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-3">
  <subject>
    <reference value="Patient/8003608333353852"/>
  </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="5.9"/>
      <unit value="ug/L"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="ug/L"/>
    </psa>
  </preAnalytic>
  <macro>
    <specimenWeight>
      <value value="60"/>
      <unit value="g"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="g"/>
    </specimenWeight>
    <specimenDimension1>
      <value value="51"/>
      <unit value="mm"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="mm"/>
    </specimenDimension1>
    <specimenDimension2>
      <value value="47"/>
      <unit value="mm"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="mm"/>
    </specimenDimension2>
    <specimenDimension3>
      <value value="42"/>
      <unit value="mm"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="mm"/>
    </specimenDimension3>
    <lymphNodes>
      <code value="385432009"/>
    </lymphNodes>
    <otherMacroComments value="Volume: 0.6cm3 (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): 3+4=7
% High Grade (4/5): 5%.
Intraduct carcinoma: Absent."/>
    </histologicalGrade>
    <extraprostaticExtension>
      <code value="not_identified"/>
    </extraprostaticExtension>
    <margin>
      <status value="55182004"/>
      <locationDescription
                           value="Tumour location:  Left lobe greater than right, posterior greater than anterior
Quadrants: All four quadrants involved
Zones:Peripheral"/>
    </margin>
    <seminalVesicles value="not_involved"/>
    <lymphNodeStatus>
      <number>
        <value value="1"/>
      </number>
      <numberPositive>
        <value value="0"/>
      </numberPositive>
      <invasion value="not_identified"/>
    </lymphNodeStatus>
  </micro>
  <synthesisOverview>
    <tumourStageT value="384983005"/>
    <diagnosticSummary
                       value="1. Radical prostatectomy: Prostatic adenocarcinoma
2. Left pelvic lymph node: Fibradipose tissue only
3. Right pelvic lymph node: No evidence of malignancy
4. Periprostatic tissue: No evidence of malignancy
5. Left apical margin: No evidence of mailgnancy
6. Left lateral margin: No evidence of malignancy"/>
  </synthesisOverview>
</Prostate>