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.

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.

This document 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.

This Composition profile represents a Laboratory Report for the Clinical Pathology Data Sharing Implementation Guide.

This DiagnosticReport Profile captures data for a report parsed from an eCP Form.

This Observation profile is inspired by the IHE SDC eCC Observation Profile. It adds category to differentiate Section and Question Observations. Section(s) contain one or more hasMember relationships to Questions, will not have a value element, and have no derivedFrom relationships. Questions have a derivedFrom relationship with Section AND contain EITHER a value element OR one or more hasMember relationships.

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

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

This Specimen profile defines a pathology specimen that is the focus of an eCP report.

This extension provides a reference to the DiagnosticReport instance that is associated with this Composition.

This ValueSet is composed of Answer codes.

This ValueSet is composed of Form codes.

This ValueSet is composed of Question codes.

This ValueSet is composed of Section codes.

This ValueSet is composed of form category codes.

This ValueSet is composed of HL7 ParticipationType codes (found in PV1) and concepts from Pathology Provider Types CodeSystem (found in OBR).

A CodeSystem for CAP eCC codes

US Patholodgy Code System

This is a child observation of a Tumor Size parent observation describing an additional tumor dimension.

This is an example of an observation of Additional Findings

Section Observation that represents the Additional Findings Section and contains Observation.hasMember Observations that represent the sub-questions of the section.

Example of Breast Biomarker Testing Performed on Previous Biopsy Observation

Example of a specimen from a breast tissue biopsy

This is an observation describing a procedure to excise breast tissue.

This is an example of a closest margin observation for invasive carcinoma.

Section Observation that represents the Comments Section and contains Observation.hasMember Observations that represent the sub-questions of the section.

Composition - Examination of Resection Specimens from Patients with Invasive Carcinoma of the Breast

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

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

Section Observation that represents the Distant Metastasis Section and contains Observation.hasMember Observations that represent the sub-questions of the section.

This is an observation describing the presence of ductal carcinoma in situ (DCIS).

Estrogen Receptor (ER) Status Observation Example

An observation describing the general tumor site.

This is an observation for glandular/tubular differentiation (score 2).

Example of HER2 (by immunohistochemistry) Observation

HER2 Observation Example

This is the main observation for histologic grade.

This is an example of an observation of histologic type.

Section Observation that represents the Lymph Nodes Section and contains Observation.hasMember Observations that represent the sub-questions of the section.

This is an example of a margin distance observation for invasive carcinoma.

This is an example of a margin status observation for invasive carcinoma.

Section Observation that represents the margins Section and contains Observation.hasMember Observations that represent the sub-questions of the section.

This is an observation for mitotic rate (score 1).

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

This is an observation for nuclear pleomorphism (score 2).

This is an example of the number of sentinel nodes exaamined.

An observation describing clock position in general.

US Core Practitioner Oncologist example

US Core PractitionerRole example for an Oncologist

This is an observation for the overall grade (Grade 1).

This is an example of an observation of PTNM Classification

US Core Practitioner Pathologist example

This is an example of a surgical procedure to perform a biopsy or excision of breast tissue to collect a pathology specimen.

US Core Patient example

Example of a US Core Organization representing the principal pathology testing Lab organization.

Example of US Core Organization representing the clinical system which ordered the pathology testing and will receive the completed tests/observations.

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

Section Observation that represents the Regional Lymph Nodes Section and contains Observation.hasMember Observations that represent the sub-questions of the section.

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

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

Estrogen Receptor (ER) Observation Example

Section Observation that represents the Special Studies Section and contains Observation.hasMember Observations that represent the sub-questions of the section.

An observation describing the specific clock position as 8 o'clock.

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

Section Observation that represents the Specimen Section and contains Observation.hasMember Observations that represent the sub-questions of the section.

US Core Practitioner surgeon example

US Core PractitionerRole example for a Surgeon

This is an example of a number of lymph nodes examined, regional lymph nodes observation.

This is an observation describing tumor extent.

This is an observation describing tumor focality.

Section Observation that represents the Tumor Section and contains Observation.hasMember Observations that represent the sub-questions of the section.

This is an observation describing the tumor size.

US Core PractitionerRole example for a pathologist

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

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

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

Section Observation that represents the pTNM Classification Section and contains Observation.hasMember Observations that represent the sub-questions of the section.