FLUTE Cross-border Prostate Cancer Data Standard Guide
0.1.0 - ci-build
FLUTE Cross-border Prostate Cancer Data Standard Guide, published by Flute Project. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/flute/ and changes regularly. See the Directory of published versions
<Bundle xmlns="http://hl7.org/fhir">
<id value="EXP-S1-IncludedPatient"/>
<meta>
<lastUpdated value="2014-08-18T01:43:30Z"/>
</meta>
<type value="transaction"/>
<entry>
<fullUrl value="urn:uuid:8a80b7e2-1879-418e-92eb-3641846b599c"/>
<resource>
<Patient>
<id value="EXP-S1-Patient"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Patient_EXP-S1-Patient"> </a><p class="res-header-id"><b>Generated Narrative: Patient EXP-S1-Patient</b></p><a name="EXP-S1-Patient"> </a><a name="hcEXP-S1-Patient"> </a><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">Peter Dubois (official) Male, DoB: 1974-12-25 ( http://hospital.example.org/patients#EXP-S1-Patient)</p><hr/><table class="grid"><tr><td style="background-color: #f3f5da" title="Record is active">Active:</td><td colspan="3">true</td></tr></table></div>
</text>
<identifier>
<system value="http://hospital.example.org/patients"/>
<value value="EXP-S1-Patient"/>
</identifier>
<active value="true"/>
<name>
<use value="official"/>
<family value="Dubois"/>
<given value="Peter"/>
</name>
<gender value="male"/>
<birthDate value="1974-12-25"/>
</Patient>
</resource>
<request>
<method value="POST"/>
<url value="Patient"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:08e6398c-85fa-4d32-97ef-3d7aa9969bb8"/>
<resource>
<Procedure>
<id value="EXP-S1-Procedure-Biopsy"/>
<meta>
<profile
value="http://hl7.eu/fhir/ig/flute/StructureDefinition/PR-Biopsy"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Procedure_EXP-S1-Procedure-Biopsy"> </a><p class="res-header-id"><b>Generated Narrative: Procedure EXP-S1-Procedure-Biopsy</b></p><a name="EXP-S1-Procedure-Biopsy"> </a><a name="hcEXP-S1-Procedure-Biopsy"> </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-PR-Biopsy.html">Procedure: biopsy</a></p></div><p><b>status</b>: Completed</p><p><b>category</b>: <span title="Codes:{http://snomed.info/sct 27582007}">Repeated</span></p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 86273004}">Biopsy</span></p><p><b>subject</b>: <a href="Bundle-EXP-S1-IncludedPatient.html#urn-uuid-8a80b7e2-1879-418e-92eb-3641846b599c">Peter Dubois (official) Male, DoB: 1974-12-25 ( http://hospital.example.org/patients#EXP-S1-Patient)</a></p><p><b>performed</b>: 2024-06-10</p><p><b>bodySite</b>: <span title="Codes:{http://snomed.info/sct 41216001}">Prostate</span></p></div>
</text>
<status value="completed"/>
<category>
<coding>
<system value="http://snomed.info/sct"/>
<code value="27582007"/>
<display value="Repeated"/>
</coding>
</category>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="86273004"/>
<display value="Biopsy"/>
</coding>
</code>
<subject>
<reference value="urn:uuid:8a80b7e2-1879-418e-92eb-3641846b599c"/>
</subject>
<performedDateTime value="2024-06-10"/>
<bodySite>
<coding>
<system value="http://snomed.info/sct"/>
<code value="41216001"/>
<display value="Prostate"/>
</coding>
</bodySite>
</Procedure>
</resource>
<request>
<method value="POST"/>
<url value="Procedure"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:37e5a7b3-4434-4b76-812a-fdeeb72fdf3e"/>
<resource>
<FamilyMemberHistory>
<id value="EXP-S1-FamilyMemberHistory-PCa"/>
<meta>
<profile
value="http://hl7.eu/fhir/ig/flute/StructureDefinition/PR-ProstateCancerFamilyHistory"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="FamilyMemberHistory_EXP-S1-FamilyMemberHistory-PCa"> </a><p class="res-header-id"><b>Generated Narrative: FamilyMemberHistory EXP-S1-FamilyMemberHistory-PCa</b></p><a name="EXP-S1-FamilyMemberHistory-PCa"> </a><a name="hcEXP-S1-FamilyMemberHistory-PCa"> </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-PR-ProstateCancerFamilyHistory.html">FamilyMemberHistory: prostate cancer family history</a></p></div><p><b>status</b>: Completed</p><p><b>patient</b>: <a href="Bundle-EXP-S1-IncludedPatient.html#urn-uuid-8a80b7e2-1879-418e-92eb-3641846b599c">Peter Patient</a></p><p><b>date</b>: 2024-03-18</p><p><b>relationship</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-RoleCode FTH}">father</span></p><p><b>sex</b>: <span title="Codes:{http://hl7.org/fhir/administrative-gender male}">Male</span></p><h3>Conditions</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Code</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://snomed.info/sct 1259388006}">Primary carcinoma of prostate</span></td></tr></table></div>
