastprocedure02\"> </a></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 Procedure &quot;breastprocedure02&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ProcedureForBreast.html\">Procedure for Breast cancer</a></p></div><p><b>partOf</b>: <a href=\"#Observation_breastobservation08\">See above (Observation/breastobservation08)</a></p><p><b>status</b>: completed</p><p><b>category</b>: Mastectomy <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-BreastTypeOfSurgery.html\">Type_of_Surgery_Breast</a>#2)</span></p><p><b>code</b>: Surgical procedure (procedure) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#387713003)</span></p><p><b>subject</b>: <a href=\"#Patient_breastpatient01\">See above (Patient/breastpatient01)</a></p><p><b>performed</b>: 2</p></div>"       ] ;
      ( fhir:partOf [
fhir:reference [ fhir:v "Observation/breastobservation08" ]       ] ) ;
fhir:status [ fhir:v "completed" ] ;
fhir:category [
        ( fhir:coding [
fhir:system [ fhir:v "https://fhir.incisive-project.eu/CodeSystem/BreastTypeOfSurgery"^^xsd:anyURI ] ;
fhir:code [ fhir:v "2" ] ;
fhir:display [ fhir:v "Mastectomy" ]         ] )       ] ;
fhir:code [
        ( fhir:coding [
fhir:system [ fhir:v "http://snomed.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "387713003" ] ;
fhir:display [ fhir:v "Surgical procedure (procedure)" ]         ] )       ] ;
fhir:subject [
fhir:reference [ fhir:v "Patient/breastpatient01" ] ;
fhir:type [ fhir:v "Patient"^^xsd:anyURI ]       ] ;
fhir:performed [ fhir:v "2" ]     ] ) ;
fhir:request [
fhir:method [ fhir:v "POST" ] ;
fhir:url [ fhir:v "Procedure"^^xsd:anyURI ]     ]
  ] [
    ( fhir:resource [
a fhir:Procedure ;
fhir:id [ fhir:v "breastprocedure03" ] ;
fhir:meta [
        ( fhir:profile [
fhir:v "https://fhir.incisive-project.eu/StructureDefinition/ProcedureForBreast"^^xsd:anyURI ;
fhir:link <https://fhir.incisive-project.eu/StructureDefinition/ProcedureForBreast>         ] )       ] ;
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Procedure_breastprocedure03\"> </a><p><b>Generated Narrative: Procedure</b><a name=\"breastprocedure03\"> </a><a name=\"hcbreastprocedure03\"> </a></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 Procedure &quot;breastprocedure03&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ProcedureForBreast.html\">Procedure for Breast cancer</a></p></div><p><b>status</b>: completed</p><p><b>code</b>: Capecitabine <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#367336001:370130000=410656007 &quot;|Chemotherapy (procedure)|:|Property (attribute)|=|Type (property) (qualifier value)|&quot;)</span></p><p><b>subject</b>: <a href=\"#Patient_breastpatient01\">See above (Patient/breastpatient01)</a></p><p><b>performed</b>: 2</p></div>"       ] ;
fhir:status [ fhir:v "completed" ] ;
fhir:code [
        ( fhir:coding [
fhir:system [ fhir:v "http://snomed.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "367336001:370130000=410656007" ] ;
fhir:display [ fhir:v "|Chemotherapy (procedure)|:|Property (attribute)|=|Type (property) (qualifier value)|" ]         ] ) ;
fhir:text [ fhir:v "Capecitabine" ]       ] ;
fhir:subject [
fhir:reference [ fhir:v "Patient/breastpatient01" ] ;
fhir:type [ fhir:v "Patient"^^xsd:anyURI ]       ] ;
fhir:performed [ fhir:v "2" ]     ] ) ;
fhir:request [
fhir:method [ fhir:v "POST" ] ;
fhir:url [ fhir:v "Procedure"^^xsd:anyURI ]     ]
  ] [
    ( fhir:resource [
a fhir:Procedure ;
fhir:id [ fhir:v "breastprocedure04" ] ;
fhir:meta [
        ( fhir:profile [
fhir:v "https://fhir.incisive-project.eu/StructureDefinition/ProcedureForBreast"^^xsd:anyURI ;
fhir:link <https://fhir.incisive-project.eu/StructureDefinition/ProcedureForBreast>         ] )       ] ;
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Procedure_breastprocedure04\"> </a><p><b>Generated Narrative: Procedure</b><a name=\"breastprocedure04\"> </a><a name=\"hcbreastprocedure04\"> </a></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 Procedure &quot;breastprocedure04&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ProcedureForBreast.html\">Procedure for Breast cancer</a></p></div><p><b>status</b>: completed</p><p><b>code</b>: Nitrosoureas <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#703423002:370130000=410656007 &quot;|Combined chemotherapy and radiation therapy (procedure)|:|Property (attribute)|=|Type (property) (qualifier value)|&quot;)</span></p><p><b>subject</b>: <a href=\"#Patient_breastpatient01\">See above (Patient/breastpatient01)</a></p><p><b>performed</b>: 2</p></div>"       ] ;
fhir:status [ fhir:v "completed" ] ;
fhir:code [
        ( fhir:coding [
fhir:system [ fhir:v "http://snomed.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "703423002:370130000=410656007" ] ;
fhir:display [ fhir:v "|Combined chemotherapy and radiation therapy (procedure)|:|Property (attribute)|=|Type (property) (qualifier value)|" ]         ] ) ;
fhir:text [ fhir:v "Nitrosoureas" ]       ] ;
fhir:subject [
fhir:reference [ fhir:v "Patient/breastpatient01" ] ;
fhir:type [ fhir:v "Patient"^^xsd:anyURI ]       ] ;
fhir:performed [ fhir:v "2" ]     ] ) ;
fhir:request [
fhir:method [ fhir:v "POST" ] ;
fhir:url [ fhir:v "Procedure"^^xsd:anyURI ]     ]
  ] [
    ( fhir:resource [
a fhir:Procedure ;
fhir:id [ fhir:v "breastprocedure05" ] ;
fhir:meta [
        ( fhir:profile [
fhir:v "https://fhir.incisive-project.eu/StructureDefinition/ProcedureForBreast"^^xsd:anyURI ;
fhir:link <https://fhir.incisive-project.eu/StructureDefinition/ProcedureForBreast>         ] )       ] ;
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Procedure_breastprocedure05\"> </a><p><b>Generated Narrative: Procedure</b><a name=\"breastprocedure05\"> </a><a name=\"hcbreastprocedure05\"> </a></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 Procedure &quot;breastprocedure05&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ProcedureForBreast.html\">Procedure for Breast cancer</a></p></div><p><b>status</b>: completed</p><p><b>code</b>: Tamoxifen <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#897713009:370130000=410656007 &quot;|Antineoplastic chemoimmunotherapy (regime/therapy)|:|Property (attribute)|=|Type (property) (qualifier value)|&quot;)</span></p><p><b>subject</b>: <a href=\"#Patient_breastpatient01\">See above (Patient/breastpatient01)</a></p><p><b>performed</b>: 2</p></div>"       ] ;
fhir:status [ fhir:v "completed" ] ;
fhir:code [
        ( fhir:coding [
