Cancer Pathology Data Sharing
1.0.1 - STU 1.0.1 United States of America flag

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

Artifacts Summary

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

Behavior: Capability Statements

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.

Structures: Resource Profiles

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.

Terminology: Value Sets

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.

Terminology: Code Systems

These define new code systems used by systems conforming to this implementation guide.

US Pathology Code System

US Patholodgy Code System

Example: Example Instances

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.

Other

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).