</text>
<status value="completed"/>
<patient>
<reference value="urn:uuid:8a80b7e2-1879-418e-92eb-3641846b599c"/>
<display value="Peter Patient"/>
</patient>
<date value="2024-03-18"/>
<relationship>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
<code value="FTH"/>
<display value="father"/>
</coding>
</relationship>
<sex>
<coding>
<system value="http://hl7.org/fhir/administrative-gender"/>
<code value="male"/>
<display value="Male"/>
</coding>
</sex>
<condition>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="1259388006"/>
<display value="Primary carcinoma of prostate"/>
</coding>
</code>
</condition>
</FamilyMemberHistory>
</resource>
<request>
<method value="POST"/>
<url value="FamilyMemberHistory"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:e1d949ac-b412-4299-8030-f5dca3f7c654"/>
<resource>
<Observation>
<id value="EXP-S1-Observation-PSA"/>
<meta>
<profile
value="http://hl7.eu/fhir/ig/flute/StructureDefinition/PR-ProstateSpecificAntigen"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_EXP-S1-Observation-PSA"> </a><p class="res-header-id"><b>Generated Narrative: Observation EXP-S1-Observation-PSA</b></p><a name="EXP-S1-Observation-PSA"> </a><a name="hcEXP-S1-Observation-PSA"> </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-PR-ProstateSpecificAntigen.html">Observation: prostate specific antigen</a></p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://loinc.org 2857-1}">Prostate specific Ag [Mass/volume] in Serum or Plasma</span></p><p><b>subject</b>: <a href="Bundle-EXP-S1-IncludedPatient.html#urn-uuid-8a80b7e2-1879-418e-92eb-3641846b599c">Peter Dubois (official) Male, DoB: 1974-12-25 ( http://hospital.example.org/patients#EXP-S1-Patient)</a></p><p><b>effective</b>: 2024-06-03</p><p><b>value</b>: 5 ng/mL<span style="background: LightGoldenRodYellow"> (Details: UCUM codeng/mL = 'ng/mL')</span></p><p><b>bodySite</b>: <span title="Codes:{http://snomed.info/sct 41216001}">Prostate</span></p></div>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="2857-1"/>
<display
value="Prostate specific Ag [Mass/volume] in Serum or Plasma"/>
</coding>
</code>
<subject>
<reference value="urn:uuid:8a80b7e2-1879-418e-92eb-3641846b599c"/>
</subject>
<effectiveDateTime value="2024-06-03"/>
<valueQuantity>
<value value="5"/>
<system value="http://unitsofmeasure.org"/>
<code value="ng/mL"/>
</valueQuantity>
<bodySite>
<coding>
<system value="http://snomed.info/sct"/>
<code value="41216001"/>
<display value="Prostate"/>
</coding>
</bodySite>
</Observation>
</resource>
<request>
<method value="POST"/>
<url value="Observation"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:1dc2c73b-b8e2-4651-896d-d6e0f98d5784"/>
<resource>
<Procedure>
<id value="EXP-S1-Procedure-DRE"/>
<meta>
<profile
value="http://hl7.eu/fhir/ig/flute/StructureDefinition/PR-DigitalRectalExamination"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Procedure_EXP-S1-Procedure-DRE"> </a><p class="res-header-id"><b>Generated Narrative: Procedure EXP-S1-Procedure-DRE</b></p><a name="EXP-S1-Procedure-DRE"> </a><a name="hcEXP-S1-Procedure-DRE"> </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-PR-DigitalRectalExamination.html">Procedure: DRE</a></p></div><p><b>status</b>: Completed</p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 410006001}">DRE - Digital rectal examination</span></p><p><b>subject</b>: <a href="Bundle-EXP-S1-IncludedPatient.html#urn-uuid-8a80b7e2-1879-418e-92eb-3641846b599c">Peter Dubois (official) Male, DoB: 1974-12-25 ( http://hospital.example.org/patients#EXP-S1-Patient)</a></p><p><b>performed</b>: 54 a<span style="background: LightGoldenRodYellow"> (Details: UCUM codea = 'a')</span></p><p><b>bodySite</b>: <span title="Codes:{http://snomed.info/sct 41216001}">Prostate</span></p><p><b>outcome</b>: <span title="Codes:{http://snomed.info/sct 131196009}">susceptible</span></p></div>