fhir:system [ fhir:v "http://snomed.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "897713009:370130000=410656007" ] ;
fhir:display [ fhir:v "|Antineoplastic chemoimmunotherapy (regime/therapy)|:|Property (attribute)|=|Type (property) (qualifier value)|" ]         ] ) ;
fhir:text [ fhir:v "Tamoxifen" ]       ] ;
fhir:subject [
fhir:reference [ fhir:v "Patient/breastpatient01" ] ;
fhir:type [ fhir:v "Patient"^^xsd:anyURI ]       ] ;
fhir:performed [ fhir:v "2" ]     ] ) ;
fhir:request [
fhir:method [ fhir:v "POST" ] ;
fhir:url [ fhir:v "Procedure"^^xsd:anyURI ]     ]
  ] [
    ( fhir:resource [
a fhir:Procedure ;
fhir:id [ fhir:v "breastprocedure06" ] ;
fhir:meta [
        ( fhir:profile [
fhir:v "https://fhir.incisive-project.eu/StructureDefinition/ProcedureForBreast"^^xsd:anyURI ;
fhir:link <https://fhir.incisive-project.eu/StructureDefinition/ProcedureForBreast>         ] )       ] ;
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Procedure_breastprocedure06\"> </a><p><b>Generated Narrative: Procedure</b><a name=\"breastprocedure06\"> </a><a name=\"hcbreastprocedure06\"> </a></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 Procedure &quot;breastprocedure06&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ProcedureForBreast.html\">Procedure for Breast cancer</a></p></div><p><b>status</b>: completed</p><p><b>code</b>: Tamoxifen <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#385798007:370130000=410656007 &quot;|Radiation therapy care (regime/therapy)|:|Property (attribute)|=|Type (property) (qualifier value)|&quot;)</span></p><p><b>subject</b>: <a href=\"#Patient_breastpatient01\">See above (Patient/breastpatient01)</a></p><p><b>performed</b>: 2</p></div>"       ] ;
fhir:status [ fhir:v "completed" ] ;
fhir:code [
        ( fhir:coding [
fhir:system [ fhir:v "http://snomed.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "385798007:370130000=410656007" ] ;
fhir:display [ fhir:v "|Radiation therapy care (regime/therapy)|:|Property (attribute)|=|Type (property) (qualifier value)|" ]         ] ) ;
fhir:text [ fhir:v "Tamoxifen" ]       ] ;
fhir:subject [
fhir:reference [ fhir:v "Patient/breastpatient01" ] ;
fhir:type [ fhir:v "Patient"^^xsd:anyURI ]       ] ;
fhir:performed [ fhir:v "2" ]     ] ) ;
fhir:request [
fhir:method [ fhir:v "POST" ] ;
fhir:url [ fhir:v "Procedure"^^xsd:anyURI ]     ]
  ] [
    ( fhir:resource [
a fhir:Procedure ;
fhir:id [ fhir:v "breastprocedure07" ] ;
fhir:meta [
        ( fhir:profile [
fhir:v "https://fhir.incisive-project.eu/StructureDefinition/ProcedureForBreast"^^xsd:anyURI ;
fhir:link <https://fhir.incisive-project.eu/StructureDefinition/ProcedureForBreast>         ] )       ] ;
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Procedure_breastprocedure07\"> </a><p><b>Generated Narrative: Procedure</b><a name=\"breastprocedure07\"> </a><a name=\"hcbreastprocedure07\"> </a></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 Procedure &quot;breastprocedure07&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ProcedureForBreast.html\">Procedure for Breast cancer</a></p></div><p><b>status</b>: completed</p><p><b>code</b>: Tamoxifen <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#169413002:370130000=410656007 &quot;|Hormone therapy (procedure)|:|Property (attribute)|=|Type (property) (qualifier value)|&quot;)</span></p><p><b>subject</b>: <a href=\"#Patient_breastpatient01\">See above (Patient/breastpatient01)</a></p><p><b>performed</b>: 2</p></div>"       ] ;
fhir:status [ fhir:v "completed" ] ;
fhir:code [
        ( fhir:coding [
fhir:system [ fhir:v "http://snomed.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "169413002:370130000=410656007" ] ;
fhir:display [ fhir:v "|Hormone therapy (procedure)|:|Property (attribute)|=|Type (property) (qualifier value)|" ]         ] ) ;
fhir:text [ fhir:v "Tamoxifen" ]       ] ;
fhir:subject [
fhir:reference [ fhir:v "Patient/breastpatient01" ] ;
fhir:type [ fhir:v "Patient"^^xsd:anyURI ]       ] ;
fhir:performed [ fhir:v "2" ]     ] ) ;
fhir:request [
fhir:method [ fhir:v "POST" ] ;
fhir:url [ fhir:v "Procedure"^^xsd:anyURI ]     ]
  ] [
    ( fhir:resource [
a fhir:Procedure ;
fhir:id [ fhir:v "breastprocedure08" ] ;
fhir:meta [
        ( fhir:profile [
fhir:v "https://fhir.incisive-project.eu/StructureDefinition/ProcedureForBreast"^^xsd:anyURI ;
fhir:link <https://fhir.incisive-project.eu/StructureDefinition/ProcedureForBreast>         ] )       ] ;
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Procedure_breastprocedure08\"> </a><p><b>Generated Narrative: Procedure</b><a name=\"breastprocedure08\"> </a><a name=\"hcbreastprocedure08\"> </a></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 Procedure &quot;breastprocedure08&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ProcedureForBreast.html\">Procedure for Breast cancer</a></p></div><p><b>status</b>: completed</p><p><b>code</b>: Trastuzumab <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#6021000124103:370130000=410656007 &quot;|Targeted medication therapy review (procedure)|:|Property (attribute)|=|Type (property) (qualifier value)|&quot;)</span></p><p><b>subject</b>: <a href=\"#Patient_breastpatient01\">See above (Patient/breastpatient01)</a></p><p><b>performed</b>: 3</p></div>"       ] ;
fhir:status [ fhir:v "completed" ] ;
fhir:code [
        ( fhir:coding [
fhir:system [ fhir:v "http://snomed.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "6021000124103:370130000=410656007" ] ;
fhir:display [ fhir:v "|Targeted medication therapy review (procedure)|:|Property (attribute)|=|Type (property) (qualifier value)|" ]         ] ) ;
fhir:text [ fhir:v "Trastuzumab" ]       ] ;
fhir:subject [
fhir:reference [ fhir:v "Patient/breastpatient01" ] ;
fhir:type [ fhir:v "Patient"^^xsd:anyURI ]       ] ;
fhir:performed [ fhir:v "3" ]     ] ) ;
fhir:request [
fhir:method [ fhir:v "POST" ] ;
fhir:url [ fhir:v "Procedure"^^xsd:anyURI ]     ]
  ] [
    ( fhir:resource [
a fhir:Procedure ;
fhir:id [ fhir:v "breastprocedure09" ] ;
fhir:meta [
        ( fhir:profile [
fhir:v "https://fhir.incisive-project.eu/StructureDefinition/ProcedureForBreast"^^xsd:anyURI ;
fhir:link <https://fhir.incisive-project.eu/StructureDefinition/ProcedureForBreast>         ] )       ] ;
