Développeurs

Six CRO sections that were exported as a raw client passthrough (incision, reconstructive, biopsies, biopsies_laparo, surgical_procedures_laparo, planned_treatment_laparo) plus hipec.details are now stable whitelisted structures: they always emit the same documented columns (null when absent) and match ExportSchemaRegistry::SCHEMA one-to-one. This removes the silent drift where real exports carried undocumented columns, omitted documented ones, and varied the column set from one patient to the next.

• operative_report.incision.* — full incision geometry now documented (was only 6 keys): approach/type/laterality with _fr/_en labels, midline_details, port_sites, port_site_other, trocar_config (+labels), trocar_count, mini_laparotomy(+details), robot_assisted(+details), other_description, pre_peritoneal, adhesiolysis, ascites_at_opening, ascites_quantity, comment.
• operative_report.reconstructive.* — anastomoses.[X], stomas.[X], urinary.[X] and matrix.[X] (prosthetic mesh) are now whitelisted object lists with bilingual labels; vascular_comment and global_comment added; UI-only DOM ids are no longer exported.
• operative_report.biopsies.* and operative_report.biopsies_laparo.* — biopsy sites and cytologies are emitted as stable structures; the scalar biopsies_laparo column becomes a structured object.
• operative_report.surgical_procedures_laparo.* and operative_report.planned_treatment_laparo.* — the two laparoscopy scalar columns are replaced by their documented field sets.
• operative_report.hipec.details.* — the HIPEC details sub-object is now a fixed whitelist (pathology, surgery, chemo, temp, duration, flow, volume) instead of a raw passthrough (only temp and duration were declared before).

Unresectability criteria fully rebuilt to the final surgical reference document: 30 criteria across peritoneal disease/organ resections, bulky nodes, distant/extra-peritoneal metastases and occult lesions. Criteria can now carry multi-option enumerations (pancreas head/body/tail, ureter thirds, vessel list, abdominal-wall side, small-bowel segments, duodenum parts), exported per item. The occult-lesions column is now emitted in its own criteria group.

• criteria.[].items.[].options — new per-item field: null when the criterion declares no option set, otherwise the list of selected option keys.
• criteria.[3] (occult_lesions) — the occult-lesions criteria group is now emitted in its own bucket (previously silently folded into non_resecability_reasons); criteria.[].key gains the value occult_lesions.
• Criteria set/grouping changed (data, not schema): the whole unresectability criteria set was rebuilt to the final medical document (22 peritoneal-disease / 5 nodal / 2 metastatic / 1 occult).

Unresectability criteria reworked: right/left laterality is now captured for the criteria that support it (ureter invasion, arterial/venous infiltration, massive diaphragm involvement) and exported as a per-item scalar enum. A "second, third and fourth part of duodenum" criterion is added and "Ureter(s) invasion" moves to the peritoneal-disease column.

• criteria.[].items.[].laterality — new per-item field: null when not applicable, otherwise one of right | left | bilateral.
• Criteria set/grouping changed (data, not schema): new "second, third and fourth part of duodenum" criterion; "Ureter(s) invasion" moved from the extra-peritoneal to the peritoneal-disease group.

PIPAC and HIPEC export now match their documented contract: hipec.performed is emitted (was stored but dropped), and the PIPAC section is a stable, documented structure (was passed through raw) enriched with the computed protocol label.

• operative_report.hipec.performed — now emitted (yes/no); previously documented but never produced.
• operative_report.pipac.* — PIPAC is no longer a raw passthrough. Documented keys: performed, context, chemo_details, protocol, protocol_label_fr, drug, dose, duration, comment. Newly exported: context, chemo_details, drug, duration; protocol_label_fr is now computed (was absent from the raw payload).

Imaging PCI morphology aligned with the "Lexicon of morphological terms on imaging": three MORPHEUS 2 terms (nodule, thickening_plaque, fat_infiltration) whose qualifier/complementary extras now drive auto-scoring. Infiltration is merged into the fat_infiltration term and the dedicated infiltration block is removed (BREAKING).

• pci_details.[X].infiltration.{present,retractile,diffuse_retractile} — REMOVED. Fat infiltration is now reported as the "fat_infiltration" term inside pci_details.[X].nodules.morpheus2 / morpheus_extras / morpheus_details (qualifiers fat_infiltration_q_focal | fat_infiltration_q_diffuse).
• pci_details.[X].nodules.morpheus2 — imaging value set replaced: the 9 legacy imaging terms give way to nodule, thickening_plaque, fat_infiltration. (Surgery terms unchanged.)
• pci_details.[X].nodules.morpheus_extras — new imaging qualifier/complementary values: nodule_q_{micronodule,nodule,mass}, nodule_c_{calcified,mucinous,cystic,scalloping}, thickening_plaque_q_{focal,diffuse}, thickening_plaque_c_{calcified,mucinous}, fat_infiltration_q_{focal,diffuse}, fat_infiltration_c_{calcified,mucinous}.

Residual PCI for incomplete cytoreductions, Aletti Surgical Complexity Score for ovarian cancer, and formal documentation of file metadata.

• scores.pci.residual.{applicable,total,max,regions_vector} — residual PCI after an incomplete cytoreduction (CC-1/2/3).
• scores.aletti_total, scores.aletti_complexity_class, scores.aletti_complexity_label — Aletti SCS (ovarian cancer evaluations only).
• aletti_details[] — per-category Aletti breakdown (ovarian cancer evaluations only).
• meta.generated_at, meta.version, meta.language_codes — file metadata now formally documented in the codebook.

Laparoscopy (PIPAC) workflow fields and patient sex.

• evaluation_meta.patient_sex, evaluation_meta.laparoscopy_chemo_name and related laparoscopy fields.
• operative_report.biopsies_laparo, surgical_procedures_laparo, planned_treatment_laparo.

Schéma reconstruit (cette version est antérieure au schéma machine-lisible ; reconstitué depuis l'historique des changements).

First versioned codebook of the structured surgery/imaging export.

• Initial published structure: evaluation_meta, scores, pci_details, fagotti, criteria and the full operative_report tree.

Téléchargements indisponibles : cette version est antérieure au schéma machine-lisible et ne peut être reconstituée de façon fiable.