{
  "resourceType" : "Observation",
  "id" : "DaType5HospTumorPathologyObservationExample",
  "meta" : {
    "profile" : ["http://connectdtx.kr/fhir/StructureDefinition/janusync-tumor-pathology-observation"]
  },
  "status" : "final",
  "category" : [{
    "coding" : [{
      "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
      "code" : "survey"
    }]
  }],
  "code" : {
    "coding" : [{
      "system" : "http://loinc.org",
      "code" : "22637-3",
      "display" : "Pathology report final diagnosis Narrative"
    }]
  },
  "subject" : {
    "reference" : "Patient/janusync-deidentified-patient-example"
  },
  "effectiveDateTime" : "2026-04-24T09:00:00+09:00",
  "component" : [{
    "code" : {
      "coding" : [{
        "system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
        "code" : "tumor.site"
      }]
    },
    "valueCodeableConcept" : {
      "text" : "Involvement : Lower third"
    }
  },
  {
    "code" : {
      "coding" : [{
        "system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
        "code" : "tumor.size.dimension-a"
      }]
    },
    "valueQuantity" : {
      "value" : 45,
      "unit" : "mm",
      "system" : "http://unitsofmeasure.org",
      "code" : "mm"
    }
  },
  {
    "code" : {
      "coding" : [{
        "system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
        "code" : "tumor.size.dimension-b"
      }]
    },
    "valueQuantity" : {
      "value" : 32,
      "unit" : "mm",
      "system" : "http://unitsofmeasure.org",
      "code" : "mm"
    }
  },
  {
    "code" : {
      "coding" : [{
        "system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
        "code" : "tumor.count"
      }]
    },
    "valueInteger" : 1
  },
  {
    "code" : {
      "coding" : [{
        "system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
        "code" : "tumor.type.gross"
      }]
    },
    "valueString" : "EGC type IIc+Iia / Borrmann type 3"
  },
  {
    "code" : {
      "coding" : [{
        "system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
        "code" : "tumor.type.differentiation"
      }]
    },
    "valueCodeableConcept" : {
      "coding" : [{
        "system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-tumor-pathology-differentiation",
        "code" : "moderately",
        "display" : "moderately"
      }]
    }
  },
  {
    "code" : {
      "coding" : [{
        "system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
        "code" : "tumor.type.histologic"
      }]
    },
    "valueString" : "TUBULAR ADENOCARCINOMA"
  },
  {
    "code" : {
      "coding" : [{
        "system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
        "code" : "tumor.type.lauren"
      }]
    },
    "valueCodeableConcept" : {
      "coding" : [{
        "system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-lauren-classification",
        "code" : "intestinal",
        "display" : "Intestinal"
      }]
    }
  },
  {
    "code" : {
      "coding" : [{
        "system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
        "code" : "tumor.margin"
      }]
    },
    "valueString" : "Proximal margin : Free from carcinoma"
  },
  {
    "code" : {
      "coding" : [{
        "system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
        "code" : "tumor.invasion.lymphatic"
      }]
    },
    "valueCodeableConcept" : {
      "coding" : [{
        "system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-tumor-pathology-presence-status",
        "code" : "present",
        "display" : "present"
      }]
    }
  },
  {
    "code" : {
      "coding" : [{
        "system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
        "code" : "tumor.invasion.venous"
      }]
    },
    "valueCodeableConcept" : {
      "coding" : [{
        "system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-tumor-pathology-presence-status",
        "code" : "absent",
        "display" : "absent"
      }]
    }
  },
  {
    "code" : {
      "coding" : [{
        "system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
        "code" : "tumor.invasion.perineural"
      }]
    },
    "valueCodeableConcept" : {
      "coding" : [{
        "system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-tumor-pathology-presence-status",
        "code" : "not-identified",
        "display" : "not identified"
      }]
    }
  },
  {
    "code" : {
      "coding" : [{
        "system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
        "code" : "tumor.stage.pathologic.t"
      }]
    },
    "valueString" : "T1b"
  },
  {
    "code" : {
      "coding" : [{
        "system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
        "code" : "tumor.stage.pathologic.n"
      }]
    },
    "valueString" : "N3b"
  },
  {
    "code" : {
      "coding" : [{
        "system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
        "code" : "tumor.stage.pathologic.m"
      }]
    },
    "valueString" : "M0"
  },
  {
    "code" : {
      "coding" : [{
        "system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
        "code" : "tumor.stage.ajcc-edition"
      }]
    },
    "valueString" : "AJCC 8th Ed."
  },
  {
    "code" : {
      "coding" : [{
        "system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
        "code" : "tumor.lymph-node.positive-ratio"
      }]
    },
    "valueString" : "16/52"
  }]
}