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Procedure_breastprocedure09\"> </a><p><b>Generated Narrative: Procedure</b><a name=\"breastprocedure09\"> </a><a name=\"hcbreastprocedure09\"> </a></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 Procedure &quot;breastprocedure09&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ProcedureForBreast.html\">Procedure for Breast cancer</a></p></div><p><b>status</b>: completed</p><p><b>code</b>: Pembrolizumab <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#76334006:370130000=410656007 &quot;|Immunotherapy (procedure)|:|Property (attribute)|=|Type (property) (qualifier value)|&quot;)</span></p><p><b>subject</b>: <a href=\"#Patient_breastpatient01\">See above (Patient/breastpatient01)</a></p><p><b>performed</b>: 2</p></div>"       ] ;
fhir:status [ fhir:v "completed" ] ;
fhir:code [
        ( fhir:coding [
fhir:system [ fhir:v "http://snomed.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "76334006:370130000=410656007" ] ;
fhir:display [ fhir:v "|Immunotherapy (procedure)|:|Property (attribute)|=|Type (property) (qualifier value)|" ]         ] ) ;
fhir:text [ fhir:v "Pembrolizumab" ]       ] ;
fhir:subject [
fhir:reference [ fhir:v "Patient/breastpatient01" ] ;
fhir:type [ fhir:v "Patient"^^xsd:anyURI ]       ] ;
fhir:performed [ fhir:v "2" ]     ] ) ;
fhir:request [
fhir:method [ fhir:v "POST" ] ;
fhir:url [ fhir:v "Procedure"^^xsd:anyURI ]     ]
  ] [
    ( fhir:resource [
a fhir:Observation ;
fhir:id [ fhir:v "breastobservation09" ] ;
fhir:meta [
        ( fhir:profile [
fhir:v "https://fhir.incisive-project.eu/StructureDefinition/ObservationForBreast"^^xsd:anyURI ;
fhir:link <https://fhir.incisive-project.eu/StructureDefinition/ObservationForBreast>         ] )       ] ;
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_breastobservation09\"> </a><p><b>Generated Narrative: Observation</b><a name=\"breastobservation09\"> </a><a name=\"hcbreastobservation09\"> </a></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 Observation &quot;breastobservation09&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ObservationForBreast.html\">Observation for Breast cancer</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Malignant neoplasm of breast (disorder) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#254837009)</span></p><p><b>subject</b>: <a href=\"#Patient_breastpatient01\">See above (Patient/breastpatient01)</a></p><blockquote><p><b>component</b></p><p><b>code</b>: HER2 [Presence] in Breast cancer specimen by Immune stain <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#85319-2)</span></p><p><b>value</b>: true</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Estrogen receptor Ag [Presence] in Breast cancer specimen by Immune stain <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#85337-4)</span></p><p><b>value</b>: true</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Progesterone receptor Ag [Presence] in Breast cancer specimen by Immune stain <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#85339-0)</span></p><p><b>value</b>: true</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Melan-A and Ki67 Ag [Identifier] in Tissue by Immune stain <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#74489-6)</span></p><p><b>value</b>: 10 % percent<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code % = '%')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: BRCA1 gene mutations tested for in Blood or Tissue by Molecular genetics method Nominal <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#21639-0)</span></p><p><b>value</b>: true</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: BRCA1+BRCA2 gene mutations tested for in Blood or Tissue by Molecular genetics method Nominal <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#59041-4)</span></p><p><b>value</b>: true</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Lymphovascular invasion extent in Cancer specimen Qualitative <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#98260-3)</span></p><p><b>value</b>: true</p></blockquote></div>"       ] ;
fhir:status [ fhir:v "final" ] ;
fhir:code [
        ( fhir:coding [
fhir:system [ fhir:v "http://snomed.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "254837009" ] ;
fhir:display [ fhir:v "Malignant neoplasm of breast (disorder)" ]         ] )       ] ;
fhir:subject [
fhir:reference [ fhir:v "Patient/breastpatient01" ] ;
fhir:type [ fhir:v "Patient"^^xsd:anyURI ]       ] ;
      ( fhir:component [
fhir:code [
          ( fhir:coding [
a loinc:85319-2 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "85319-2" ] ;
fhir:display [ fhir:v "HER2 [Presence] in Breast cancer specimen by Immune stain" ]           ] )         ] ;
fhir:value [ fhir:v "true"^^xsd:boolean ]       ] [
fhir:code [
          ( fhir:coding [
a loinc:85337-4 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "85337-4" ] ;
fhir:display [ fhir:v "Estrogen receptor Ag [Presence] in Breast cancer specimen by Immune stain" ]           ] )         ] ;
fhir:value [ fhir:v "true"^^xsd:boolean ]       ] [
fhir:code [
          ( fhir:coding [
a loinc:85339-0 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "85339-0" ] ;
fhir:display [ fhir:v "Progesterone receptor Ag [Presence] in Breast cancer specimen by Immune stain" ]           ] )         ] ;
fhir:value [ fhir:v "true"^^xsd:boolean ]       ] [
fhir:code [
          ( fhir:coding [
a loinc:74489-6 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "74489-6" ] ;
fhir:display [ fhir:v "Melan-A and Ki67 Ag [Identifier] in Tissue by Immune stain" ]           ] )         ] ;
fhir:value [
a fhir:Quantity ;
fhir:value [ fhir:v "10"^^xsd:decimal ] ;
fhir:unit [ fhir:v "% percent" ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "%" ]         ]       ] [
fhir:code [
          ( fhir:coding [
a loinc:21639-0 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "21639-0" ] ;
fhir:display [ fhir:v "BRCA1 gene mutations tested for in Blood or Tissue by Molecular genetics method Nominal" ]           ] )         ] ;
fhir:value [ fhir:v "true"^^xsd:boolean ]       ] [
fhir:code [
          ( fhir:coding [
a loinc:59041-4 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "59041-4" ] ;
fhir:display [ fhir:v "BRCA1+BRCA2 gene mutations tested for in Blood or Tissue by Molecular genetics method Nominal" ]           ] )         ] ;
fhir:value [ fhir:v "true"^^xsd:boolean ]       ] [
fhir:code [
          ( fhir:coding [
a loinc:98260-3 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "98260-3" ] ;
