bundle-us-pathology-exchange
type: Bundle
node role: treeRoot
id:
  v: bundle-us-pathology-exchange
meta:
  profile:
    v: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-bundle
    link: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-bundle
identifier:
  system:
    v: urn:ietf:rfc:3986
type:
  v: document
timestamp:
  v: 2024-12-05T18:05:57.689+00:00
entry:
  full url:
    v: http://hl7.org/fhir/us/cancer-reporting/Composition/composition-invasive-carcinoma-of-the-breast
  resource: composition-invasive-carcinoma-of-the-breast
entry:
  full url:
    v: http://hl7.org/fhir/us/cancer-reporting/DiagnosticReport/diagnosticreport-breast-invasive-carcinoma
  resource: diagnosticreport-breast-invasive-carcinoma
entry:
  full url:
    v: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-section-specimen
  resource: observation-section-specimen
entry:
  full url:
    v: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-section-tumor
  resource: observation-section-tumor
entry:
  full url:
    v: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-section-lymph-nodes
  resource: observation-section-lymph-nodes
entry:
  full url:
    v: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-section-margins
  resource: observation-section-margins
entry:
  full url:
    v: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-section-regional-lymph-nodes
  resource: observation-section-regional-lymph-nodes
entry:
  full url:
    v: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-section-distant-metastasis
  resource: observation-section-distant-metastasis
entry:
  full url:
    v: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-section-ptnm-classification
  resource: observation-section-ptnm-classification
entry:
  full url:
    v: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-section-additional-findings
  resource: observation-section-additional-findings
entry:
  full url:
    v: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-additional-findings-specify
  resource: observation-additional-findings-specify
entry:
  full url:
    v: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-section-special-studies
  resource: observation-section-special-studies
entry:
  full url:
    v: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-section-comments
  resource: observation-section-comments
entry:
  full url:
    v: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-procedure-breast-excision
  resource: observation-procedure-breast-excision
entry:
  full url:
    v: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-specimen-laterality
  resource: observation-specimen-laterality
entry:
  full url:
    v: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-tumor-site
  resource: observation-tumor-site
entry:
  full url:
    v: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-clock-position
  resource: observation-clock-position
entry:
  full url:
    v: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-clock-position-8
  resource: observation-clock-position-8
entry:
  full url:
    v: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-histologic-type
  resource: observation-histologic-type
entry:
  full url:
    v: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-histologic-grade
  resource: observation-histologic-grade
entry:
  full url:
    v: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-glandular-differentiation
  resource: observation-glandular-differentiation
entry:
  full url:
    v: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-nuclear-pleomorphism
  resource: observation-nuclear-pleomorphism
entry:
  full url:
    v: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-mitotic-rate
  resource: observation-mitotic-rate
entry:
  full url:
    v: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-overall-grade
  resource: observation-overall-grade
entry:
  full url:
    v: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-tumor-size
  resource: observation-tumor-size
entry:
  full url:
    v: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-additional-dimension
  resource: observation-additional-dimension
entry:
  full url:
    v: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-tumor-focality
  resource: observation-tumor-focality
entry:
  full url:
    v: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-ductal-carcinoma
  resource: observation-ductal-carcinoma
entry:
  full url:
    v: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-section-tumor-extent
  resource: observation-section-tumor-extent
entry:
  full url:
    v: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-margins-margin-status-for-invasive-carcinoma
  resource: observation-margins-margin-status-for-invasive-carcinoma
entry:
  full url:
    v: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-margins-distance-to-closest-margin
  resource: observation-margins-distance-to-closest-margin
entry:
  full url:
    v: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-margins-closest-margin-to-invasive-carcinoma
  resource: observation-margins-closest-margin-to-invasive-carcinoma
entry:
  full url:
    v: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-regional-lymph-node-status
  resource: observation-regional-lymph-node-status
entry:
  full url:
    v: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-regional-lymph-nodes-number-examined
  resource: observation-regional-lymph-nodes-number-examined
entry:
  full url:
    v: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-regional-lymph-nodes-number-sentinel
  resource: observation-regional-lymph-nodes-number-sentinel
entry:
  full url:
    v: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-distant-metastasis
  resource: observation-distant-metastasis
entry:
  full url:
    v: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-distant-metastasis-distant-sites
  resource: observation-distant-metastasis-distant-sites
entry:
  full url:
    v: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-ptnm-classification-pT-Category
  resource: observation-ptnm-classification-pT-Category
entry:
  full url:
    v: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-ptnm-classification-pN-Category
  resource: observation-ptnm-classification-pN-Category
entry:
  full url:
    v: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-special-studies-breast-biomarker
  resource: observation-special-studies-breast-biomarker
entry:
  full url:
    v: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-special-studies-estrogen-receptor
