Cancer Pathology Data Sharing
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Cancer Pathology Data Sharing, published by . This is not an authorized publication; it is the continuous build for version 0.1.0). 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 Diagnostic Report

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

US Pathology Service Request

Example of a US Pathology Service Request

US Pathology Related Practitioner Roles

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

Terminology

US Pathology Provider Types

Pathology-related Provider types

Examples

MessageHeader (example)

Example of a MessageHeader from a pathology environment into an EHR

Bundle Pathology reporting bundle

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.

Bundle Pathology content bundle (example)

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

Bundle Pathology exchange bundle (example)

Example of an inter-EHR exchange transaction Bundle.

Patient (example)

US Core Patient 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.

US Pathology Adrenal DiagnosticReport (example)

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

Regional Lymph Nodes: None Submitted (example)

Example of SDC on FHIR Observation (general) of Regional Lymph Nodes: None Submitted

Tumor Weight: Specify Weight (g) (example)

Example of SDC on FHIR Observation (general) of Tumor Weight: Specify Weight (g)

Tumor Size: Greatest dimension in Centimeters (cm) (example)

Example of SDC on FHIR Observation (general) of Tumor Size: Greatest dimension in Centimeters (cm)

Tumor invasion (example)

Example of SDC on FHIR Observation (general) of Tumor invasion

TNM Descriptors

Example of SDC on FHIR Observation (general) of TNM Descriptors

Specimen Laterality: Bilateral (example)

Example of SDC on FHIR Observation (general) of Specimen Laterality: Bilateral

Regional Lymph Nodes (pN): pN0: No regional lymph node metastasis (example)

Example of SDC on FHIR Observation (general) of Regional Lymph Nodes (pN): pN0: No regional lymph node metastasis

Primary Tumor

Example of SDC on FHIR Observation (general) of Primary Tumor

Histologic Grade: High grade (example)

Example of SDC on FHIR Observation (general) of Histologic Grade: High grade

Adrenal Cortical Carcinoma (example)

Example of SDC on FHIR Observation (general) of Adrenal Cortical Carcinoma

Distant Metastasis (pM): Not applicable- pM cannot be determined from the submitted specimen(s) (example)

Example of SDC on FHIR Observation (general) of Distant Metastasis

Diaphragm

Example of SDC on FHIR Observation (general) of Diaphragm

Adrenal Gland (example)

Example of SDC on FHIR Observation (general) of Adrenal Gland

Adrenalectomy

Example of SDC on FHIR Observation (general) of Adrenalectomy

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 PractitionerRole (example)

Example of US Core PractitionerRole - Surgeon

Surgeon Practitioner (example)

Example of US Core Practitioner surgeon

Pathologist PractitionerRole (example)

Example of US Core PractitionerRole - Pathologist

Pathologist Practitioner (example)

example of US Core Practitioner Pathologist

Oncologist PractitionerRole (example)

Example of US Core PractitionerRole example - Oncologist

Oncologist Practitioner (example)

Example of US Core Practitioner Oncologist

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

US Pathology Encounter Specimen Collection (example)

Example of a pathology specimen collection in an Encounter

RelatedPerson - Pathology Next-of-kin (example)

Example of a RelatedPerson Next-of-kin connected to the Patient example above