Example: Structured Prostate Cancer Histopathology Report

NB. The Base64 PDF content in the example below has been cut. Refer to the following to link for a full example. 20180807 - ProstateExample3-PDF.ORU

MSH|^~\&|MOADLEDIT^MOADLEDIT:3.1.2 (Build 6381) [win32-i386]^L|Unassigned^8D9FE669-4710-455D-8B97-811508B616E7^GUID|||20161019162427+1100||ORU^R01^ORU_R01|XX10191624300-4735|P|2.4^AUS&Australia&ISO3166_1^HL7AU-OO-201701&&L|||AL|AL|AUS||en^English^ISO639
PID|1||||CITIZEN^GEORGE||19640701|M|||C/o Paradise Close^^NAR NAR GOON^VIC^3812^AUS
PV1|1|O|||||||419786CW^CRUICE^ANTHONY^^^DR^^^AUSHICPR^L^^^UPIN
ORC|RE||92D0CE50-173A-4A2F-A3B1-6165376F222B^Unassigned^8D9FE669-4710-455D-8B97-811508B616E7^GUID||CM|||||||419786CW^CRUICE^ANTHONY^^^DR^^^AUSHICPR^L^^^UPIN
OBR|1||92D0CE50-173A-4A2F-A3B1-6165376F222B^Unassigned^8D9FE669-4710-455D-8B97-811508B616E7^GUID|84908-3^Prostate Cancer Histopathology^LN||20161019+1100|20161019+1100|||||||||419786CW^CRUICE^ANTHONY^^^DR^^^AUSHICPR^L^^^UPIN||||LN=92D0CE50-173A-4A2F-A3B1-6165376F222B||201610191609+1100||PHY|F||^^^20161019+1100|419786CW^CRUICE^ANTHONY^^^DR^^^AUSHICPR^L^^^UPIN~921198YF^SMITH^MICHAEL^^^DR^^^AUSHICPR^L^^^UPIN
OBX|1|RP|60572-5^^LN^ENTRY^^EN 13606|1|CEN.RCPA-ProstateCancer_(Rad_Prostatectomy).v2^Prostate Cancer Histopathology&99A-F4ADB3A91A896333&L^TX^Octet-stream||||||F
OBX|2|CE|70949-3^^LN^CLUSTER^^EN 13606|1.1|70949-3^Clinical details^LN||||||F
OBX|3|ST|29306-8^Surgical procedure^LN|1.1.2|Radical prostatectomy||||||F
OBX|4|ST|55752-0^Clinical information^LN|1.1.4|PCa G6 - prostate and seminal vesicles - left and right pelvic nodes - pre-prostatic fat - left apical margin - left lateral margin||||||F
OBX|5|NM|2857-1^Pre-biopsy serum PSA^LN|1.1.6|5.9|ug/L^^ISO+|||||F
OBX|6|ST|LN-RCPA-00085^Relevant clinical information for clinicopathological staging^L|1.1.8|Core biopsy Gleason score: 3+3=6||||||F
OBX|7|ST|57723-9^Pathology accession number^LN|1.1.9|89470-15MP||||||F
OBX|8|ST|18600-7^Principal clinician^LN|1.1.10|Dr Smith||||||F
OBX|9|CE|70949-3^^LN^CLUSTER^^EN 13606|1.2|70949-3^Macroscopic findings^LN||||||F
OBX|10|NM|29638-4^Specimen weight^LN|1.2.1|60|g^^ISO+|||||F
OBX|11|CE|70949-3^^LN^CLUSTER^^EN 13606|1.2.2|LN-RCPA-00086^Specimen dimensions (prostate)^L||||||F
OBX|12|NM|LN-RCPA-00100^Length^L|1.2.2.1|51|mm^^ISO+|||||F
OBX|13|NM|LN-RCPA-00101^Width^L|1.2.2.2|47|mm^^ISO+|||||F
OBX|14|NM|LN-RCPA-00102^Thickness^L|1.2.2.3|42|mm^^ISO+|||||F
OBX|15|CE|LN-RCPA-00087^Seminal vesicles^L|1.2.3|at0196^Present^99A-F4ADB3A91A896333||||||F
OBX|16|CE|LN-RCPA-00088^Lymph nodes^L|1.2.4|52101004^Present^SCT||||||F
OBX|17|CE|20228-3^Laterality^LN|1.2.5|51440002^Bilateral^SCT||||||F
OBX|18|CE|70949-3^^LN^CLUSTER^^EN 13606|1.2.6.1|at0024^Site(s) and numbers of lymph nodes^99A-F4ADB3A91A896333||||||F
OBX|19|ST|39111-0^Site^LN|1.2.6.1.1|Left pelvic||||||F
OBX|20|NM|21894-1^Number of LNs from this site^LN|1.2.6.1.2|1||||||F
OBX|21|ST|39111-0^Site 2^LN|1.2.6.1.3|Right pelvic||||||F
OBX|22|NM|21894-1^Number of LNs from this site^LN|1.2.6.1.4|1||||||F
OBX|23|ST|22634-0^Additional macroscopic  comments^LN|1.2.8|Volume: 0.6cm3 (3D volume estimate method)||||||F
OBX|24|CE|70949-3^^LN^CLUSTER^^EN 13606|1.3|70949-3^Microscopic findings^LN||||||F
OBX|25|CE|44639-3^Histological tumour type^LN|1.3.1|45410002^Adenocarcinoma (Acinar, usual type)^SCT||||||F
OBX|26|CE|70949-3^^LN^CLUSTER^^EN 13606|1.3.4|at0093^Tumour location^99A-F4ADB3A91A896333||||||F