fhir:display [ fhir:v "Lymphovascular invasion extent in Cancer specimen Qualitative" ]           ] )         ] ;
fhir:value [ fhir:v "true"^^xsd:boolean ]       ] )     ] ) ;
fhir:request [
fhir:method [ fhir:v "POST" ] ;
fhir:url [ fhir:v "Observation"^^xsd:anyURI ]     ]
  ] [
    ( fhir:resource [
a fhir:Observation ;
fhir:id [ fhir:v "breastobservation10" ] ;
fhir:meta [
        ( fhir:profile [
fhir:v "https://fhir.incisive-project.eu/StructureDefinition/ObservationForBreast"^^xsd:anyURI ;
fhir:link <https://fhir.incisive-project.eu/StructureDefinition/ObservationForBreast>         ] )       ] ;
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_breastobservation10\"> </a><p><b>Generated Narrative: Observation</b><a name=\"breastobservation10\"> </a><a name=\"hcbreastobservation10\"> </a></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 Observation &quot;breastobservation10&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ObservationForBreast.html\">Observation for Breast cancer</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Malignant neoplasm of breast (disorder) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#254837009)</span></p><p><b>subject</b>: <a href=\"#Patient_breastpatient01\">See above (Patient/breastpatient01)</a></p><blockquote><p><b>component</b></p><p><b>code</b>: Sampling - action (qualifier value) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#257915005)</span></p><p><b>value</b>: Light microscopy</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Staining method (procedure) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#127790008)</span></p><p><b>value</b>: Hematoxylin</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Microscopic specimen observation (finding) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#395538009)</span></p><p><b>value</b>: x10</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Biopsy finding (finding) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#365855009)</span></p><p><b>value</b>: example</p></blockquote></div>"       ] ;
fhir:status [ fhir:v "final" ] ;
fhir:code [
        ( fhir:coding [
fhir:system [ fhir:v "http://snomed.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "254837009" ] ;
fhir:display [ fhir:v "Malignant neoplasm of breast (disorder)" ]         ] )       ] ;
fhir:subject [
fhir:reference [ fhir:v "Patient/breastpatient01" ] ;
fhir:type [ fhir:v "Patient"^^xsd:anyURI ]       ] ;
      ( fhir:component [
fhir:code [
          ( fhir:coding [
fhir:system [ fhir:v "http://snomed.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "257915005" ] ;
fhir:display [ fhir:v "Sampling - action (qualifier value)" ]           ] )         ] ;
fhir:value [ fhir:v "Light microscopy" ]       ] [
fhir:code [
          ( fhir:coding [
fhir:system [ fhir:v "http://snomed.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "127790008" ] ;
fhir:display [ fhir:v "Staining method (procedure)" ]           ] )         ] ;
fhir:value [ fhir:v "Hematoxylin" ]       ] [
fhir:code [
          ( fhir:coding [
fhir:system [ fhir:v "http://snomed.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "395538009" ] ;
fhir:display [ fhir:v "Microscopic specimen observation (finding)" ]           ] )         ] ;
fhir:value [ fhir:v "x10" ]       ] [
fhir:code [
          ( fhir:coding [
fhir:system [ fhir:v "http://snomed.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "365855009" ] ;
fhir:display [ fhir:v "Biopsy finding (finding)" ]           ] )         ] ;
fhir:value [ fhir:v "example" ]       ] )     ] ) ;
fhir:request [
fhir:method [ fhir:v "POST" ] ;
fhir:url [ fhir:v "Observation"^^xsd:anyURI ]     ]
  ] [
    ( fhir:resource [
a fhir:Procedure ;
fhir:id [ fhir:v "breastprocedure10" ] ;
fhir:meta [
        ( fhir:profile [
fhir:v "https://fhir.incisive-project.eu/StructureDefinition/ProcedureForBreast"^^xsd:anyURI ;
fhir:link <https://fhir.incisive-project.eu/StructureDefinition/ProcedureForBreast>         ] )       ] ;
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Procedure_breastprocedure10\"> </a><p><b>Generated Narrative: Procedure</b><a name=\"breastprocedure10\"> </a><a name=\"hcbreastprocedure10\"> </a></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 Procedure &quot;breastprocedure10&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ProcedureForBreast.html\">Procedure for Breast cancer</a></p></div><p><b>status</b>: completed</p><p><b>statusReason</b>: Biopsy label <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-LabelBiopsy.html\">Label_Biopsy</a>#1 &quot;After 1st Treatment&quot;)</span></p><p><b>category</b>: Between 1st and 2nd dose of CT <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-BreastTypeOfBiopsy.html\">Type_of_Biopsy_Breast</a>#1 &quot;FNAC&quot;)</span></p><p><b>code</b>: Biopsy (procedure) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#86273004)</span></p><p><b>subject</b>: <a href=\"#Patient_breastpatient01\">See above (Patient/breastpatient01)</a></p><p><b>performed</b>: 3</p></div>"       ] ;
fhir:status [ fhir:v "completed" ] ;
fhir:statusReason [
        ( fhir:coding [
fhir:system [ fhir:v "https://fhir.incisive-project.eu/CodeSystem/LabelBiopsy"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1" ] ;
fhir:display [ fhir:v "After 1st Treatment" ]         ] ) ;
fhir:text [ fhir:v "Biopsy label" ]       ] ;
fhir:category [
        ( fhir:coding [
fhir:system [ fhir:v "https://fhir.incisive-project.eu/CodeSystem/BreastTypeOfBiopsy"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1" ] ;
fhir:display [ fhir:v "FNAC" ]         ] ) ;
fhir:text [ fhir:v "Between 1st and 2nd dose of CT" ]       ] ;
fhir:code [
        ( fhir:coding [
fhir:system [ fhir:v "http://snomed.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "86273004" ] ;
fhir:display [ fhir:v "Biopsy (procedure)" ]         ] )       ] ;
fhir:subject [
fhir:reference [ fhir:v "Patient/breastpatient01" ] ;
fhir:type [ fhir:v "Patient"^^xsd:anyURI ]       ] ;
fhir:performed [ fhir:v "3" ]     ] ) ;
fhir:request [
fhir:method [ fhir:v "POST" ] ;
fhir:url [ fhir:v "Procedure"^^xsd:anyURI ]     ]
  ] [
    ( fhir:resource [
a fhir:Procedure ;
fhir:id [ fhir:v "breastprocedure11" ] ;
fhir:meta [
        ( fhir:profile [
fhir:v "https://fhir.incisive-project.eu/StructureDefinition/ProcedureForBreast"^^xsd:anyURI ;
fhir:link <https://fhir.incisive-project.eu/StructureDefinition/ProcedureForBreast>         ] )       ] ;
