Cancer Pathology Data Sharing
0.1.0 - STU 1 Ballot

Cancer Pathology Data Sharing, published by HL7 International - Orders and Observations. This is not an authorized publication; it is the continuous build for version 0.1.0). 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: Pathology Bundle (example)

Bundle cancer-us-pathology-message-bundle of type message


Entry 1 - Full URL = http://hl7.org/fhir/us/cancer-reporting/MessageHeader/pathology-message-header

Resource MessageHeader:

SDC example Message Bundle for fake patient Jose including Patient, Encounter


Entry 2 - Full URL = http://hl7.org/fhir/us/cancer-reporting/Patient/JoelAlexPatient

Resource Patient:

Jose RODRIGUEZ
Identifier JoelAlexPatient

Entry 3 - Full URL = http://hl7.org/fhir/us/cancer-reporting/Encounter/pathology-encounter

Resource Encounter:

Not done yet

Entry 4 - Full URL = http://hl7.org/fhir/us/cancer-reporting/DiagnosticReport/pathology-diagnostic-report

Resource DiagnosticReport:

Pathology Synoptic report
Status FINAL

Entry 5 - Full URL = http://hl7.org/fhir/us/cancer-reporting/Specimen/adrenal-example

Resource Specimen:

Generated Narrative

identifier: id: 123456789

type: Biopsy

Containers

-Identifier
*id: 987654321

Entry 6 - Full URL = http://hl7.org/fhir/us/cancer-reporting/PractitionerRole/oncologist-example

Resource PractitionerRole:

Generated Narrative

practitioner: Generated Summary: id: 123456789; Wise Owl

organization: Generated Summary: active; name: Redwood Women's Center, P.C.

code: Physician Ordering Pathology testing

telecom: ph: 720-242-5555


Entry 7 - Full URL = http://hl7.org/fhir/us/cancer-reporting/Practitioner/oncologist-example

Resource Practitioner:

Generated Narrative

identifier: id: 123456789

name: Wise Owl


Entry 8 - Full URL = http://hl7.org/fhir/us/cancer-reporting/Organization/Redwood-Womens-Center-PC

Resource Organization:

Generated Narrative

active: true

name: Redwood Women's Center, P.C.

address: 3307 Renner Drive Fortuna CA 95540 USA


Entry 9 - Full URL = http://hl7.org/fhir/us/cancer-reporting/PractitionerRole/pathologist-example

Resource PractitionerRole:

Generated Narrative

practitioner: Generated Summary: id: 987654321; Stains Alot

organization: Generated Summary: active; name: Some Pathology Lab Name

code: Pathologist principally interpreting results on pathology testing

telecom: ph: 720-242-9999


Entry 10 - Full URL = http://hl7.org/fhir/us/cancer-reporting/Practitioner/pathologist-example

Resource Practitioner:

Generated Narrative

identifier: id: 987654321

name: Stains Alot


Entry 11 - Full URL = http://hl7.org/fhir/us/cancer-reporting/Organization/principal-pathology-lab

Resource Organization:

Generated Narrative

active: true

name: Some Pathology Lab Name

address: Any City CA 95540 USA


Entry 12 - Full URL = http://hl7.org/fhir/us/cancer-reporting/RelatedPerson/pathology-next-of-kin

Resource RelatedPerson:

Generated Narrative

patient: Generated Summary: id: JoelAlexPatient; Jose Rodriguez ; gender: male

relationship: Next-of-Kin

name: Minni Me

telecom: ph: 1-989-654-7896


Entry 13 - Full URL = http://hl7.org/fhir/us/cancer-reporting/Observation/2118.100004300-us

Resource Observation:

Generated Narrative

identifier: id: Adrenal.Bx.Res.129_3.002.011.RC1_sdcFDF3d1c4fe4-09c3-4a7e-877f-9ddb160da6db/ver1#2118.100004300

code: 2118.100004300

subject: Generated Summary: id: JoelAlexPatient; Jose Rodriguez ; gender: male

value: Adrenal gland


Entry 14 - Full URL = http://hl7.org/fhir/us/cancer-reporting/Observation/42554.100004300-us

Resource Observation:

Generated Narrative

identifier: id: Adrenal.Bx.Res.129_3.002.011.RC1_sdcFDF3d1c4fe4-09c3-4a7e-877f-9ddb160da6db/ver1#42554.100004300

code: Procedure

subject: Generated Summary: id: JoelAlexPatient; Jose Rodriguez ; gender: male

value: Adrenalectomy, total


Entry 15 - Full URL = http://hl7.org/fhir/us/cancer-reporting/Observation/52756.100004300-us

Resource Observation:

Generated Narrative

identifier: id: Adrenal.Bx.Res.129_3.002.011.RC1_sdcFDF3d1c4fe4-09c3-4a7e-877f-9ddb160da6db/ver1#52756.100004300

code: Specimen Laterality

subject: Generated Summary: id: JoelAlexPatient; Jose Rodriguez ; gender: male

value: Bilateral


Entry 16 - Full URL = http://hl7.org/fhir/us/cancer-reporting/Observation/59852.100004300-us

Resource Observation:

Generated Narrative

identifier: id: Adrenal.Bx.Res.129_3.002.011.RC1_sdcFDF3d1c4fe4-09c3-4a7e-877f-9ddb160da6db/ver1#59852.100004300

code: Histologic Type (Notes C through E)

subject: Generated Summary: id: JoelAlexPatient; Jose Rodriguez ; gender: male

value: Adrenal cortical carcinoma


Entry 17 - Full URL = http://hl7.org/fhir/us/cancer-reporting/Observation/49275.100004300-us

