- id: proc-1
date: 2024-01-15
name: Colonoscopy with biopsy
provider: Dr. James Martinez
indication: Evaluation of rectal bleeding and change in bowel habits
outcome: Large circumferential sigmoid mass identified and biopsied. Pathology confirmed moderately differentiated adenocarcinoma.
location: Springfield Endoscopy Center
- id: proc-2
date: 2024-03-18
name: CT Chest/Abdomen/Pelvis with contrast
provider: Dr. Michael Anderson
indication: Staging of newly diagnosed colorectal cancer
outcome: Primary sigmoid tumor with multiple hepatic metastases and bilateral pulmonary nodules. Stage IV disease.
location: Springfield Imaging Center
- id: proc-3
date: 2024-04-15
name: Port-a-cath placement
provider: Dr. Sarah Thompson
indication: Vascular access for chemotherapy administration
outcome: Successful placement of subcutaneous port in right chest wall. No complications.
location: Springfield Surgical Center
- id: proc-4
date: 2024-07-12
name: CT Chest/Abdomen/Pelvis with contrast
provider: Dr. Michael Anderson
indication: Response assessment after 6 cycles of chemotherapy
outcome: Partial response - reduction in size and number of hepatic lesions. Stable pulmonary nodules.
location: Springfield Imaging Center
- id: proc-5
date: 2024-09-08
name: Echocardiogram
provider: Dr. Lisa Chen
indication: Baseline cardiac assessment before bevacizumab initiation
outcome: Normal left ventricular function, EF 60%. No significant valvular disease. Cleared for bevacizumab therapy.
location: Springfield Cardiology Associates
- id: proc-6
date: 2024-11-18
name: CT Chest/Abdomen/Pelvis with contrast
provider: Dr. Michael Anderson
indication: Disease restaging due to rising tumor markers and symptoms
outcome: Progressive disease - increased hepatic metastases, new ascites, slight progression of lung nodules.
location: Springfield Imaging Center
- id: proc-7
date: 2024-11-22
name: Paracentesis
provider: Dr. Sarah Thompson
indication: Diagnostic tap for new-onset ascites
outcome: 500mL straw-colored fluid removed. Cytology positive for malignant cells consistent with metastatic adenocarcinoma.
location: Springfield Oncology Clinic