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Procedure_breastprocedure11\"> </a><p><b>Generated Narrative: Procedure</b><a name=\"breastprocedure11\"> </a><a name=\"hcbreastprocedure11\"> </a></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 Procedure &quot;breastprocedure11&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ProcedureForBreast.html\">Procedure for Breast cancer</a></p></div><p><b>status</b>: completed</p><p><b>code</b>: Surgical procedure (procedure) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#387713003)</span></p><p><b>subject</b>: <a href=\"#Patient_breastpatient01\">See above (Patient/breastpatient01)</a></p><p><b>performed</b>: 2</p></div>"       ] ;
fhir:status [ fhir:v "completed" ] ;
fhir:code [
        ( fhir:coding [
fhir:system [ fhir:v "http://snomed.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "387713003" ] ;
fhir:display [ fhir:v "Surgical procedure (procedure)" ]         ] )       ] ;
fhir:subject [
fhir:reference [ fhir:v "Patient/breastpatient01" ] ;
fhir:type [ fhir:v "Patient"^^xsd:anyURI ]       ] ;
fhir:performed [ fhir:v "2" ]     ] ) ;
fhir:request [
fhir:method [ fhir:v "POST" ] ;
fhir:url [ fhir:v "Procedure"^^xsd:anyURI ]     ]
  ] [
    ( fhir:resource [
a fhir:Observation ;
fhir:id [ fhir:v "breastobservation11" ] ;
fhir:meta [
        ( fhir:profile [
fhir:v "https://fhir.incisive-project.eu/StructureDefinition/ObservationForBreast"^^xsd:anyURI ;
fhir:link <https://fhir.incisive-project.eu/StructureDefinition/ObservationForBreast>         ] )       ] ;
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_breastobservation11\"> </a><p><b>Generated Narrative: Observation</b><a name=\"breastobservation11\"> </a><a name=\"hcbreastobservation11\"> </a></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 Observation &quot;breastobservation11&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ObservationForBreast.html\">Observation for Breast cancer</a></p></div><p><b>status</b>: final</p><p><b>category</b>: Inflammatory Breast Carcinoma <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-BreastCancerType.html\">Breast_Cancer_Type</a>#IBC; <a href=\"CodeSystem-BreastMolecularSubtype.html\">Molecular_Subtype_Breast</a>#1 &quot;Luminal A&quot;)</span></p><p><b>code</b>: Malignant neoplasm of breast (disorder) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#254837009)</span></p><p><b>subject</b>: <a href=\"#Patient_breastpatient01\">See above (Patient/breastpatient01)</a></p><h3>Components</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td><td><b>Value[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>|Malignant neoplasm of breast (disorder)|:|Interprets (attribute)|=|Edition of American Joint Commission on Cancer, Cancer Staging Manual used for TNM staging (observable entity)| <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (snomed.org#254837009:363714003=443941007)</span></td><td>1</td></tr></table></div>"       ] ;
fhir:status [ fhir:v "final" ] ;
      ( fhir:category [
        ( fhir:coding [
fhir:system [ fhir:v "https://fhir.incisive-project.eu/CodeSystem/BreastCancerType"^^xsd:anyURI ] ;
fhir:code [ fhir:v "IBC" ] ;
fhir:display [ fhir:v "Inflammatory Breast Carcinoma" ]         ] [
fhir:system [ fhir:v "https://fhir.incisive-project.eu/CodeSystem/BreastMolecularSubtype"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1" ] ;
fhir:display [ fhir:v "Luminal A" ]         ] )       ] ) ;
fhir:code [
        ( fhir:coding [
fhir:system [ fhir:v "http://snomed.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "254837009" ] ;
fhir:display [ fhir:v "Malignant neoplasm of breast (disorder)" ]         ] )       ] ;
fhir:subject [
fhir:reference [ fhir:v "Patient/breastpatient01" ] ;
fhir:type [ fhir:v "Patient"^^xsd:anyURI ]       ] ;
      ( fhir:component [
fhir:code [
          ( fhir:coding [
fhir:system [ fhir:v "http://snomed.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "254837009:363714003=443941007" ] ;
fhir:display [ fhir:v "|Malignant neoplasm of breast (disorder)|:|Interprets (attribute)|=|Edition of American Joint Commission on Cancer, Cancer Staging Manual used for TNM staging (observable entity)|" ]           ] )         ] ;
fhir:value [ fhir:v "1"^^xsd:integer ]       ] )     ] ) ;
fhir:request [
fhir:method [ fhir:v "POST" ] ;
fhir:url [ fhir:v "Observation"^^xsd:anyURI ]     ]
  ] [
    ( fhir:resource [
a fhir:Observation ;
fhir:id [ fhir:v "breastobservation12" ] ;
fhir:meta [
        ( fhir:profile [
fhir:v "https://fhir.incisive-project.eu/StructureDefinition/ObservationForBreast"^^xsd:anyURI ;
fhir:link <https://fhir.incisive-project.eu/StructureDefinition/ObservationForBreast>         ] )       ] ;
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_breastobservation12\"> </a><p><b>Generated Narrative: Observation</b><a name=\"breastobservation12\"> </a><a name=\"hcbreastobservation12\"> </a></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 Observation &quot;breastobservation12&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ObservationForBreast.html\">Observation for Breast cancer</a></p></div><p><b>status</b>: final</p><p><b>category</b>: Between 1st and 2nd dose of CT <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span>, Exam label <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p><p><b>code</b>: After 1st Treatment <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-LabelExam.html\">Label_Exam</a>#1)</span></p><p><b>subject</b>: <a href=\"#Patient_breastpatient01\">See above (Patient/breastpatient01)</a></p><p><b>value</b>: 2</p><blockquote><p><b>component</b></p><p><b>code</b>: Leukocytes [#/volume] in Stem cell product <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#95218-4)</span></p><p><b>value</b>: 15.8 per microlitre<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code x10^9/L = 'x10^9/L')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Hemoglobin [Mass/volume] in Blood <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#718-7)</span></p><p><b>value</b>: 16.7 gram per decilitre<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code gr/dL = 'gr/dL')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Hematocrit [Volume Fraction] of Blood <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#20570-8)</span></p><p><b>value</b>: 47.4 % percent<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code % = '%')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Platelets [#/volume] in Blood <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#26515-7)</span></p><p><b>value</b>: 287 per nanolitre<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code x10^3/μL = 'x10^3/μL')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Glucose [Mass/volume] in Venous blood <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#41652-9)</span></p><p><b>value</b>: 87 milligram per decilitre<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mg/dL = 'mg/dL')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Insulin [Units/volume] in Serum or Plasma <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#20448-7)</span></p><p><b>value</b>: 4 milli-international unit per litre<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mlU/L = 'mlU/L')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Urea [Mass/volume] in Blood <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#20977-5)</span></p><p><b>value</b>: 36 milligram per decilitre<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mg/dL = 'mg/dL')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Creatinine [Mass/volume] in Blood <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#38483-4)</span></p><p><b>value</b>: 0.72 milligram per decilitre<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mg/dL = 'mg/dL')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Urate [Mass/volume] in Blood <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#98981-4)</span></p><p><b>value</b>: 3.5 milligram per decilitre<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mg/dL = 'mg/dL')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Potassium [Mass/volume] in Blood <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#75940-7)</span></p><p><b>value</b>: 4.8 millimole per litre<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mmol/L = 'mmol/L')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Sodium [Moles/volume] in Blood <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#2947-0)</span></p><p><b>value</b>: 142 millimole per litre<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mmol/L = 'mmol/L')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Calcium [Mass/volume] in Blood <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#49765-1)</span></p><p><b>value</b>: 9.31 milligram per decilitre<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mg/dL = 'mg/dL')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Cholesterol [Mass/volume] in Serum or Plasma <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#2093-3)</span></p><p><b>value</b>: 197 milligram per decilitre<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mg/dL = 'mg/dL')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Triglyceride [Mass/volume] in Blood <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#3043-7)</span></p><p><b>value</b>: 59 milligram per decilitre<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mg/dL = 'mg/dL')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Cholesterol in HDL [Mass/volume] in Serum or Plasma <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#2085-9)</span></p><p><b>value</b>: 60 milligram per decilitre<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mg/dL = 'mg/dL')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Cholesterol in LDL [Mass/volume] in Serum or Plasma <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#2089-1)</span></p><p><b>value</b>: 120 milligram per decilitre<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mg/dL = 'mg/dL')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#1920-8)</span></p><p><b>value</b>: 19 enzyme unit per litre<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code U/L = 'U/L')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Alanine aminotransferase [Enzymatic activity/volume] in Blood <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#76625-3)</span></p><p><b>value</b>: 33 enzyme unit per litre<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code U/L = 'U/L')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#2324-2)</span></p><p><b>value</b>: 14 enzyme unit per litre<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code U/L = 'U/L')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Alkaline phosphatase [Enzymatic activity/volume] in Blood <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#1783-0)</span></p><p><b>value</b>: 227 enzyme unit per litre<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code U/L = 'U/L')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Lactate dehydrogenase [Enzymatic activity/volume] in Red Blood Cells <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#11053-6)</span></p><p><b>value</b>: 270 enzyme unit per litre<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code U/L = 'U/L')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Thyrotropin [Units/volume] in Blood <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#3015-5)</span></p><p><b>value</b>: 0.73 milli-international unit per litre<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mlU/L = 'mlU/L')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Cortisol [Mass/volume] in Serum or Plasma <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#2143-6)</span></p><p><b>value</b>: 22 gram per decilitre<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code g/dL = 'g/dL')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: C reactive protein [Mass/volume] in Blood by High sensitivity method <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#71426-1)</span></p><p><b>value</b>: 0.5 milligram per decilitre<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mg/dL = 'mg/dL')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Natriuretic peptide B [Mass/volume] in Blood <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#42637-9)</span></p><p><b>value</b>: 120 picogram per millilitre<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code pg/mL = 'pg/mL')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Hemoglobin A1c/Hemoglobin.total in Blood by HPLC <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#17856-6)</span></p><p><b>value</b>: 5.1 % percent<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code % = '%')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Albumin/Protein.total in 24 hour Urine by Electrophoresis <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#13986-5)</span></p><p><b>value</b>: 80 milligram per 24 hour<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mg/24h = 'mg/24h')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Creatinine [Mass/volume] in Urine <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#2161-8)</span></p><p><b>value</b>: 100 milligram per decilitre<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mg/dL = 'mg/dL')</span></p></blockquote></div>"       ] ;
