HL7 Australia Implementation Guide: home

RCPA Cancer Protocols IG (v0.1.0: Release 1 Draft). This is the current published version based on FHIR R3. See the Directory of published versions

Structured Cancer Reporting

Colorectal Report: Prostate Report:
Value Sets & Code Systems Testing Information


Welcome to the RCPA / HL7 Australia FHIR Implementation Guide. This implementation guide describes how to implement the RCPA/CAP structured cancer reporting protocols for data exchange.

This guide is solely concerned with the correct representation of the data elements, in order to support successful exchange of data after the protocols have been correctly followed by the clinical and pathology staff during the sampling.

The Royal College of Pathologists of Australasia (RCPA) has a number of projects running as part of the Pathology Information, Terminology and Units Standardisation (PITUS-15-16) Project. One of these projects (working group 5) is concerned with report modelling and in particular the development of structured cancer protocols. Two structured cancer protocols (https://www.rcpa.edu.au/Library/Practising-Pathology/Structured-Pathology-Reporting-of-Cancer/Cancer-Protocols) ie colorectal cancer and prostate cancer (radical prostatectomy), were chosen to pilot the development of FHIR artefacts.

Structured reporting aims to improve the completeness and usability of pathology reports for clinicians, and improve decision support for cancer treatment. The protocol provides the framework for the reporting of any colorectal cancer, whether as a minimum data set or fully comprehensive report. The colorectal cancer protocol is based on information contained within multiple international publications and datasets and has been developed in consultation with local practising pathologists, oncologists, surgeons, radiologists and interested national bodies.

It is envisaged these FHIR artefacts will be used in some example colorectal and prostate cancer (radical prostatectomy) pathology reports from public and private pathology providers. These trial reports will be sent to and consumed by selected cancer registries. It is envisaged this pilot project will determine a way forward for greater adoption of the use of structured cancer reporting and in particular the use of FHIR to facilitate this change. These preliminary cancer protocols (colorectal and prostate-radical prostatectomy) require further development of the terminology valuesets ie the next release (Sep 2016) of SNOMED CT-AU is expected to have more of the required result values.

These protocols (colorectal cancer and prostate-radical prostatectomy) are likely to be change to suit implementation when that occurs in H2 2016. These protocols are being developed for trial implementation at selected sites are are not yet suitable for wider consumption.

This implementation guide is developed as part of RCPA's PITUS 15-16 working group 5 project - Report Modelling.