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-4">
  <subject>
    <reference value="Patient/8003608166687558"/>
  </subject>
  <requester>
    <reference value="Practitioner/8003616566682137"/>
  </requester>
  <performer>
    <reference value="Organization/8003623233350148"/>
  </performer>
  <preAnalytic>
    <clinicalHistory value="Core biopsy Gleason score: 3+4=7"/>
    <psa>
      <value value="6.7"/>
      <unit value="ng/mL"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="ng/mL"/>
    </psa>
  </preAnalytic>
  <macro>
    <specimenWeight>
      <value value="56.6"/>
      <unit value="g"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="g"/>
    </specimenWeight>
    <specimenDimension1>
      <value value="48"/>
      <unit value="mm"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="mm"/>
    </specimenDimension1>
    <specimenDimension2>
      <value value="43"/>
      <unit value="mm"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="mm"/>
    </specimenDimension2>
    <specimenDimension3>
      <value value="41"/>
      <unit value="mm"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="mm"/>
    </specimenDimension3>
    <lymphNodes>
      <code value="385432009"/>
    </lymphNodes>
    <otherMacroComments value="Volume: 4.4cm3 (3D volume estimate method)."/>
  </macro>
  <micro>
    <tumourType value="45410002"/>
    <tumourFocality value="Multifocal"/>
    <tumourLocation>
      <quadrant value="264176005"/>
      <plane value="36082003"/>
    </tumourLocation>
    <sizeDominantNodule>
      <value value="0.5"/>
      <comparator value="&gt;"/>
      <unit value="mm"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="mm"/>
    </sizeDominantNodule>
    <histologicalGrade>
      <primary value="369772003"/>
      <secondary>
        <value value="369773008"/>
      </secondary>
      <tertiary>
        <value value="385432009"/>
      </tertiary>
      <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="372306004"/>
      <location value="255549009"/>
    </extraprostaticExtension>
    <margin>
      <status value="370109009"/>
      <locationDescription
                           value="Tumour location:  Right anterior base.
Gleason grade at positive margin: 3."/>
      <extent>
        <value value="10.5"/>
        <unit value="mm"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="mm"/>
      </extent>
    </margin>
    <seminalVesicles value="not_involved"/>
    <lymphNodeStatus>
      <invasion value="not_identified"/>
    </lymphNodeStatus>
  </micro>
  <synthesisOverview>
    <tumourStageT value="384987006"/>
    <diagnosticSummary
                       value="1. Prostate: Adenocarcinoma
2. Periprostatic Fat: No evidence of malignancy"/>
  </synthesisOverview>
</Prostate>