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-2",
  "subject" : {
    "reference" : "Patient/8003608166687152"
  },
  "requester" : {
    "reference" : "Practitioner/8003616566682137"
  },
  "performer" : {
    "reference" : "Organization/8003623233350148"
  },
  "preAnalytic" : {
    "tumourLocation" : [
      "34402009"
    ],
    "typeOfOperation" : {
      "code" : "4558008"
    },
    "anteriorResectionType" : "260362008"
  },
  "macro" : {
    "specimenLength" : {
      "value" : 240,
      "unit" : "mm",
      "system" : "http://unitsofmeasure.org",
      "code" : "mm"
    },
    "tumourSite" : "34402009",
    "maxTumourDiameter" : {
      "value" : 45,
      "unit" : "mm",
      "system" : "http://unitsofmeasure.org",
      "code" : "mm"
    },
    "distanceNearerProxOrDistal" : [
      {
        "value" : 6,
        "unit" : "mm",
        "system" : "http://unitsofmeasure.org",
        "code" : "mm"
      }
    ],
    "distNonperitonCircumMargin" : {
      "value" : 10,
      "unit" : "mm",
      "system" : "http://unitsofmeasure.org",
      "code" : "mm"
    },
    "tumourPerforation" : "2667000",
    "relToAntPeritonealReflection" : "astride",
    "intactnessOfMesorectum" : "408657005",
    "peritoneum" : "tumour_invades_to_peritoneal_surface",
    "lymphNodes" : "440622005",
    "noLymphNodesPerCassette" : [
      "1 in cassette 1
4 in cassette 2
3 in cassette 3"
    ],
    "polyps" : "2667000",
    "otherMacroComments" : "Tumour appears plaquelike, remaining mucosa appears normal.",
    "natureAndSiteOfBlocks" : [
      "Blocks 1: shaved vascular margin, 2 to 4: tumour with greatest depth of invasion, radial inked red, distal inked blue. 5 – tumour with adjacent mucosa. 6-9 lymph nodes"
    ]
  },
  "micro" : {
    "tumourType" : "35917007",
    "histologicalGrade" : "399415002",
    "maxDegreeLocalInvasion" : "395707006",
    "proximalOrDistalResectionMargins" : "not_involved",
    "marginsMicroClearance" : ">10mm (Proximal);
9 mm (Distal);
13mm (Circumferential)",
    "nonperitonealisedCircumMargin" : "248448006",
    "microClearanceRectum" : {
      "value" : 1,
      "comparator" : "<",
      "unit" : "mm",
      "system" : "http://unitsofmeasure.org",
      "code" : "mm"
    },
    "lymphNodeInvolvement" : "2667000",
    "lymphNodesDetails" : [
      {
        "numPos" : "0",
        "numExamined" : "8"
      }
    ],
    "extramuralTumourDeposits" : "52101004",
    "apicalNodeInvolvement" : "2667000",
    "intramuralVeinInvasion" : "not_identified",
    "extramuralVeinInvasion" : "not_identified",
    "smallVesselInvasion" : "not_identified",
    "perineuralInvasion" : "385001000",
    "histoConfDistMetastases" : "2667000",
    "relCoexistPathabnorm" : [
      {
        "code" : "260386005"
      }
    ],
    "microResidualTumourStatus" : "Complete",
    "neoadjuvantTherapy" : "no_prior_treatment",
    "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" : "Positive >10% strong to moderate staining of nucleus.
Normal positive expression of DNA mismatch repair proteins in adenocarcinoma."
  },
  "synthesisOverview" : {
    "tumourStageT" : "395707006",
    "tumourStageN" : "n0",
    "tumourStageM" : "m0",
    "tumourStageGrouping" : "261614003",
    "tumourStagingSystem" : "AJCC 2010, 7th edition",
    "residualTumourStatus" : "r0",
    "diagnosticSummary" : "Low rectal tumour, ultralow anterior resection with proximal and distal donuts:
- Moderately differentiated adenocarcinoma, invading into perirectal fat.
- Less than 1mm from circumferential radial margin.
- Proximal and distal margins free of tumour.
- 8 lymph nodes, all benign.
- No MSI loss detected by immunohistochemistry.",
    "newPrimaryOrRecurrence" : "new-primary",
    "overarchingComment" : "Mismatch repair gene deficiency identified."
  }
}