Cancer Pathology Data Sharing
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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 2.0.0-ballot 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

: Glandular/Tubular Differentiation Observation Example - JSON Representation

Page standards status: Informative

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{
  "resourceType" : "Observation",
  "id" : "observation-glandular-differentiation",
  "meta" : {
    "profile" : [
      🔗 "http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-observation"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Observation observation-glandular-differentiation</b></p><a name=\"observation-glandular-differentiation\"> </a><a name=\"hcobservation-glandular-differentiation\"> </a><a name=\"observation-glandular-differentiation-en-US\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-us-pathology-observation.html\">US Pathology Observation</a></p></div><p><b>identifier</b>: <code>http://example.org/codes</code>/urn:uuid:42008cf6-50c2-4e15-8ef5-ced4cf968bd6</p><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://hl7.org/fhir/us/cancer-reporting/CodeSystem/us-pathology-codesystem QUESTION}\">Question</span></p><p><b>code</b>: <span title=\"Codes:{http://example.org/codes 43587}\">Glandular (Acinar) / Tubular Differentiation</span></p><p><b>subject</b>: <a href=\"Patient-patient-OakleyAnnie.html\">Annie Oakley  Female, DoB: 1990-06-01 ( MRN:\u00a0Alaska Driver's License#abc123\u00a0(use:\u00a0usual,\u00a0))</a></p><p><b>effective</b>: 2025-03-18 14:52:02+0000 --&gt; (ongoing)</p><p><b>performer</b>: <a href=\"Practitioner-practitioner-oncologist.html\">Practitioner Wise Owl </a></p><p><b>value</b>: <span title=\"Codes:{http://example.org/codes 46311}\">Score 2 (10 to 75% of tumor area forming glandular / tubular structures)</span></p><p><b>derivedFrom</b>: <a href=\"Observation-observation-histologic-grade.html\">Observation ?Histologic Grade (Nottingham Histologic Score) (required only if applicable) (Note D)</a></p></div>"
  },
  "identifier" : [
    {
      "system" : "http://example.org/codes",
      "value" : "urn:uuid:42008cf6-50c2-4e15-8ef5-ced4cf968bd6"
    }
  ],
  "status" : "final",
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://hl7.org/fhir/us/cancer-reporting/CodeSystem/us-pathology-codesystem",
          "code" : "QUESTION",
          "display" : "Question"
        }
      ]
    }
  ],
  "code" : {
    "coding" : [
      {
        "system" : "http://example.org/codes",
        "code" : "43587",
        "display" : "Glandular (Acinar) / Tubular Differentiation"
      }
    ]
  },
  "subject" : {
    🔗 "reference" : "Patient/patient-OakleyAnnie"
  },
  "effectivePeriod" : {
    "start" : "2025-03-18T14:52:02+00:00"
  },
  "performer" : [
    {
      🔗 "reference" : "Practitioner/practitioner-oncologist"
    }
  ],
  "valueCodeableConcept" : {
    "coding" : [
      {
        "system" : "http://example.org/codes",
        "code" : "46311",
        "display" : "Score 2 (10 to 75% of tumor area forming glandular / tubular structures)"
      }
    ]
  },
  "derivedFrom" : [
    {
      🔗 "reference" : "Observation/observation-histologic-grade"
    }
  ]
}