JanuSync Implementation Guide - Local Development build (v1.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

• Narrative Content
• XML
• JSON

: DaType5HospTumorPathologyObservationExample - JSON Representation

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{
  "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"
    }
  ]
}