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


<Prostate xmlns="http://hl7.org/fhir" id="Prostate-genexample-1">
  <subject>
    <reference value="Patient/8003608166687160"/>
  </subject>
  <requester>
    <reference value="Practitioner/8003616566682137"/>
  </requester>
  <performer>
    <reference value="Organization/8003623233350148"/>
  </performer>
  <preAnalytic>
    <clinicalHistory value="Core biopsy Gleason score: 3+3=6"/>
    <psa>
      <value value="6.3"/>
      <unit value="ug/L"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="ug/L"/>
    </psa>
  </preAnalytic>
  <macro>
    <specimenWeight>
      <value value="39.5"/>
      <unit value="g"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="g"/>
    </specimenWeight>
    <specimenDimension1>
      <value value="42"/>
      <unit value="mm"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="mm"/>
    </specimenDimension1>
    <specimenDimension2>
      <value value="37"/>
      <unit value="mm"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="mm"/>
    </specimenDimension2>
    <specimenDimension3>
      <value value="32"/>
      <unit value="mm"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="mm"/>
    </specimenDimension3>
    <lymphNodes>
      <code value="385432009"/>
    </lymphNodes>
    <otherMacroComments value="Volume: 2.7cm3 (3D volume estimate method)."/>
  </macro>
  <micro>
    <tumourType value="45410002"/>
    <tumourFocality value="Multifocal"/>
    <histologicalGrade>
      <primary value="369772003"/>
      <secondary>
        <value value="369773008"/>
      </secondary>
      <score
             value="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."/>
    </histologicalGrade>
    <extraprostaticExtension>
      <code value="not_identified"/>
    </extraprostaticExtension>
    <margin>
      <status value="55182004"/>
      <locationDescription
                           value="Tumour location:
Quadrants: Anterior left greater than right plus posterior right and left.
Zones: Transitional, peripheral and anterior fibromuscular."/>
    </margin>
    <seminalVesicles value="not_involved"/>
    <lymphNodeStatus>
      <invasion value="not_identified"/>
    </lymphNodeStatus>
  </micro>
  <synthesisOverview>
    <tumourStageT value="384983005"/>
    <diagnosticSummary value="Adenocarcinoma"/>
  </synthesisOverview>
</Prostate>