FHIR IG analytics| Package | medmij.fhir.nl.r4.pathology |
| Resource Type | DiagnosticReport |
| Id | DiagnosticReport-Pathology-Report-Olivander.json |
| FHIR Version | R4 |
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FHIR
FHIRsmith{
"resourceType": "DiagnosticReport",
"id": "Pathology-Report-Olivander",
"meta": {
"tag": [
{
"code": "0388",
"system": "urn:oid:2.16.840.1.113883.2.4.6.7",
"display": "Medisch specialisten, pathologische anatomie"
}
],
"profile": [
"http://medmij.nl/fhir/StructureDefinition/path-Report"
]
},
"status": "final",
"category": [
{
"coding": [
{
"code": "108257001",
"system": "http://snomed.info/sct",
"display": "pathologisch-anatomische verrichting"
}
]
}
],
"code": {
"coding": [
{
"code": "252416005",
"system": "http://snomed.info/sct",
"display": "Histopathology test"
}
]
},
"text": {
"status": "generated",
"div": "<!-- snip (see above) -->"
},
"identifier": [
{
"system": "urn:oid:2.16.840.1.113883.2.4.3.23.3.3.1",
"value": "T26-60066"
}
],
"basedOn": [
{
"reference": "ServiceRequest/Pathology-Request-Olivander",
"display": "Request for Histopathology test"
}
],
"subject": {
"reference": "Patient/Pathology-Patient-Olivander",
"display": "G. Olivander"
},
"effectivePeriod": {
"start": "2026-02-03",
"end": "2026-02-03"
},
"resultsInterpreter": [
{
"reference": "PractitionerRole/Pathology-PractitionerRole-Oosting",
"display": "Jan Oosting, LUMC, patholoog"
}
],
"specimen": [
{
"reference": "Specimen/Pathology-Specimen-Olivander",
"display": "Colon Resectie"
}
],
"result": [
{
"reference": "Observation/Pathology-Observation-Olivander-ProtocolDataItem-1",
"display": "afstand van neoplasma tot dichtstbijzijnde snijvlak in preparaat van weefsel verkregen door excisie"
},
{
"reference": "Observation/Pathology-Observation-Olivander-ProtocolDataItem-2",
"display": "Type resectie"
},
{
"reference": "Observation/Pathology-Observation-Olivander-ProtocolDataItem-3",
"display": "status van ingroei van tumor rondom zenuw"
},
{
"reference": "Observation/Pathology-Observation-Olivander-ProtocolDataItem-4",
"display": "locatie van metastase op afstand"
},
{
"reference": "Observation/Pathology-Observation-Olivander-ProtocolDataItem-5",
"display": "status van intactheid van preparaat verkregen door resectie van mesocolon"
},
{
"reference": "Observation/Pathology-Observation-Olivander-ProtocolDataItem-6",
"display": "maligne tumor in anamnese"
},
{
"reference": "Observation/Pathology-Observation-Olivander-ProtocolDataItem-7",
"display": "Differentiatiegraad"
},
{
"reference": "Observation/Pathology-Observation-Olivander-ProtocolDataItem-8",
"display": "Type tumor"
},
{
"reference": "Observation/Pathology-Observation-Olivander-ProtocolDataItem-9",
"display": "Tumor budding"
},
{
"reference": "Observation/Pathology-Observation-Olivander-ProtocolDataItem-10",
"display": "Perforatie"
},
{
"reference": "Observation/Pathology-Observation-Olivander-ProtocolDataItem-11",
"display": "vriescoupetechniek"
},
{
"reference": "Observation/Pathology-Observation-Olivander-ProtocolDataItem-12",
"display": "Aspect tumor"
},
{
"reference": "Observation/Pathology-Observation-Olivander-ProtocolDataItem-13",
"display": "status van invasie van tumor in bloedvat"
},
{
"reference": "Observation/Pathology-Observation-Olivander-ProtocolDataItem-14",
"display": "preparaat van vriescoupe van lichaamsweefsel"
},
{
"reference": "Observation/Pathology-Observation-Olivander-ProtocolDataItem-15",
