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

Contents:

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.

US Pathology Diagnostic Report

It is expected that labs will populate dateTimes with the most specific time information known when sending to EHRs (YYYY-MM-DD).
US Pathology Exchange Bundle

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

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.
US Pathology Related Practitioner Roles

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

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).

Example: Example Instances

These are example instances that show what data produced and consumed by systems conforming with this implementation guide might look like.

Adrenal Specimen example

Example of an Adrenal specimen
Adrenalectomy Procedure Observation example

This is an example of an adrenalectomy procedure observation.
Distant Metastasis Observation example

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

This example shows Next of Kin information in a RelatedPerson resource.
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 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.
Service Request - Cancer Pathology example

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

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

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).