US Pathology Exchange bundle example - Cancer Pathology Data Sharing v1.0.1

Cancer Pathology Data Sharing, published by HL7 International / Orders and Observations. This guide is not an authorized publication; it is the continuous build for version 1.0.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/cancer-reporting/ and changes regularly. See the Directory of published versions

Example Bundle: US Pathology Exchange bundle example

Generated Narrative: Bundle bundle-us-pathology-exchange

Bundle bundle-us-pathology-exchange of type collection

Entry 1 - fullUrl = http://hl7.org/fhir/us/cancer-reporting/Composition/composition-adrenal-gland

Resource Composition:

Generated Narrative: Composition composition-adrenal-gland

status: Final
type: Pathology Study
date: 2021-01-01 21:39:30+0000
author: Wise Owl
title: Adrenal Gland

Entry 2 - fullUrl = http://hl7.org/fhir/us/cancer-reporting/DiagnosticReport/diagnosticreport-adrenal-gland

Resource DiagnosticReport:

Generated Narrative: DiagnosticReport diagnosticreport-adrenal-gland

Pathology Synoptic report (Pathology)
Subject Alex Joel Male, DoB Unknown ( urn:system#patient-JoelAlex)
When For 2021-01-01 21:39:30+0000
Performer PractitionerRole Primary Interpreter
Identifier https://example.org/Adrenal.Bx.Res.129_3.002.011.RC1_sdcFDF3d1c4fe4-09c3-4a7e-877f-9ddb160da6db/ver1
Report Details
Code Value Flags When For
Tumor Section Final 2022-07-05

Entry 3 - fullUrl = http://hl7.org/fhir/us/cancer-reporting/Observation/observation-grouper-case-summary

Resource Observation:

Generated Narrative: Observation observation-grouper-case-summary

identifier: https://example.org/Adrenal.Bx.Res.129_3.002.011.RC1_sdcFDF3d1c4fe4-09c3-4a7e-877f-9ddb160da6db/ver1#2149.100004300
status: Final
code: Case Summary Section
subject: Alex Joel Male, DoB Unknown ( urn:system#patient-JoelAlex)
effective: 2022-07-05
performer: Practitioner Wise Owl

Entry 4 - fullUrl = http://hl7.org/fhir/us/cancer-reporting/Observation/observation-grouper-clinical

Resource Observation:

Generated Narrative: Observation observation-grouper-clinical

identifier: https://example.org/Adrenal.Bx.Res.129_3.002.011.RC1_sdcFDF3d1c4fe4-09c3-4a7e-877f-9ddb160da6db/ver1#2149.100004300
status: Final
code: Clinical Section
subject: Alex Joel Male, DoB Unknown ( urn:system#patient-JoelAlex)
effective: 2024-07-05
performer: Practitioner Wise Owl
hasMember: Observation Functional Status

Entry 5 - fullUrl = http://hl7.org/fhir/us/cancer-reporting/Observation/observation-grouper-specimen

Resource Observation:

Generated Narrative: Observation observation-grouper-specimen

identifier: https://example.org/Adrenal.Bx.Res.129_3.002.011.RC1_sdcFDF3d1c4fe4-09c3-4a7e-877f-9ddb160da6db/ver1#2149.100004300
status: Final
code: Specimen Section
subject: Alex Joel Male, DoB Unknown ( urn:system#patient-JoelAlex)
effective: 2022-07-05
performer: Practitioner Wise Owl
hasMember: Observation Specimen Laterality

Entry 6 - fullUrl = http://hl7.org/fhir/us/cancer-reporting/Observation/observation-grouper-tumor

Resource Observation:

Generated Narrative: Observation observation-grouper-tumor

identifier: https://example.org/Adrenal.Bx.Res.129_3.002.011.RC1_sdcFDF3d1c4fe4-09c3-4a7e-877f-9ddb160da6db/ver1#2149.100004300
status: Final
code: Tumor Section
subject: Alex Joel Male, DoB Unknown ( urn:system#patient-JoelAlex)
effective: 2022-07-05
performer: Practitioner Wise Owl
hasMember:
Observation Tumor Site
Observation Histologic Type (Notes C through E)
Observation Histologic Grade (Notes C through E)
Observation Tumor Size (Note A)
Observation Primary Tumor (pT)
Observation 53526.100004300
Observation Tumor Extension
Observation Tumor Weight (Note B)

Entry 7 - fullUrl = http://hl7.org/fhir/us/cancer-reporting/Observation/observation-grouper-margins

