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

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: DaType5HospTumorPathologyObservationExample - XML Representation

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