Cancer Pathology Data Sharing, published by HL7 International / Orders and Observations. This guide is not an authorized publication; it is the continuous build for version 1.0.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/cancer-reporting/ and changes regularly. See the Directory of published versions
Contents:
This page provides a list of the FHIR artifacts defined as part of this implementation guide.
The following artifacts define the specific capabilities that different types of systems are expected to have in order to comply with this implementation guide. Systems conforming to this implementation guide are expected to declare conformance to one or more of the following capability statements.
Central Cancer Registry Reporting Pathology EHR Capability Statement |
This profile defines the expected capabilities of the ''EHR'' actor when conforming to the Cancer Pathology Data Sharing IG. This role is responsible for allowing creation, modification and deletion of ServiceRequests that represent the request for Pathological analysis (and associated reports), and allows searching and retrieval of resources using US Core APIs. |
Pathology Laboratory Information System |
This profile defines the expected capabilities of the ''LIS'' actor when conforming to the Cancer Pathology Data Sharing Guide. This role is responsible for allowing creation, modification and deletion of DiagnosticReports and allows searching and retrieval of resources using US Core APIs. |
These define constraints on FHIR resources for systems conforming to this implementation guide.
IHE SDC/eCP on FHIR Observation |
This Observation Profile describes how to capture Question/Answer Pairs from IHE SDC. If the question is Multiselect multiple Observations with the same Question Code should be created. A section should also be represented as a grouping Observation. If the question has a follow up text or number entry field e.g. Other (Specify) the information from the textbox should be stored in the Observation.component.value, and the Observation.component.code should repeat the Observation.value as the sub-question. |
US Pathology Bundle |
This collection Bundle profile defines the structure for reporting to central cancer registry from a pathology environment and/or from an EHR enviroment. This profile is intended to be used for exchange of eCP data between LIS and EHR systems. |
US Pathology Composition Laboratory Report |
This Composition profile represents a Laboratory Report for the Clinical Pathology Data Sharing Implementation Guide. |
US Pathology Diagnostic Report |
This DiagnosticReport Profile captures data for a report parsed from an eCP Form. |
US Pathology Grouper Observation |
This Observation Profile describes how to represent a Section from IHE SDC as a 'grouper' Observation. It is a parent Observation and the Observation.value[x] element should be left blank. The Observation.code element should represent the Section's @ID and @title. |
US Pathology Related Practitioner Role |
This profile is built upon US Core PractitionerRole and defines pathology-related role codes for the following pathology-related practitioner roles included in NAACCR: Attending Doctor: PV1-7 Referring Doctor: PV1-8 Consulting Doctor: PV1-9 Admitting Doctor: PV1-17 Collecting Doctor: OBR-10 Ordering Doctor: OBR-16 Principal Results Interpretter: OBR-32 Pathology Responsible Observer: OBX-16 |
US Pathology Service Request |
This ServiceRequest profile represents the request for analysis of a pathological sample. |
US Pathology Specimen |
This Specimen profile defines a pathology specimen that is the focus of an eCP report. |
These define sets of codes used by systems conforming to this implementation guide.
US Pathology Provider Types |
This ValueSet is composed of HL7 ParticipationType codes (found in PV1) and concepts from Pathology Provider Types CodeSystem (found in OBR). |
US Pathology Section Codes |
This ValueSet is composed of Section codes. |
These define new code systems used by systems conforming to this implementation guide.
US Pathology Code System |
US Patholodgy Code System |
These are example instances that show what data produced and consumed by systems conforming with this implementation guide might look like.