Resource Observation:

Generated Narrative: Observation observation-grouper-margins

identifier: https://example.org/Adrenal.Bx.Res.129_3.002.011.RC1_sdcFDF3d1c4fe4-09c3-4a7e-877f-9ddb160da6db/ver1#2149.100004300
status: Final
code: Margin Section
subject: Alex Joel Male, DoB Unknown ( urn:system#patient-JoelAlex)
effective: 2024-07-05
performer: Practitioner Wise Owl
hasMember: Observation Margin

Entry 8 - fullUrl = http://hl7.org/fhir/us/cancer-reporting/Observation/observation-grouper-regional-lymph-nodes

Resource Observation:

Generated Narrative: Observation observation-grouper-regional-lymph-nodes

identifier: https://example.org/Adrenal.Bx.Res.129_3.002.011.RC1_sdcFDF3d1c4fe4-09c3-4a7e-877f-9ddb160da6db/ver1#2149.100004300
status: Final
code: Regional Lymph Nodes Section
subject: Alex Joel Male, DoB Unknown ( urn:system#patient-JoelAlex)
effective: 2024-07-05
performer: Practitioner Wise Owl
hasMember: Observation Regional Lymph Nodes

Entry 9 - fullUrl = http://hl7.org/fhir/us/cancer-reporting/Observation/observation-grouper-distant-metastasis

Resource Observation:

Generated Narrative: Observation observation-grouper-distant-metastasis

identifier: https://example.org/Adrenal.Bx.Res.129_3.002.011.RC1_sdcFDF3d1c4fe4-09c3-4a7e-877f-9ddb160da6db/ver1#2149.100004300
status: Final
code: Distant Metastasis Section
subject: Alex Joel Male, DoB Unknown ( urn:system#patient-JoelAlex)
effective: 2024-07-05
performer: Practitioner Wise Owl
hasMember: Observation Distant Metastasis (pM) (Note I)

Entry 10 - fullUrl = http://hl7.org/fhir/us/cancer-reporting/Observation/observation-grouper-figo-stage

Resource Observation:

Generated Narrative: Observation observation-grouper-figo-stage

identifier: https://example.org/Adrenal.Bx.Res.129_3.002.011.RC1_sdcFDF3d1c4fe4-09c3-4a7e-877f-9ddb160da6db/ver1#2149.100004300
status: Final
code: Figo Stage Section
subject: Alex Joel Male, DoB Unknown ( urn:system#patient-JoelAlex)
effective: 2024-07-05
performer: Practitioner Wise Owl

Entry 11 - fullUrl = http://hl7.org/fhir/us/cancer-reporting/Observation/observation-grouper-ptnm-classification

Resource Observation:

Generated Narrative: Observation observation-grouper-ptnm-classification

identifier: https://example.org/Adrenal.Bx.Res.129_3.002.011.RC1_sdcFDF3d1c4fe4-09c3-4a7e-877f-9ddb160da6db/ver1#2149.100004300
status: Final
code: pTNM Classification Section
subject: Alex Joel Male, DoB Unknown ( urn:system#patient-JoelAlex)
effective: 2024-07-05
performer: Practitioner Wise Owl
hasMember: Observation TNM Descriptors

Entry 12 - fullUrl = http://hl7.org/fhir/us/cancer-reporting/Observation/observation-grouper-additional-findings

Resource Observation:

Generated Narrative: Observation observation-grouper-additional-findings

identifier: https://example.org/Adrenal.Bx.Res.129_3.002.011.RC1_sdcFDF3d1c4fe4-09c3-4a7e-877f-9ddb160da6db/ver1#2149.100004300
status: Final
code: Additional Findings Section
subject: Alex Joel Male, DoB Unknown ( urn:system#patient-JoelAlex)
effective: 2024-07-05
performer: Practitioner Wise Owl

Entry 13 - fullUrl = http://hl7.org/fhir/us/cancer-reporting/Observation/observation-grouper-special-studies

Resource Observation:

Generated Narrative: Observation observation-grouper-special-studies

identifier: https://example.org/Adrenal.Bx.Res.129_3.002.011.RC1_sdcFDF3d1c4fe4-09c3-4a7e-877f-9ddb160da6db/ver1#2149.100004300
status: Final
code: Special Studies Section
subject: Alex Joel Male, DoB Unknown ( urn:system#patient-JoelAlex)
effective: 2024-07-05
performer: Practitioner Wise Owl

Entry 14 - fullUrl = http://hl7.org/fhir/us/cancer-reporting/Observation/observation-grouper-comments