OBX|27|CE|70949-3^^LN^CLUSTER^^EN 13606|1.3.4.4|LN-RCPA-00092^Locations by quadrant^L||||||F
OBX|28|CE|264176005^Right anterior^SCT|1.3.4.4.1|31874001^Yes^SCT||||||F
OBX|29|CE|277593009^Right posterior^SCT|1.3.4.4.2|31874001^Yes^SCT||||||F
OBX|30|CE|264065008^Left anterior^SCT|1.3.4.4.3|31874001^Yes^SCT||||||F
OBX|31|CE|277594003^Left posterior^SCT|1.3.4.4.4|31874001^Yes^SCT||||||F
OBX|32|CE|70949-3^^LN^CLUSTER^^EN 13606|1.3.4.5|LN-RCPA-00090^Locations by plane^L||||||F
OBX|33|CE|68756004^Apex^SCT|1.3.4.5.1|64100000^No^SCT||||||F
OBX|34|CE|279704000^Mid^SCT|1.3.4.5.2|64100000^No^SCT||||||F
OBX|35|CE|36082003^Base of prostate^SCT|1.3.4.5.3|64100000^No^SCT||||||F
OBX|36|CE|70949-3^^LN^CLUSTER^^EN 13606|1.3.7|372278000^Histological tumour grade^SCT||||||F
OBX|37|NM|44641-9^Primary Gleason grade^LN|1.3.7.1|3||||||F
OBX|38|NM|44642-7^Secondary Gleason grade^LN|1.3.7.2|4||||||F
OBX|39|CE|385432009^Tertiary Gleason grade not applicable^SCT|1.3.7.4|64100000^No^SCT||||||F
OBX|40|FT|35266-6^Gleason score^LN^372278000^^SCT|1.3.7.5|3+4=7\.br\Composite Gleason Score (ISUP) 2005): 3+4=7 \.br\Index carcinoma score (ISUP 2005): 3+4=7 % \.br\High Grade (4/5): 5%. \.br\Intraduct carcinoma: Absent.||||||F
OBX|41|CE|LN-RCPA-00096^Extent^L|1.3.9|420366008^Focal^SCT||||||F
OBX|42|CE|70949-3^^LN^CLUSTER^^EN 13606|1.3.10|LN-RCPA-00095^Location(s) of EPE^L||||||F
OBX|43|CE|at0138^Lateral^99A-F4ADB3A91A896333|1.3.10.1|64100000^No^SCT||||||F
OBX|44|CE|at0139^Postero-lateral^99A-F4ADB3A91A896333|1.3.10.2|64100000^No^SCT||||||F
OBX|45|CE|at0140^Posterior^99A-F4ADB3A91A896333|1.3.10.3|64100000^No^SCT||||||F
OBX|46|CE|at0141^Anterior^99A-F4ADB3A91A896333|1.3.10.4|64100000^No^SCT||||||F
OBX|47|CE|at0142^Bladder neck^99A-F4ADB3A91A896333|1.3.10.5|64100000^No^SCT||||||F
OBX|48|CE|at0143^Apical^99A-F4ADB3A91A896333|1.3.10.6|64100000^No^SCT||||||F
OBX|49|CE|at0144^Other^99A-F4ADB3A91A896333|1.3.10.7|64100000^No^SCT||||||F
OBX|50|CE|44670-8^Margin status^LN|1.3.11|55182004^Not involved^SCT||||||F
OBX|51|CE|44626-0^Seminal vesicles^LN|1.3.16|at0160^Not involved^99A-F4ADB3A91A896333||||||F
OBX|52|CE|70949-3^^LN^CLUSTER^^EN 13606|1.3.19|23.02.28965^Lymph node status^RCPA||||||F
OBX|53|NM|44621-1^Number of lymph nodes examined^LN|1.3.19.1|1||||||F
OBX|54|NM|21893-3^Number of positive lymph nodes^LN|1.3.19.2|0||||||F
OBX|55|CE|59544-7^Lymphovascular invasion^LN|1.3.20|at0171^Not identified^99A-F4ADB3A91A896333||||||F
OBX|56|CE|70949-3^^LN^CLUSTER^^EN 13606|1.4|70949-3^Synthesis and overview^LN||||||F
OBX|57|CE|70949-3^^LN^CLUSTER^^EN 13606|1.4.1|21902-2^Pathological staging (AJCC 7th Ed)^LN||||||F
OBX|58|CE|21899-0^Primary tumour (T)^LN|1.4.1.1|at0176^T2  Organ Confined^L||||||F
OBX|59|CE|70949-3^^LN^CLUSTER^^EN 13606|1.4.2|67203-0^Year and edition of staging system^LN||||||F
OBX|60|ST|at0106^Year^99A-F4ADB3A91A896333|1.4.2.1|AJCC 2005||||||F
OBX|61|ST|at0107^Edition^99A-F4ADB3A91A896333|1.4.2.2|7th Ed||||||F
OBX|62|FT|34574-4^Diagnostic summary^LN|1.4.3|1. Radical prostatectomy: Prostatic adenocarcinoma \.br\2. Left pelvic lymph node: Fibradipose tissue only \.br\3. Right pelvic lymph node: No evidence of malignancy \.br\4. Periprostatic tissue: No evidence of malignancy \.br\5. Left apical margin: No evidence of mailgnancy 6. Left lateral margin: No evidence of malignancy||||||F
OBX|63|ED|PDF^Display format in PDF^AUSPDI||ECLIPSE&ECLIPSE:3.1.8 [win32-i386]&L^application^pdf^Base64^JVB...UlRU9GDQo=||||||F