{
  "resourceType" : "List",
  "id" : "ac40de7f-f062-450a-bdf4-b060e7686919",
  "meta" : {
    "profile" : ["http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-stage-parent"]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>VGHCancerStaging</h2><table class=\"clstu\"><tr><td>Mode: snapshotStatus: currentCode: observations</td></tr><tr><td>Subject: ?ngen-16?</td></tr></table><table class=\"grid\"><tr style=\"backgound-color: #eeeeee\"><td><b>Items</b></td><td>Flag</td></tr><tr><td>?ngen-16a?</td><td>changed</td></tr><tr><td>?ngen-16a?</td><td>changed</td></tr><tr><td>?ngen-16a?</td><td>changed</td></tr><tr><td>?ngen-16a?</td><td>changed</td></tr></table></div>"
  },
  "contained" : [{
    "resourceType" : "Observation",
    "id" : "cTNM-Stage",
    "meta" : {
      "profile" : ["http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tnm-clinical-stage-group"]
    },
    "identifier" : [{
      "type" : {
        "coding" : [{
          "system" : "https://vghtpe.com/context-codesystemExtensibility/impacted-IdentifierType/assigner-dip/IdentifierQualifier",
          "code" : "Primary",
          "display" : "主要標識符"
        }]
      },
      "system" : "http://www.vghtpe.org.tw/fhir/observation-identifier",
      "value" : "TNMObservationID_rptnm_TNMstage1"
    }],
    "status" : "final",
    "code" : {
      "extension" : [{
        "url" : "https://vghtpe.com/context-extension/impacted-observation-code/x_TNM-Descriptor",
        "valueCoding" : {
          "system" : "https://cancerstaging.org/",
          "code" : "y",
          "display" : "y"
        }
      }],
      "coding" : [{
        "system" : "http://loinc.org",
        "code" : "21908-9",
        "display" : "臨床癌症分期組"
      },
      {
        "system" : "http://snomed.info/sct",
        "code" : "399631002",
        "display" : "TNM 觀察"
      }]
    },
    "subject" : {
      "type" : "Patient",
      "identifier" : {
        "use" : "official",
        "type" : {
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "MR",
            "display" : "病歷號碼"
          }]
        },
        "system" : "http://www.vghtpe.org.tw/fhir/patient-identifier",
        "value" : "TNMstage1"
      },
      "display" : "患者"
    },
    "focus" : [{
      "type" : "Condition",
      "identifier" : {
        "type" : {
          "coding" : [{
            "system" : "https://vghtpe.com/context-codesystemExtensibility/impacted-IdentifierType/assigner-dip/IdentifierQualifier",
            "code" : "Primary",
            "display" : "主要標識符"
          }]
        },
        "system" : "http://www.vghtpe.org.tw/fhir/condition-identifier",
        "value" : "TNMstage1Lung"
      }
    }],
    "effectiveDateTime" : "2020-09-26T15:30:00-05:00",
    "valueCodeableConcept" : {
      "coding" : [{
        "system" : "http://snomed.info/sct",
        "code" : "396909006",
        "display" : "IIa期：顯微鏡下被囊外侵犯（胸腺）"
      }],
      "text" : "IIa"
    },
    "hasMember" : [{
      "reference" : "urn:uuid:cT",
      "type" : "Observation"
    },
    {
      "reference" : "urn:uuid:cN",
      "type" : "Observation"
    },
    {
      "reference" : "urn:uuid:cM",
      "type" : "Observation"
    }]
  }],
  "status" : "current",
  "mode" : "snapshot",
  "title" : "VGHCancerStaging",
  "code" : {
    "coding" : [{
      "system" : "https://vghtpe.com/context-codesystem/impacted-list-code-coding/assigner-DIP/Listcode",
      "code" : "observations"
    }]
  },
  "subject" : {
    "type" : "Patient",
    "identifier" : {
      "use" : "official",
      "type" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
          "code" : "MR",
          "display" : "病歷號碼"
        }]
      },
      "system" : "http://www.vghtpe.org.tw/fhir/patient-identifier",
      "value" : "TNMstage1"
    }
  },
  "entry" : [{
    "flag" : {
      "coding" : [{
        "system" : "https://vghtpe.com/context-codesystem/impacted-list-entry-flag/assigner-DIP/listItemStatusCodes",
        "code" : "changed"
      }]
    },
    "item" : {
      "reference" : "#cTNM-Stage",
      "type" : "Observation"
    }
  },
  {
    "flag" : {
      "coding" : [{
        "system" : "https://vghtpe.com/context-codesystem/impacted-list-entry-flag/assigner-DIP/listItemStatusCodes",
        "code" : "changed"
      }]
    },
    "item" : {
      "reference" : "#cT",
      "type" : "Observation"
    }
  },
  {
    "flag" : {
      "coding" : [{
        "system" : "https://vghtpe.com/context-codesystem/impacted-list-entry-flag/assigner-DIP/listItemStatusCodes",
        "code" : "changed"
      }]
    },
    "item" : {
      "reference" : "#cN",
      "type" : "Observation"
    }
  },
  {
    "flag" : {
      "coding" : [{
        "system" : "https://vghtpe.com/context-codesystem/impacted-list-entry-flag/assigner-DIP/listItemStatusCodes",
        "code" : "changed"
      }]
    },
    "item" : {
      "reference" : "#cM",
      "type" : "Observation"
    }
  }]
}