This page is part of the RCPA Cancer Protocols IG (v0.1.0: Release 1 Draft) based on FHIR R3. . For a full list of available versions, see the Directory of published versions

Generated Example

{
  "resourceType" : "Colorectal",
  "id" : "Colorectal-genexample-1",
  "subject" : {
    "reference" : "Patient/8003608333428779"
  },
  "requester" : {
    "reference" : "Practitioner/8003616566682137"
  },
  "performer" : {
    "reference" : "Organization/8003623233350148"
  },
  "preAnalytic" : {
    "perforation" : "2667000",
    "clinicalObstruction" : "2667000",
    "tumourLocation" : [
      "34402009"
    ],
    "distanceAnalVerge" : {
      "value" : 6,
      "unit" : "cm",
      "system" : "http://unitsofmeasure.org",
      "code" : "cm"
    },
    "preoperativeRadiotherapy" : "373066001",
    "typeOfCourse" : "260402009",
    "surgeonsOpinion" : "None noted",
    "newPrimaryOrRecurrence" : "new_primary",
    "RecurrenceDescription" : "No metastatic lesions",
    "otherRelevantDetails" : "Tissue banking:   No
Specimen images:   Yes"
  },
  "macro" : {
    "specimenLength" : {
      "value" : 130,
      "unit" : "mm",
      "system" : "http://unitsofmeasure.org",
      "code" : "mm"
    },
    "tumourSite" : "34402009",
    "maxTumourDiameter" : {
      "value" : 50,
      "unit" : "mm",
      "system" : "http://unitsofmeasure.org",
      "code" : "mm"
    },
    "distanceNearerProxOrDistal" : [
      {
        "value" : 20,
        "unit" : "mm",
        "system" : "http://unitsofmeasure.org",
        "code" : "mm"
      }
    ],
    "distNonperitonCircumMargin" : {
      "value" : 15,
      "unit" : "mm",
      "system" : "http://unitsofmeasure.org",
      "code" : "mm"
    },
    "tumourPerforation" : "2667000",
    "relToAntPeritonealReflection" : "astride",
    "intactnessOfMesorectum" : "408657005",
    "peritoneum" : "tumour_formed_nodule(s)_discrete_from_tumour_mass_along_the_serosal_surface",
    "lymphNodes" : "440622005",
    "noLymphNodesPerCassette" : [
      "3 in cassette 1 
4 in cassette 2
7 in cassette 3"
    ],
    "polyps" : "52101004",
    "polypSummary" : "Two 5mm polyps are noted.",
    "otherMacroComments" : "Tumour appears ulcerated and scarred. Overlying serosa appears normal. Extramuscular spread to 15mm",
    "natureAndSiteOfBlocks" : [
      "Blocks 1 to 6: tumour. Block 7: distal margin. Blocks 8 & 9 : circumferential margin. Blocks 10 to 16: 14 lymph nodes (2 in each block)."
    ]
  },
  "micro" : {
    "tumourType" : "35917007",
    "histologicalGrade" : "399415002",
    "maxDegreeLocalInvasion" : "395707006",
    "proximalOrDistalResectionMargins" : "not_involved",
    "lymphNodeInvolvement" : "52101004",
    "lymphNodesDetails" : [
      {
        "site" : "Perirectal LN basin",
        "numPos" : "2",
        "numExamined" : "14"
      }
    ],
    "extramuralTumourDeposits" : "2667000",
    "apicalNodeInvolvement" : "2667000",
    "intramuralVeinInvasion" : "present",
    "extramuralVeinInvasion" : "not_identified",
    "smallVesselInvasion" : "not_identified",
    "perineuralInvasion" : "385001000",
    "histoConfDistMetastases" : "2667000",
    "relCoexistPathabnorm" : [
      {
        "code" : "254588001"
      }
    ],
    "polypDetails" : "Two tubular adenomata confirmed.",
    "microResidualTumourStatus" : "Complete resection",
    "neoadjuvantTherapy" : "grade_2",
    "microComments" : "The submucosal nodule 20mm from the distal margin is a well differentiated carcinoid tumour, completely excised."
  },
  "_ancillaryTests" : {
    "mlh1" : "normal_staining",
    "pms2" : "normal_staining",
    "msh2" : "normal_staining",
    "msh6" : "normal_staining",
    "comments" : "Immunohistochemistry for mismatch repair gene products:  staining of carcinoma cells for MLH-1, PMS-2, MSH-2 and MSH-6 is present."
  },
  "synthesisOverview" : {
    "tumourStageT" : "395707006",
    "tumourStageN" : "n1b",
    "tumourStageM" : "m0",
    "tumourStageGrouping" : "261639007",
    "tumourStagingSystem" : "AJCC 2010, 7th edition",
    "residualTumourStatus" : "r0",
    "diagnosticSummary" : "Low anterior resection:
Rectal adenocarcinoma, excision complete, ypT3, pN1b, cM0, Stage IIIB.
Comment:
Two small tubular adenomas and a well differentiated carcinoid tumour are also present.  
Mismatch repair gene deficiency not identified.",
    "newPrimaryOrRecurrence" : "new-primary",
    "overarchingComment" : "Mismatch repair gene deficiency is not identified."
  }
}