</text>
<status value="completed"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="410006001"/>
<display value="DRE - Digital rectal examination"/>
</coding>
</code>
<subject>
<reference value="urn:uuid:8a80b7e2-1879-418e-92eb-3641846b599c"/>
</subject>
<performedAge>
<value value="54"/>
<system value="http://unitsofmeasure.org"/>
<code value="a"/>
</performedAge>
<bodySite>
<coding>
<system value="http://snomed.info/sct"/>
<code value="41216001"/>
<display value="Prostate"/>
</coding>
</bodySite>
<outcome>
<coding>
<system value="http://snomed.info/sct"/>
<code value="131196009"/>
<display value="susceptible"/>
</coding>
</outcome>
</Procedure>
</resource>
<request>
<method value="POST"/>
<url value="Procedure"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:477424f5-1919-46b4-8ae8-e13fe96f469a"/>
<resource>
<Observation>
<id value="EXP-S1-Observation-PV"/>
<meta>
<profile
value="http://hl7.eu/fhir/ig/flute/StructureDefinition/PR-ProstateVolume"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_EXP-S1-Observation-PV"> </a><p class="res-header-id"><b>Generated Narrative: Observation EXP-S1-Observation-PV</b></p><a name="EXP-S1-Observation-PV"> </a><a name="hcEXP-S1-Observation-PV"> </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-PR-ProstateVolume.html">Observation: prostate volume</a></p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 1297142007}">Volume of prostate</span></p><p><b>subject</b>: <a href="Bundle-EXP-S1-IncludedPatient.html#urn-uuid-8a80b7e2-1879-418e-92eb-3641846b599c">Peter Dubois (official) Male, DoB: 1974-12-25 ( http://hospital.example.org/patients#EXP-S1-Patient)</a></p><p><b>effective</b>: 2024-03-01</p><p><b>value</b>: 30 cm3<span style="background: LightGoldenRodYellow"> (Details: UCUM codecm3 = 'cm3')</span></p><p><b>bodySite</b>: <span title="Codes:{http://snomed.info/sct 41216001}">Prostate</span></p></div>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="1297142007"/>
<display value="Volume of prostate"/>
</coding>
</code>
<subject>
<reference value="urn:uuid:8a80b7e2-1879-418e-92eb-3641846b599c"/>
</subject>
<effectiveDateTime value="2024-03-01"/>
<valueQuantity>
<value value="30"/>
<system value="http://unitsofmeasure.org"/>
<code value="cm3"/>
</valueQuantity>
<bodySite>
<coding>
<system value="http://snomed.info/sct"/>
<code value="41216001"/>
<display value="Prostate"/>
</coding>
</bodySite>
</Observation>
</resource>
<request>
<method value="POST"/>
<url value="Observation"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:80488242-2f56-4c3d-b55e-281bca3ac04e"/>
<resource>
<Observation>
<id value="EXP-S1-Observation-PIRADS"/>
<meta>
<profile
value="http://hl7.eu/fhir/ig/flute/StructureDefinition/PR-PIRADSScore"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_EXP-S1-Observation-PIRADS"> </a><p class="res-header-id"><b>Generated Narrative: Observation EXP-S1-Observation-PIRADS</b></p><a name="EXP-S1-Observation-PIRADS"> </a><a name="hcEXP-S1-Observation-PIRADS"> </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-PR-PIRADSScore.html">Observation: PI-RADS</a></p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 719178004}">Multiparametric magnetic resonance imaging of prostate</span></p><p><b>subject</b>: <a href="Bundle-EXP-S1-IncludedPatient.html#urn-uuid-8a80b7e2-1879-418e-92eb-3641846b599c">Peter Dubois (official) Male, DoB: 1974-12-25 ( http://hospital.example.org/patients#EXP-S1-Patient)</a></p><p><b>effective</b>: 2024-03-01</p><p><b>value</b>: 3</p></div>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="719178004"/>
<display
value="Multiparametric magnetic resonance imaging of prostate"/>
</coding>
</code>
<subject>
<reference value="urn:uuid:8a80b7e2-1879-418e-92eb-3641846b599c"/>