fhir:status [ fhir:v "final" ] ;
      ( fhir:category [
fhir:text [ fhir:v "Between 1st and 2nd dose of CT" ]       ] [
fhir:text [ fhir:v "Exam label" ]       ] ) ;
fhir:code [
        ( fhir:coding [
fhir:system [ fhir:v "https://fhir.incisive-project.eu/CodeSystem/LabelExam"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1" ] ;
fhir:display [ fhir:v "After 1st Treatment" ]         ] )       ] ;
fhir:subject [
fhir:reference [ fhir:v "Patient/breastpatient01" ] ;
fhir:type [ fhir:v "Patient"^^xsd:anyURI ]       ] ;
fhir:value [ fhir:v "2"^^xsd:integer ] ;
      ( fhir:component [
fhir:code [
          ( fhir:coding [
a loinc:95218-4 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "95218-4" ] ;
fhir:display [ fhir:v "Leukocytes [#/volume] in Stem cell product" ]           ] )         ] ;
fhir:value [
a fhir:Quantity ;
fhir:value [ fhir:v "15.8"^^xsd:decimal ] ;
fhir:unit [ fhir:v "per microlitre" ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "x10^9/L" ]         ]       ] [
fhir:code [
          ( fhir:coding [
a loinc:718-7 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "718-7" ] ;
fhir:display [ fhir:v "Hemoglobin [Mass/volume] in Blood" ]           ] )         ] ;
fhir:value [
a fhir:Quantity ;
fhir:value [ fhir:v "16.7"^^xsd:decimal ] ;
fhir:unit [ fhir:v "gram per decilitre" ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "gr/dL" ]         ]       ] [
fhir:code [
          ( fhir:coding [
a loinc:20570-8 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "20570-8" ] ;
fhir:display [ fhir:v "Hematocrit [Volume Fraction] of Blood" ]           ] )         ] ;
fhir:value [
a fhir:Quantity ;
fhir:value [ fhir:v "47.4"^^xsd:decimal ] ;
fhir:unit [ fhir:v "% percent" ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "%" ]         ]       ] [
fhir:code [
          ( fhir:coding [
a loinc:26515-7 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "26515-7" ] ;
fhir:display [ fhir:v "Platelets [#/volume] in Blood" ]           ] )         ] ;
fhir:value [
a fhir:Quantity ;
fhir:value [ fhir:v "287"^^xsd:decimal ] ;
fhir:unit [ fhir:v "per nanolitre" ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "x10^3/μL" ]         ]       ] [
fhir:code [
          ( fhir:coding [
a loinc:41652-9 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "41652-9" ] ;
fhir:display [ fhir:v "Glucose [Mass/volume] in Venous blood" ]           ] )         ] ;
fhir:value [
a fhir:Quantity ;
fhir:value [ fhir:v "87"^^xsd:decimal ] ;
fhir:unit [ fhir:v "milligram per decilitre" ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "mg/dL" ]         ]       ] [
fhir:code [
          ( fhir:coding [
a loinc:20448-7 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "20448-7" ] ;
fhir:display [ fhir:v "Insulin [Units/volume] in Serum or Plasma" ]           ] )         ] ;
fhir:value [
a fhir:Quantity ;
fhir:value [ fhir:v "4"^^xsd:decimal ] ;
fhir:unit [ fhir:v "milli-international unit per litre" ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "mlU/L" ]         ]       ] [
fhir:code [
          ( fhir:coding [
a loinc:20977-5 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "20977-5" ] ;
fhir:display [ fhir:v "Urea [Mass/volume] in Blood" ]           ] )         ] ;
fhir:value [
a fhir:Quantity ;
fhir:value [ fhir:v "36"^^xsd:decimal ] ;
fhir:unit [ fhir:v "milligram per decilitre" ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "mg/dL" ]         ]       ] [
fhir:code [
          ( fhir:coding [
a loinc:38483-4 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "38483-4" ] ;
fhir:display [ fhir:v "Creatinine [Mass/volume] in Blood" ]           ] )         ] ;
fhir:value [
a fhir:Quantity ;
fhir:value [ fhir:v "0.72"^^xsd:decimal ] ;
fhir:unit [ fhir:v "milligram per decilitre" ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "mg/dL" ]         ]       ] [
fhir:code [
          ( fhir:coding [
a loinc:98981-4 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "98981-4" ] ;
fhir:display [ fhir:v "Urate [Mass/volume] in Blood" ]           ] )         ] ;
fhir:value [
a fhir:Quantity ;
fhir:value [ fhir:v "3.5"^^xsd:decimal ] ;
fhir:unit [ fhir:v "milligram per decilitre" ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "mg/dL" ]         ]       ] [
fhir:code [
          ( fhir:coding [
a loinc:75940-7 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "75940-7" ] ;
fhir:display [ fhir:v "Potassium [Mass/volume] in Blood" ]           ] )         ] ;
fhir:value [
a fhir:Quantity ;
fhir:value [ fhir:v "4.8"^^xsd:decimal ] ;
fhir:unit [ fhir:v "millimole per litre" ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "mmol/L" ]         ]       ] [
fhir:code [
          ( fhir:coding [
a loinc:2947-0 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "2947-0" ] ;
fhir:display [ fhir:v "Sodium [Moles/volume] in Blood" ]           ] )         ] ;
fhir:value [
a fhir:Quantity ;
fhir:value [ fhir:v "142"^^xsd:decimal ] ;
fhir:unit [ fhir:v "millimole per litre" ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "mmol/L" ]         ]       ] [
fhir:code [
          ( fhir:coding [
a loinc:49765-1 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "49765-1" ] ;
fhir:display [ fhir:v "Calcium [Mass/volume] in Blood" ]           ] )         ] ;
fhir:value [
a fhir:Quantity ;
fhir:value [ fhir:v "9.31"^^xsd:decimal ] ;
fhir:unit [ fhir:v "milligram per decilitre" ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "mg/dL" ]         ]       ] [
fhir:code [
          ( fhir:coding [
a loinc:2093-3 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "2093-3" ] ;
fhir:display [ fhir:v "Cholesterol [Mass/volume] in Serum or Plasma" ]           ] )         ] ;
fhir:value [
a fhir:Quantity ;
fhir:value [ fhir:v "197"^^xsd:decimal ] ;
fhir:unit [ fhir:v "milligram per decilitre" ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "mg/dL" ]         ]       ] [
fhir:code [
          ( fhir:coding [
