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-3",
  "subject" : {
    "reference" : "Patient/8003608166687160"
  },
  "requester" : {
    "reference" : "Practitioner/8003616566682137"
  },
  "performer" : {
    "reference" : "Organization/8003623233350148"
  },
  "preAnalytic" : {
    "clinicalInformation" : "A: Specimen labelled : right hemicolectomy
B: Mesentric lymph node",
    "typeOfOperation" : {
      "code" : "235326000"
    }
  },
  "macro" : {
    "specimenLength" : {
      "value" : 85,
      "unit" : "mm",
      "system" : "http://unitsofmeasure.org",
      "code" : "mm"
    },
    "tumourSite" : "32713005",
    "maxTumourDiameter" : {
      "value" : 90,
      "unit" : "mm",
      "system" : "http://unitsofmeasure.org",
      "code" : "mm"
    },
    "distanceNearerProxOrDistal" : [
      {
        "value" : 70,
        "unit" : "mm (Proximal)",
        "system" : "http://unitsofmeasure.org",
        "code" : "mm (Proximal)"
      }
    ],
    "distNonperitonCircumMargin" : {
      "value" : 15,
      "unit" : "mm",
      "system" : "http://unitsofmeasure.org",
      "code" : "mm"
    },
    "tumourPerforation" : "2667000",
    "lymphNodes" : "440622005",
    "noLymphNodesPerCassette" : [
      "21 in total.
A11 – 1 node, serially sliced
 A12 – 1 node, serially sliced
 A13 – 1 node, serially sliced
 A14 – 1 node, serially sliced
 A15 – 1 node, apical node, bisected and entirely submitted.
A16 – 3 nodes
 A17 – 3 nodes
 A18 – 3 nodes
 A19 – 6 nodes, 1 bisected
 B - Mesentric lymph node Bisected and entirely submitted in 1 block"
    ],
    "polyps" : "2667000",
    "natureAndSiteOfBlocks" : [
      "A1-A2 - Omentum.
A3 - Ileal margin with adjacent noninvolved ileum.
A4 - Appendix with base painted.
A5-A6 - Tumour at ileocaecal junction.
A7-A8 - Representative sections of tumour.
A9 - Tumour with nonperitonealised margin.
A10 - Ascending colon and distal resection margin.
Lymph nodes as above"
    ]
  },
  "micro" : {
    "tumourType" : "35917007",
    "histologicalGrade" : "399415002",
    "maxDegreeLocalInvasion" : "395707006",
    "proximalOrDistalResectionMargins" : "not_involved",
    "marginsMicroClearance" : ">10mm (Proximal);
> 10mm (Distal);
<1mm (Circumferential)",
    "lymphNodeInvolvement" : "52101004",
    "lymphNodesDetails" : [
      {
        "site" : "Left",
        "numPos" : "2",
        "numExamined" : "21"
      }
    ],
    "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"
  },
  "synthesisOverview" : {
    "tumourStageT" : "395707006",
    "tumourStageN" : "395711000",
    "tumourStageM" : "m0",
    "tumourStageGrouping" : "261639007",
    "tumourStagingSystem" : "AJCC 2010, 7th edition",
    "residualTumourStatus" : "r0",
    "newPrimaryOrRecurrence" : "new-primary"
  }
}