"display": "moleculaire diagnostiek"
},
{
"reference": "Observation/Pathology-Observation-Olivander-ProtocolDataItem-16",
"display": "Lymfocytaire infiltratie"
},
{
"reference": "Observation/Pathology-Observation-Olivander-ProtocolDataItem-17",
"display": "aantal lymfeklieren aangedaan door maligniteit"
},
{
"reference": "Observation/Pathology-Observation-Olivander-ProtocolDataItem-18",
"display": "Aantal tumordeposits"
},
{
"reference": "Observation/Pathology-Observation-Olivander-ProtocolDataItem-19",
"display": "Lengte preparaat"
},
{
"reference": "Observation/Pathology-Observation-Olivander-ProtocolDataItem-20",
"display": "Dichtstbijzijnde darmsnijvlak"
},
{
"reference": "Observation/Pathology-Observation-Olivander-ProtocolDataItem-21",
"display": "afstand van neoplasma tot dichtstbijzijnde radiaal snijvlak in biopt"
},
{
"reference": "Observation/Pathology-Observation-Olivander-ProtocolDataItem-22",
"display": "plaats van primaire tumor"
},
{
"reference": "Observation/Pathology-Observation-Olivander-ProtocolDataItem-23",
"display": "Tumor aanwezig"
},
{
"reference": "Observation/Pathology-Observation-Olivander-ProtocolDataItem-24",
"display": "aantal tumoren"
},
{
"reference": "Observation/Pathology-Observation-Olivander-ProtocolDataItem-25",
"display": "Diepste tumordoorgroei"
},
{
"reference": "Observation/Pathology-Observation-Olivander-ProtocolDataItem-26",
"display": "Retroperitoneaal klievingsvlak/radiaire snijvlak"
},
{
"reference": "Observation/Pathology-Observation-Olivander-ProtocolDataItem-27",
"display": "diagnose"
},
{
"reference": "Observation/Pathology-Observation-Olivander-ProtocolDataItem-28",
"display": "grootste lengte van tumor in preparaat verkregen door resectie"
},
{
"reference": "Observation/Pathology-Observation-Olivander-ProtocolDataItem-29",
"display": "Poliep(en)"
},
{
"reference": "Observation/Pathology-Observation-Olivander-ProtocolDataItem-30",
"display": "aantal onderzochte lymfeklieren"
},
{
"reference": "Observation/Pathology-Observation-Olivander-ProtocolDataItem-31",
"display": "Eerdere (neo-adjuvante) therapie"
},
{
"reference": "Observation/Pathology-Observation-Olivander-ProtocolDataItem-32",
"display": "Lokalisatie dichtstbijzijnde darmsnijvlak"
},
{
"reference": "Observation/Pathology-Observation-Olivander-ProtocolDataItem-33",
"display": "Onderzoek vermelden als"
},
{
"reference": "Observation/Pathology-Observation-Olivander-ProtocolDataItem-34",
"display": "obstructie-ileus van dunne darm gelijktijdig met en door impactie"
},
{
"reference": "Observation/Pathology-Observation-Olivander-ClinicalInformation",
"display": "Klinische gegevens"
},
{
"reference": "Observation/Pathology-Observation-Olivander-Macroscopy",
"display": "Macroscopie"
},
{
"reference": "Observation/Pathology-Observation-Olivander-Microscopy",
"display": "Microscopie"
}
],
"conclusion": "<div>Hemicolectomie links: type tumor (WHO):goed/matig gedifferentieerd (laaggradig) adenocarcinoom; maximale diameter tumor 3,0 cm; lokalisatie: colon descendens; diepste tumor doorgroei: submucosa.</div><div>Dichtstbijzijnde darmsnijvlak vrij (afstand >= 1 cm); retroperitoneaal klievingsvlak/radiaire snijvlak vrij (afstand 0,8 cm).</div><div>Angio-invasie: lymfvat invasie.</div><div>Perineurale invasie: niet aangetroffen.</div><div>Aantal lymfklieren: 15 waarvan met metastasen: 0.</div><div/><div/><div>TNM classificatie Colon en Rectum (9e editie UICC): pT1N0.</div><div>Patiënt is bekend met: morbus Crohn.</div>"
}