a loinc:3043-7 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "3043-7" ] ;
fhir:display [ fhir:v "Triglyceride [Mass/volume] in Blood" ]           ] )         ] ;
fhir:value [
a fhir:Quantity ;
fhir:value [ fhir:v "59"^^xsd:decimal ] ;
fhir:unit [ fhir:v "milligram per decilitre" ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "mg/dL" ]         ]       ] [
fhir:code [
          ( fhir:coding [
a loinc:2085-9 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "2085-9" ] ;
fhir:display [ fhir:v "Cholesterol in HDL [Mass/volume] in Serum or Plasma" ]           ] )         ] ;
fhir:value [
a fhir:Quantity ;
fhir:value [ fhir:v "60"^^xsd:decimal ] ;
fhir:unit [ fhir:v "milligram per decilitre" ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "mg/dL" ]         ]       ] [
fhir:code [
          ( fhir:coding [
a loinc:2089-1 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "2089-1" ] ;
fhir:display [ fhir:v "Cholesterol in LDL [Mass/volume] in Serum or Plasma" ]           ] )         ] ;
fhir:value [
a fhir:Quantity ;
fhir:value [ fhir:v "120"^^xsd:decimal ] ;
fhir:unit [ fhir:v "milligram per decilitre" ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "mg/dL" ]         ]       ] [
fhir:code [
          ( fhir:coding [
a loinc:1920-8 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1920-8" ] ;
fhir:display [ fhir:v "Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma" ]           ] )         ] ;
fhir:value [
a fhir:Quantity ;
fhir:value [ fhir:v "19"^^xsd:decimal ] ;
fhir:unit [ fhir:v "enzyme unit per litre" ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "U/L" ]         ]       ] [
fhir:code [
          ( fhir:coding [
a loinc:76625-3 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "76625-3" ] ;
fhir:display [ fhir:v "Alanine aminotransferase [Enzymatic activity/volume] in Blood" ]           ] )         ] ;
fhir:value [
a fhir:Quantity ;
fhir:value [ fhir:v "33"^^xsd:decimal ] ;
fhir:unit [ fhir:v "enzyme unit per litre" ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "U/L" ]         ]       ] [
fhir:code [
          ( fhir:coding [
a loinc:2324-2 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "2324-2" ] ;
fhir:display [ fhir:v "Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma" ]           ] )         ] ;
fhir:value [
a fhir:Quantity ;
fhir:value [ fhir:v "14"^^xsd:decimal ] ;
fhir:unit [ fhir:v "enzyme unit per litre" ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "U/L" ]         ]       ] [
fhir:code [
          ( fhir:coding [
a loinc:1783-0 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1783-0" ] ;
fhir:display [ fhir:v "Alkaline phosphatase [Enzymatic activity/volume] in Blood" ]           ] )         ] ;
fhir:value [
a fhir:Quantity ;
fhir:value [ fhir:v "227"^^xsd:decimal ] ;
fhir:unit [ fhir:v "enzyme unit per litre" ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "U/L" ]         ]       ] [
fhir:code [
          ( fhir:coding [
a loinc:11053-6 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "11053-6" ] ;
fhir:display [ fhir:v "Lactate dehydrogenase [Enzymatic activity/volume] in Red Blood Cells" ]           ] )         ] ;
fhir:value [
a fhir:Quantity ;
fhir:value [ fhir:v "270"^^xsd:decimal ] ;
fhir:unit [ fhir:v "enzyme unit per litre" ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "U/L" ]         ]       ] [
fhir:code [
          ( fhir:coding [
a loinc:3015-5 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "3015-5" ] ;
fhir:display [ fhir:v "Thyrotropin [Units/volume] in Blood" ]           ] )         ] ;
fhir:value [
a fhir:Quantity ;
fhir:value [ fhir:v "0.73"^^xsd:decimal ] ;
fhir:unit [ fhir:v "milli-international unit per litre" ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "mlU/L" ]         ]       ] [
fhir:code [
          ( fhir:coding [
a loinc:2143-6 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "2143-6" ] ;
fhir:display [ fhir:v "Cortisol [Mass/volume] in Serum or Plasma" ]           ] )         ] ;
fhir:value [
a fhir:Quantity ;
fhir:value [ fhir:v "22"^^xsd:decimal ] ;
fhir:unit [ fhir:v "gram per decilitre" ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "g/dL" ]         ]       ] [
fhir:code [
          ( fhir:coding [
a loinc:71426-1 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "71426-1" ] ;
fhir:display [ fhir:v "C reactive protein [Mass/volume] in Blood by High sensitivity method" ]           ] )         ] ;
fhir:value [
a fhir:Quantity ;
fhir:value [ fhir:v "0.5"^^xsd:decimal ] ;
fhir:unit [ fhir:v "milligram per decilitre" ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "mg/dL" ]         ]       ] [
fhir:code [
          ( fhir:coding [
a loinc:42637-9 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "42637-9" ] ;
fhir:display [ fhir:v "Natriuretic peptide B [Mass/volume] in Blood" ]           ] )         ] ;
fhir:value [
a fhir:Quantity ;
fhir:value [ fhir:v "120"^^xsd:decimal ] ;
fhir:unit [ fhir:v "picogram per millilitre" ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "pg/mL" ]         ]       ] [
fhir:code [
          ( fhir:coding [
a loinc:17856-6 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "17856-6" ] ;
fhir:display [ fhir:v "Hemoglobin A1c/Hemoglobin.total in Blood by HPLC" ]           ] )         ] ;
fhir:value [
a fhir:Quantity ;
fhir:value [ fhir:v "5.1"^^xsd:decimal ] ;
fhir:unit [ fhir:v "% percent" ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "%" ]         ]       ] [
fhir:code [
          ( fhir:coding [
a loinc:13986-5 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "13986-5" ] ;
fhir:display [ fhir:v "Albumin/Protein.total in 24 hour Urine by Electrophoresis" ]           ] )         ] ;
fhir:value [
a fhir:Quantity ;
fhir:value [ fhir:v "80"^^xsd:decimal ] ;
fhir:unit [ fhir:v "milligram per 24 hour" ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "mg/24h" ]         ]       ] [
fhir:code [
          ( fhir:coding [
a loinc:2161-8 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "2161-8" ] ;
fhir:display [ fhir:v "Creatinine [Mass/volume] in Urine" ]           ] )         ] ;
fhir:value [
a fhir:Quantity ;
fhir:value [ fhir:v "100"^^xsd:decimal ] ;
fhir:unit [ fhir:v "milligram per decilitre" ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "mg/dL" ]         ]       ] )     ] ) ;
fhir:request [
fhir:method [ fhir:v "POST" ] ;
fhir:url [ fhir:v "Observation"^^xsd:anyURI ]     ]
  ] ) . # 

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