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-5",
  "subject" : {
    "reference" : "Patient/8003608333354363"
  },
  "requester" : {
    "reference" : "Practitioner/8003616566682137"
  },
  "performer" : {
    "reference" : "Organization/8003623233350148"
  },
  "preAnalytic" : {
    "clinicalInformation" : "Anterior resection",
    "typeOfOperation" : {
      "code" : "4558008"
    }
  },
  "macro" : {
    "specimenLength" : {
      "value" : 55,
      "unit" : "mm",
      "system" : "http://unitsofmeasure.org",
      "code" : "mm"
    },
    "tumourSite" : "32713005",
    "maxTumourDiameter" : {
      "value" : 52,
      "unit" : "mm",
      "system" : "http://unitsofmeasure.org",
      "code" : "mm"
    },
    "distanceNearerProxOrDistal" : [
      {
        "value" : 45,
        "unit" : "mm",
        "system" : "http://unitsofmeasure.org",
        "code" : "mm"
      }
    ],
    "tumourPerforation" : "2667000",
    "otherMacroComments" : "A segment of large bowel 175mm in length with an internal diameter of up to 52mm. The bowel has been opened prior to receipt. The peritoneal reflection has not been included in the specimen. Arising at 45mm from the presumed distal margin, a raised ulcerated firm tan tumour is present measuring 55x32mm. On slicing the tumour measures up to 10mm in thickness and infiltrates into the mesocolic fat. On the antimesenteric border, the tumour abuts the serosal surface. Tumour perforation is not seen. No other lesions are identified within the mucosa elsewhere. Blocks 1, 2 - reps of tumour with mesocolic fat. Blocks 3,4,5 - tumour with peritoneal surface. Block 6 - distal resection margin. Block 7 - apical lymph node. Block 8 - one lymph node. Block 9 - four lymph nodes. Block 10 - five lymph nodes. PP. (TW.LD)",
    "natureAndSiteOfBlocks" : [
      "Blocks 1,2 - reps of tumour with mesocolic fat.  Blocks 3, 4, 5 - tumour with peritoneal surface.  Block 6 - distal resection margin.  Block 7 - apical lymph node.  Block 8 - one lymph node.  Block 9 - four lymph nodes.  Block 10 - five lymph nodes. PP (TW. LD)"
    ]
  },
  "micro" : {
    "tumourType" : "35917007",
    "histologicalGrade" : "399611001",
    "maxDegreeLocalInvasion" : "395707006",
    "proximalOrDistalResectionMargins" : "not_involved",
    "marginsMicroClearance" : ">10mm",
    "lymphNodeInvolvement" : "52101004",
    "lymphNodesDetails" : [
      {
        "site" : "Left",
        "numPos" : "2",
        "numExamined" : "11"
      }
    ],
    "extramuralTumourDeposits" : "2667000",
    "apicalNodeInvolvement" : "2667000",
    "intramuralVeinInvasion" : "not_identified",
    "extramuralVeinInvasion" : "not_identified",
    "smallVesselInvasion" : "not_identified",
    "perineuralInvasion" : "369731000",
    "histoConfDistMetastases" : "2667000",
    "relCoexistPathabnorm" : [
      {
        "code" : "260386005"
      }
    ],
    "microResidualTumourStatus" : "Complete",
    "neoadjuvantTherapy" : "no_prior_treatment"
  },
  "_ancillaryTests" : {
    "comments" : "Immunohostochemical stains for microsatellite instability will be performed and a supplementary report issued."
  },
  "synthesisOverview" : {
    "tumourStageT" : "395707006",
    "tumourStageN" : "395711000",
    "tumourStageM" : "m0",
    "tumourStageGrouping" : "261639007",
    "tumourStagingSystem" : "AJCC 2010, 7th edition",
    "residualTumourStatus" : "r0",
    "newPrimaryOrRecurrence" : "new-primary"
  }
}