Cancer Pathology Data Sharing
1.0.0 - STU1 United States of America flag

Cancer Pathology Data Sharing, published by HL7 Orders and Observations Work Group. This is not an authorized publication; it is the continuous build for version 1.0.0). This version is based on the current content of https://github.com/HL7/cancer-reporting/ and changes regularly. See the Directory of published versions

Artifacts Summary

This page provides a list of the FHIR artifacts defined as part of this implementation guide.

Registry Reporting Profiles

US Pathology MessageHeader

MessageHeader profile representing MSH segment (V2.5.1) information as defined in NAACCR volume 5, version 5

US Pathology Cancer Registry Reporting Bundle

This is an example of a US Pathology Reporting Bundle, which will wrap the US Pathology Message Header and US Pathology Registry Bundle for the purposes of reporting.

US Pathology Cancer Registry Content Bundle

Message Bundle profile representing HL7 Version 2.5.1 (V2.5.1) Messaging standard segment information as defined in NAACCR volume 5, version 5

EHR Exchange Profile

US Pathology ExchangeBundle

This collection bundle profile defines the structure for reporting to central cancer registry reporting from a pathology environment and/or from an EHR enviroment.

In order to properly process this transaction bundle, post to the root endpoint of the server (rather than the Bundle endpoint).

Note - US Core profiles are expected for Encounter, Organization, Patient, Practitioner, and Procedure, when such information is known to the source LIS.

Shared Profiles

US Pathology Specimen

Specimen profile representing SPM segment (V2.5.1) information as defined in NAACCR volume 5, version 5

US Pathology Service Request

ServiceRequest profile for the request for the analysis of a pathological sample.

US Pathology Related PractitionerRoles

PractitionerRole profile representing PV1 and OBR segment information (V2.5.1) as defined in NAACCR volume 5, version 5

US Pathology Diagnostic Report

DiagnosticReport profile representing OBR/OBX (V2.5.1) segment information as defined in NAACCR volume 5, version 5

Terminology

US Pathology Provider Types

Pathology-related Provider types

Bundle and MessageHeader Examples

US Pathology Cancer Registry Reporting Bundle (example)

Example of a cancer registry reporting (message) Bundle for a pathology condition. The first entry in this Bundle shall be the US Pathology MessageHeader and the second entry shall be a collection Bundle containing the pathology resulting information.

US Pathology Content bundle (example)

Bundle profile representing HL7 Version 2.5.1 (V2.5.1) Messaging standard segment information as defined in NAACCR volume 5, version 5.

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.

MessageHeader (example)

Example of a MessageHeader from a pathology environment into an EHR

DiagnosticReport, Specimen, and ServiceRequest Examples

US Pathology Adrenal DiagnosticReport (example)

Example of a DiagnosticReport containing information regarding pathological testing and resulting observations

Service Request - Cancer Pathology (example)

This is an example of a pathology specimen collection ServiceRequest that references a related Encounter.

Adrenal Specimen (example)

Example of an Adrenal specimen

Encounter, Observation, and Procedure Examples

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.

US Pathology Encounter Specimen Collection (example)

Example encounter in which a pathology specimen collection takes place. References ServiceRequest.

Tumor Invasion Observation (example)

This is an example of a tumor invasion observation.

Tumor Extension Observation (example)

This is an example of a tumor extension observation.

Tumor Size Observation (example)

This is an example of a tumor size observation.

Specimen Laterality Observation (example)

This is an example of an observation of tumor specimen laterality.

Tumor Site Observation (example)

This is an example of an observation of the location of a tumor.

Distant Metastasis Observation (example)

This is an example observation of distant metastasis which cannot be determined from the submitted specimen(s).

Tumor Weight Observation (example)

This is an example of tumor weight observation.

Histologic Type Observation (example)

This is an example of an observation of histologic type.

TNM Descriptors Observation (example)

This is an example of a TNM descriptors observation.

Hisotologic Grade Observation (example)

This is an example of an observation of histologic grade.

Adrenalectomy Procedure Observation (example)

This is an example of an adrenalectomy procedure observation.

Primary Tumor Observation (example)

This is an example of a primary tumor observation.

Regional Lymph Nodes Observation (example)

This is an example of an observation of regional lymph nodes.

Location, Patient, and PractitionerRole Examples

Patient (example)

US Core Patient example

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.

Surgeon Practitioner (example)

US Core Practitioner surgeon example

Pathologist Practitioner (example)

US Core Practitioner Pathologist example

Oncologist Practitioner (example)

US Core Practitioner Oncologist example

US Pathologist PractitionerRole (example)

US Core PractitionerRole example for a pathologist

Oncologist PractitionerRole (example)

US Core PractitionerRole example for an Oncologist

Surgeon PractitionerRole (example)

US Core PractitionerRole example for a Surgeon

Next-of-Kin RelatedPerson (example)

This example shows Next of Kin information in a RelatedPerson resource.

Other

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).

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.

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.