HL7 Australia Implementation Guide:

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" : "Prostate",
  "id" : "Prostate-genexample-1",
  "subject" : {
    "reference" : "Patient/8003608166687160"
  },
  "requester" : {
    "reference" : "Practitioner/8003616566682137"
  },
  "performer" : {
    "reference" : "Organization/8003623233350148"
  },
  "preAnalytic" : {
    "clinicalHistory" : [
      "Core biopsy Gleason score: 3+3=6"
    ],
    "psa" : [
      {
        "value" : 6.3,
        "unit" : "ug/L",
        "system" : "http://unitsofmeasure.org",
        "code" : "ug/L"
      }
    ]
  },
  "macro" : {
    "specimenWeight" : {
      "value" : 39.5,
      "unit" : "g",
      "system" : "http://unitsofmeasure.org",
      "code" : "g"
    },
    "specimenDimension1" : {
      "value" : 42,
      "unit" : "mm",
      "system" : "http://unitsofmeasure.org",
      "code" : "mm"
    },
    "specimenDimension2" : {
      "value" : 37,
      "unit" : "mm",
      "system" : "http://unitsofmeasure.org",
      "code" : "mm"
    },
    "specimenDimension3" : {
      "value" : 32,
      "unit" : "mm",
      "system" : "http://unitsofmeasure.org",
      "code" : "mm"
    },
    "lymphNodes" : {
      "code" : "385432009"
    },
    "otherMacroComments" : "Volume: 2.7cm3 (3D volume estimate method)."
  },
  "micro" : {
    "tumourType" : [
      "45410002"
    ],
    "tumourFocality" : [
      "Multifocal"
    ],
    "histologicalGrade" : {
      "primary" : "369772003",
      "secondary" : {
        "value" : 369773008
      },
      "score" : "Composite Gleason Score (ISUP) 2005): 3+4=7
Index carcinoma score (ISUP 2005): 4+3=7
% High Grade (4/5): 40% (composite), 65% index.
Intraduct carcinoma: Absent."
    },
    "extraprostaticExtension" : {
      "code" : "not_identified"
    },
    "margin" : {
      "status" : "55182004",
      "locationDescription" : "Tumour location:
Quadrants: Anterior left greater than right plus posterior right and left.
Zones: Transitional, peripheral and anterior fibromuscular."
    },
    "seminalVesicles" : "not_involved",
    "lymphNodeStatus" : {
      "invasion" : "not_identified"
    }
  },
  "synthesisOverview" : {
    "tumourStageT" : "384983005",
    "diagnosticSummary" : "Adenocarcinoma"
  }
}