Additional Findings Section |
Grouper Observation that represents the Additional Findings Section and contains Observation.hasMember Observations that represent the sub-questions of the section. |
Adrenal Specimen example |
Example of an Adrenal specimen |
Adrenalectomy Procedure Observation example |
This is an example of an adrenalectomy procedure observation. |
Case Summary Adrenal Gland example |
This is an example observation of the Case Summary for an Adrenal Gland Report. |
Case Summary Section |
Grouper Observation that represents the Case Summary Section |
Clinical History Observation example |
This is an example of an observation of clinical history. |
Clinical Section |
Grouper Observation that represents the Clinical Section and contains Observation.hasMember Observations that represent the sub-questions of the section. |
Comments Section |
Grouper Observation that represents the Comments Section and contains Observation.hasMember Observations that represent the sub-questions of the section. |
Composition - Adrenal Gland Pathology Report |
Composition - Adrenal Gland Pathology Report |
Distant Metastasis Observation example |
This is an example observation of distant metastasis which cannot be determined from the submitted specimen(s). |
Distant Metastasis Section |
Grouper Observation that represents the Distant Metastasis Section and contains Observation.hasMember Observations that represent the sub-questions of the section. |
Figo Stage Section |
Grouper Observation that represents the Figo Stage Section and contains Observation.hasMember Observations that represent the sub-questions of the section. |
Functional Status (Notes A,B) (select all that apply) example |
This is an example of an observation of Functional Status. |
Hisotologic Grade Observation example |
This is an example of an observation of histologic grade. |
Histologic Type Observation example |
This is an example of an observation of histologic type. |
Margins Section |
Grouper Observation that represents the margins Section and contains Observation.hasMember Observations that represent the sub-questions of the section. |
Next-of-Kin RelatedPerson example |
This example shows Next of Kin information in a RelatedPerson resource. |
Number of Lymph Nodes Examined example |
This is an example of a number of lymph nodes examined, regional lymph nodes observation. |
Number of Lymph Nodes Involved example |
This is an example of a number of lymph nodes involved, regional lymph nodes observation. |
Oncologist Practitioner example |
US Core Practitioner Oncologist example |
Oncologist PractitionerRole example |
US Core PractitionerRole example for an Oncologist |
Pathologist Practitioner example |
US Core Practitioner Pathologist example |
Pathology specimen collection procedure example |
This is an example of a surgical procedure to perform a resection of the left adrenal gland to collect a pathology specimen. |
Patient Age Group Observation example |
This is an example of a patient age group observation. |
Patient example |
US Core Patient example |
Primary Tumor Observation example |
This is an example of a primary tumor observation. |
Principal Pathology Lab example |
Example of a US Core Organization representing the principal pathology testing Lab organization. |
Redwood Women's Center, P.C. example |
Example of US Core Organization representing the clinical system which ordered the pathology testing and will receive the completed tests/observations. |
Regional Lymph Nodes Observation example |
This is an example of an observation of regional lymph nodes. |
Regional Lymph Nodes Section |
Grouper Observation that represents the Regional Lymph Nodes Section and contains Observation.hasMember Observations that represent the sub-questions of the section. |
Service Request - Cancer Pathology example |
This is an example of a pathology specimen collection ServiceRequest that references a related Encounter. |
Special Studies Section |
Grouper Observation that represents the Special Studies Section and contains Observation.hasMember Observations that represent the sub-questions of the section. |
Specimen Laterality Observation example |
This is an example of an observation of tumor specimen laterality. |
Specimen Section |
Grouper Observation that represents the Specimen Section and contains Observation.hasMember Observations that represent the sub-questions of the section. |
Surgeon Practitioner example |
US Core Practitioner surgeon example |
Surgeon PractitionerRole example |
US Core PractitionerRole example for a Surgeon |
TNM Descriptors Observation example |
This is an example of a TNM descriptors observation. |
Tumor Extension Observation example |
This is an example of a tumor extension observation. |
Tumor Invasion Observation example |
This is an example of a tumor invasion observation. |
Tumor Section |
Grouper Observation that represents the Tumor Section and contains Observation.hasMember Observations that represent the sub-questions of the section. |
Tumor Site Observation example |
This is an example of an observation of the location of a tumor. |
Tumor Size Observation example |
This is an example of a tumor size observation. |
Tumor Weight Observation example |
This is an example of tumor weight observation. |
US Pathologist PractitionerRole example |
US Core PractitionerRole example for a pathologist |
US Pathology Adrenal Gland DiagnosticReport example |
Example of a DiagnosticReport containing information regarding pathological testing and resulting observations |
US Pathology Encounter Specimen Collection example |
Example encounter in which a pathology specimen collection takes place. References ServiceRequest. |
US Pathology Exchange bundle example |
Inter-EHR Exchange Bundle profile representing HL7 Version 2.5.1 (V2.5.1) Messaging standard segment information as defined in NAACCR volume 5, version 5. |
Uninvolved by Tumor Margin Observation example |
This is an example of a margin uninvolved by tumor observation. |
pTNM Classification Section |
Grouper Observation that represents the pTNM Classification Section and contains Observation.hasMember Observations that represent the sub-questions of the section. |
These are resources that are used within this implementation guide that do not fit into one of the other categories.
expansion-parameters-fhir-cancer-ig |
Expansion parameters for the Cancer FHIR Path IG, which references US edition of SNOMED CT version in the parameters (http://snomed.info/sct/731000124108/731000124108). |