Resource Observation:

Generated Narrative

identifier: id: Adrenal.Bx.Res.129_3.002.011.RC1_sdcFDF3d1c4fe4-09c3-4a7e-877f-9ddb160da6db/ver1#49275.100004300

code: Histologic Grade (Notes C through E)

subject: Generated Summary: id: JoelAlexPatient; Jose Rodriguez ; gender: male

value: High grade (> 20 mitoses / 50 high-power fields)


Entry 18 - Full URL = http://hl7.org/fhir/us/cancer-reporting/Observation/2129.100004300-us

Resource Observation:

Generated Narrative

identifier: id: Adrenal.Bx.Res.129_3.002.011.RC1_sdcFDF3d1c4fe4-09c3-4a7e-877f-9ddb160da6db/ver1#2129.100004300

code: Tumor Size (Note A)

subject: Generated Summary: id: JoelAlexPatient; Jose Rodriguez ; gender: male

value: Greatest dimension in Centimeters (cm)


Entry 19 - Full URL = http://hl7.org/fhir/us/cancer-reporting/Observation/40496.100004300-us

Resource Observation:

Generated Narrative

identifier: id: Adrenal.Bx.Res.129_3.002.011.RC1_sdcFDF3d1c4fe4-09c3-4a7e-877f-9ddb160da6db/ver1#40496.100004300

code: Tumor Weight (Note B)

subject: Generated Summary: id: JoelAlexPatient; Jose Rodriguez ; gender: male

value: Specify weight (g)


Entry 20 - Full URL = http://hl7.org/fhir/us/cancer-reporting/Observation/51265.100004300-us

Resource Observation:

Generated Narrative

identifier: id: Adrenal.Bx.Res.129_3.002.011.RC1_sdcFDF3d1c4fe4-09c3-4a7e-877f-9ddb160da6db/ver1.51265.100004300

code: Tumor Extension

subject: Generated Summary: id: JoelAlexPatient; Jose Rodriguez ; gender: male

component

code: Tumor invades into or through the adrenal capsule

component

code: Tumor invades into other adjacent organ(s)


Entry 21 - Full URL = http://hl7.org/fhir/us/cancer-reporting/Observation/53526.100004300-us

Resource Observation:

Generated Narrative

identifier: id: Adrenal.Bx.Res.129_3.002.011.RC1_sdcFDF3d1c4fe4-09c3-4a7e-877f-9ddb160da6db/ver1.53526.100004300

code: 53526.100004300

subject: Generated Summary: id: JoelAlexPatient; Jose Rodriguez ; gender: male

Components

-Code
*Diaphragm

Entry 22 - Full URL = http://hl7.org/fhir/us/cancer-reporting/Observation/1867.100004300-us

Resource Observation:

Generated Narrative

identifier: id: Adrenal.Bx.Res.129_3.002.011.RC1_sdcFDF3d1c4fe4-09c3-4a7e-877f-9ddb160da6db/ver1.1867.100004300

code: Regional Lymph Nodes

subject: Generated Summary: id: JoelAlexPatient; Jose Rodriguez ; gender: male

Components

-Code
*No lymph nodes submitted or found

Entry 23 - Full URL = http://hl7.org/fhir/us/cancer-reporting/Observation/20880.100004300-us

Resource Observation:

Generated Narrative

identifier: id: Adrenal.Bx.Res.129_3.002.011.RC1_sdcFDF3d1c4fe4-09c3-4a7e-877f-9ddb160da6db/ver1.20880.100004300

code: ?TNM Descriptors

subject: Generated Summary: id: JoelAlexPatient; Jose Rodriguez ; gender: male

Components

-Code
*m (multiple primary tumors)

Entry 24 - Full URL = http://hl7.org/fhir/us/cancer-reporting/Observation/2137.100004300-us

Resource Observation:

Generated Narrative

identifier: id: Adrenal.Bx.Res.129_3.002.011.RC1_sdcFDF3d1c4fe4-09c3-4a7e-877f-9ddb160da6db/ver1#2137.100004300

code: Primary Tumor (pT)

subject: Generated Summary: id: JoelAlexPatient; Jose Rodriguez ; gender: male

value: pTX: Primary tumor cannot be assessed


Entry 25 - Full URL = http://hl7.org/fhir/us/cancer-reporting/Observation/2143.100004300-us

Resource Observation:

Generated Narrative

identifier: id: Adrenal.Bx.Res.129_3.002.011.RC1_sdcFDF3d1c4fe4-09c3-4a7e-877f-9ddb160da6db/ver1#2143.100004300

code: Regional Lymph Nodes (pN) (Note H)

subject: Generated Summary: id: JoelAlexPatient; Jose Rodriguez ; gender: male

value: pN0: No regional lymph node metastasis


Entry 26 - Full URL = http://hl7.org/fhir/us/cancer-reporting/Observation/2149.100004300-us

Resource Observation:

Generated Narrative

identifier: id: Adrenal.Bx.Res.129_3.002.011.RC1_sdcFDF3d1c4fe4-09c3-4a7e-877f-9ddb160da6db/ver1#2149.100004300

code: ?Distant Metastasis (pM) (Note I)

subject: Generated Summary: id: JoelAlexPatient; Jose Rodriguez ; gender: male

value: ?Not applicable - pM cannot be determined from the submitted specimen(s)