Resource Observation:

Generated Narrative: Observation observation-grouper-comments

identifier: https://example.org/Adrenal.Bx.Res.129_3.002.011.RC1_sdcFDF3d1c4fe4-09c3-4a7e-877f-9ddb160da6db/ver1#2149.100004300
status: Final
code: Comments Section
subject: Alex Joel Male, DoB Unknown ( urn:system#patient-JoelAlex)
effective: 2024-07-05
performer: Practitioner Wise Owl

Entry 15 - fullUrl = http://hl7.org/fhir/us/cancer-reporting/Specimen/specimen-adrenal

Resource Specimen:

Generated Narrative: Specimen specimen-adrenal

identifier: http://some-lis.org/fhir/specimen-identifier-provisioner/123456789
accessionIdentifier: http://some-lis.org/fhir/specimen-identifier-provisioner/123456789X
type: Biopsy
request: ServiceRequest Surgical pathology specimen, clerical procedure including coding of diagnoses
Collections
- Collected[x] Method
* 2022-01-02 Biopsy - action
container

Entry 16 - fullUrl = http://hl7.org/fhir/us/cancer-reporting/Patient/patient-JoelAlex

Resource Patient:

Generated Narrative: Patient patient-JoelAlex

Alex Joel Male, DoB Unknown ( urn:system#patient-JoelAlex)
Links:
Also see: RelatedPerson Minni Me

Entry 17 - fullUrl = http://hl7.org/fhir/us/cancer-reporting/Encounter/encounter-uspath-specimen-collection

Resource Encounter:

Generated Narrative: Encounter encounter-uspath-specimen-collection

identifier: http://example.com/fhir/encounters/123
status: completed
class: inpatient encounter
type: Pathology consultation, comprehensive, records and specimen with report
subject: Alex Joel Male, DoB Unknown ( urn:system#patient-JoelAlex)
participant
participant

Entry 18 - fullUrl = http://hl7.org/fhir/us/cancer-reporting/PractitionerRole/practitionerrole-uspath-practitioner-oncologist

Resource PractitionerRole:

Generated Narrative: PractitionerRole practitionerrole-uspath-practitioner-oncologist

practitioner: Practitioner Wise Owl
organization: Organization Redwood Women's Center, P.C.
code: Ordering Provider

Entry 19 - fullUrl = http://hl7.org/fhir/us/cancer-reporting/PractitionerRole/practitionerrole-uspath-pathologist

Resource PractitionerRole:

Generated Narrative: PractitionerRole practitionerrole-uspath-pathologist

practitioner: Practitioner Stains Alot
organization: Organization Some Pathology Lab Name
code: Primary Interpreter

Entry 20 - fullUrl = http://hl7.org/fhir/us/cancer-reporting/PractitionerRole/practitionerrole-uspath-surgeon

Resource PractitionerRole:

Generated Narrative: PractitionerRole practitionerrole-uspath-surgeon

practitioner: Practitioner Cuts Alot
organization: Organization Redwood Women's Center, P.C.
code: Ordering Provider

Entry 21 - fullUrl = http://hl7.org/fhir/us/cancer-reporting/Organization/organization-Redwood-Womens-Center-PC

Resource Organization:

Generated Narrative: Organization organization-Redwood-Womens-Center-PC

active: true
name: Redwood Women's Center, P.C.
Contacts
- Address
* 3307 Renner Drive Fortuna CA 95540 USA

Entry 22 - fullUrl = http://hl7.org/fhir/us/cancer-reporting/Organization/organization-principal-pathology-lab

Resource Organization:

Generated Narrative: Organization organization-principal-pathology-lab

active: true
name: Some Pathology Lab Name
Contacts
- Address
* Any City CA 95540 USA

Entry 23 - fullUrl = http://hl7.org/fhir/us/cancer-reporting/Practitioner/practitioner-pathologist

Resource Practitioner:

Generated Narrative: Practitioner practitioner-pathologist

identifier: NPI/10987654321
name: Stains Alot

Entry 24 - fullUrl = http://hl7.org/fhir/us/cancer-reporting/RelatedPerson/relatedperson-pathology-next-of-kin

Resource RelatedPerson:

Generated Narrative: RelatedPerson relatedperson-pathology-next-of-kin

active: true
patient: Alex Joel Male, DoB Unknown ( urn:system#patient-JoelAlex)
relationship: Next-of-Kin
name: Minni Me
telecom: ph: 1-989-654-7896