</subject>
<effectiveDateTime value="2024-03-01"/>
<valueInteger value="3"/>
</Observation>
</resource>
<request>
<method value="POST"/>
<url value="Observation"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:80488242-2f56-4c3d-b55e-281bca3ac025"/>
<resource>
<ImagingStudy>
<id value="EXP-S1-ImagingStudy"/>
<meta>
<profile
value="http://hl7.eu/fhir/ig/flute/StructureDefinition/imagingStudy-eu-flute"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="ImagingStudy_EXP-S1-ImagingStudy"> </a><p class="res-header-id"><b>Generated Narrative: ImagingStudy EXP-S1-ImagingStudy</b></p><a name="EXP-S1-ImagingStudy"> </a><a name="hcEXP-S1-ImagingStudy"> </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-imagingStudy-eu-flute.html">ImagingStudy: link with variables</a></p></div><p><b>identifier</b>: <code>http://hospital.example.org/imaging/studies</code>/STUDY-12345</p><p><b>status</b>: Available</p><p><b>subject</b>: <a href="Bundle-EXP-S1-IncludedPatient.html#urn-uuid-8a80b7e2-1879-418e-92eb-3641846b599c">Peter Dubois (official) Male, DoB: 1974-12-25 ( http://hospital.example.org/patients#EXP-S1-Patient)</a></p><p><b>started</b>: 2025-08-15 10:30:00+0000</p><p><b>endpoint</b>: http://dicomserver.example.org</p><p><b>note</b>: </p><blockquote><div><p>No artifacts present</p>
</div></blockquote><blockquote><p><b>series</b></p><p><b>uid</b>: 1.2.840.113619.2.55.3.604688437.783.1599767052.467</p><p><b>modality</b>: <a href="http://dicom.nema.org/resources/ontology/DCM#DCM-CT">DICOM: CT</a> (Computed Tomography)</p><h3>Instances</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Uid</b></td><td><b>SopClass</b></td></tr><tr><td style="display: none">*</td><td>1.2.840.113619.2.55.3.604688437.783.1599767052.468</td><td>unknown: urn:oid:1.2.840.10008.5.1.4.1.1.2 (urn:oid:1.2.840.10008.5.1.4.1.1.2)</td></tr></table></blockquote><blockquote><p><b>series</b></p><p><b>uid</b>: 1.2.840.113619.2.55.3.604688437.783.1599767052.469</p><p><b>modality</b>: <a href="http://dicom.nema.org/resources/ontology/DCM#DCM-CT">DICOM: CT</a> (Computed Tomography)</p><blockquote><p><b>instance</b></p><p><b>uid</b>: 1.2.840.113619.2.55.3.604688437.783.1599767052.470</p><p><b>sopClass</b>: unknown: urn:oid:1.2.840.10008.5.1.4.1.1.2 (urn:oid:1.2.840.10008.5.1.4.1.1.2)</p></blockquote><blockquote><p><b>instance</b></p><p><b>uid</b>: 1.2.840.113619.2.55.3.604688437.783.1599767052.471</p><p><b>sopClass</b>: unknown: urn:oid:1.2.840.10008.5.1.4.1.1.3 (urn:oid:1.2.840.10008.5.1.4.1.1.3)</p></blockquote></blockquote></div>
</text>
<identifier>
<system value="http://hospital.example.org/imaging/studies"/>
<value value="STUDY-12345"/>
</identifier>
<status value="available"/>
<subject>
<reference value="urn:uuid:8a80b7e2-1879-418e-92eb-3641846b599c"/>
</subject>
<started value="2025-08-15T10:30:00Z"/>
<endpoint>
<display value="http://dicomserver.example.org"/>
</endpoint>
<note>
<text value="No artifacts present"/>
</note>
<series>
<uid value="1.2.840.113619.2.55.3.604688437.783.1599767052.467"/>
<modality>
<system value="http://dicom.nema.org/resources/ontology/DCM"/>
<code value="CT"/>
</modality>
<instance>
<uid value="1.2.840.113619.2.55.3.604688437.783.1599767052.468"/>
<sopClass>
<system value="urn:ietf:rfc:3986"/>
<code value="urn:oid:1.2.840.10008.5.1.4.1.1.2"/>
</sopClass>
</instance>
</series>
<series>
<uid value="1.2.840.113619.2.55.3.604688437.783.1599767052.469"/>
<modality>
<system value="http://dicom.nema.org/resources/ontology/DCM"/>
<code value="CT"/>
</modality>
<instance>
<uid value="1.2.840.113619.2.55.3.604688437.783.1599767052.470"/>
<sopClass>
<system value="urn:ietf:rfc:3986"/>
<code value="urn:oid:1.2.840.10008.5.1.4.1.1.2"/>
</sopClass>
</instance>
<instance>
<uid value="1.2.840.113619.2.55.3.604688437.783.1599767052.471"/>
<sopClass>
<system value="urn:ietf:rfc:3986"/>
<code value="urn:oid:1.2.840.10008.5.1.4.1.1.3"/>
</sopClass>
</instance>
</series>
</ImagingStudy>
</resource>
<request>
<method value="POST"/>
<url value="ImagingStudy"/>
</request>
</entry>
</Bundle>