  resource: observation-special-studies-estrogen-receptor
entry:
  full url:
    v: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-special-studies-estrogen-receptor-status
  resource: observation-special-studies-estrogen-receptor-status
entry:
  full url:
    v: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-special-studies-her2
  resource: observation-special-studies-her2
entry:
  full url:
    v: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-special-studies-negative
  resource: observation-special-studies-negative
entry:
  full url:
    v: http://hl7.org/fhir/us/cancer-reporting/Specimen/specimen-breast
  resource: specimen-breast
entry:
  full url:
    v: http://hl7.org/fhir/us/cancer-reporting/Patient/patient-OakleyAnnie
  resource: patient-OakleyAnnie
entry:
  full url:
    v: http://hl7.org/fhir/us/cancer-reporting/Encounter/encounter-uspath-specimen-collection
  resource: encounter-uspath-specimen-collection

composition-invasive-carcinoma-of-the-breast
type: Composition
id:
  v: composition-invasive-carcinoma-of-the-breast
meta:
  profile:
    v: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-composition
    link: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-composition
text:
  status:
    v: extensions
  div: Generated Narrative: Composition composition-invasive-carcinoma-of-the-breast Profile: US Pathology Composition Laboratory Report Document DiagnosticReport Reference: Diagnostic Report for 'Pathology Synoptic report' for '->Annie Oakley' status: Final type: INVASIVE CARCINOMA OF THE BREAST: Biopsy encounter: Encounter: identifier = http://example.com/fhir/encounters#123; status = finished; class = inpatient encounter (ActCode[9.0.0]#IMP); type = Pathology consultation, comprehensive, records and specimen with report date: 2025-01-01 21:39:30+0000 author: Wise Owl title: INVASIVE CARCINOMA OF THE BREAST: Resection
extension:
  url:
    v: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/composition-diagnosticReportReference
  value: Reference
    link: http://hl7.org/fhir/us/cancer-reporting/DiagnosticReport/diagnosticreport-breast-invasive-carcinoma
    reference:
      v: DiagnosticReport/diagnosticreport-breast-invasive-carcinoma
status:
  v: final
type:
  coding:
    system:
      v: http://cap.org/eCC
    code:
      v: Breast.Invasive.Res.189_4.009.021.REL_sdcFDF
    display:
      v: INVASIVE CARCINOMA OF THE BREAST: Biopsy
subject:
  link: http://hl7.org/fhir/us/cancer-reporting/Patient/patient-OakleyAnnie
  reference:
    v: http://hl7.org/fhir/us/cancer-reporting/Patient/patient-OakleyAnnie
  display:
    v: Annie Oakley
encounter:
  link: http://hl7.org/fhir/us/cancer-reporting/Encounter/encounter-uspath-specimen-collection
  reference:
    v: http://hl7.org/fhir/us/cancer-reporting/Encounter/encounter-uspath-specimen-collection
date:
  v: 2025-01-01T21:39:30.000Z
author:
  link: http://hl7.org/fhir/us/cancer-reporting/PractitionerRole/practitionerrole-uspath-practitioner-oncologist
  reference:
    v: PractitionerRole/practitionerrole-uspath-practitioner-oncologist
  display:
    v: Wise Owl
title:
  v: INVASIVE CARCINOMA OF THE BREAST: Resection
section:
  title:
    v: INVASIVE CARCINOMA OF THE BREAST: Resection
  code:
    coding: https://loinc.org/rdf/26436-6
      system:
        v: http://loinc.org
      code:
        v: 26436-6
      display:
        v: Laboratory Studies (set)
  text:
    status:
      v: generated
    div: Specimen Procedure ✓ Needle biopsy __ Fine needle aspiration __ Other (specify): ___________________ __ Not specified Specimen Laterality __ Right ✓ Left __ Not specified +Tumor Site (select all that apply) __ Upper outer quadrant __ Lower outer quadrant __ Upper inner quadrant __ Lower inner quadrant __ Central __ Nipple ✓ Clock position Specify Clock Position (select all that apply) __ 1 o'clock __ 2 o'clock __ 3 o'clock __ 4 o'clock __ 5 o'clock __ 6 o'clock __ 7 o'clock ✓ 8 o'clock __ 9 o'clock __ 10 o'clock __ 11 o'clock __ 12 o'clock __ Specify distance from nipple in Centimeters (cm): _______________ cm __ Other (specify): ___________________ __ Not specified Histologic Type (Note A) __ No residual invasive carcinoma ✓ Invasive carcinoma of no special type (ductal) __ Micro-invasive carcinoma __ Invasive lobular carcinoma __ Invasive carcinoma with mixed ductal and lobular features __ Invasive carcinoma with features of (specify): ___________________ __ Tubular carcinoma __ Invasive cribriform carcinoma __ Mucinous carcinoma __ Invasive micropapillary carcinoma __ Apocrine adenocarcinoma __ Metaplastic carcinoma __ Encapsulated papillary carcinoma with invasion __ Solid papillary carcinoma with invasion __ Intraductal papillary adenocarcinoma with invasion __ Adenoid cystic carcinoma __ Neuroendocrine tumor __ Neuroendocrine carcinoma __ Invasive carcinoma, type cannot be determined: ___________________ __ Other histologic type not listed (specify): ___________________ __ Histologic Type Comment: ___________________ Histologic Grade (Nottingham Histologic Score) (required only if applicable) (Note B) __ Not applicable (no residual carcinoma or microinvasion only) ✓ Nottingham Score Glandular (Acinar) / Tubular Differentiation ✓ Score 1 (greater than 75% of tumor area forming glandular / tubular structures) __ Score 2 (10% to 75% of tumor area forming glandular / tubular structures) __ Score 3 (less than 10% of tumor area forming glandular / tubular structures…
  entry:
    link: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-section-specimen
    reference:
      v: Observation/observation-section-specimen

diagnosticreport-breast-invasive-carcinoma
type: us
type: DiagnosticReport
id:
  v: diagnosticreport-breast-invasive-carcinoma
meta:
  profile:
    v: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-diagnostic-report
    link: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-diagnostic-report
text:
  status:
    v: generated
  div: Generated Narrative: DiagnosticReport diagnosticreport-breast-invasive-carcinoma Profile: US Pathology Diagnostic Report Pathology Synoptic report (Pathology) Subject Annie Oakley Female, DoB: 1990-06-01 ( MRN: AlaskaDLN#abc123 (use: usual, )) When For 2025-03-18 21:39:30+0000 Performer PractitionerRole Primary Interpreter Identifier <a href="http://terminology.hl7.org/5.0.0/NamingSystem-CAPeCC.html" title=""The College of American Pathologists (CAP) eCC (electronic Cancer Checklists) enables pathologists to use the [CAP Cancer Protocols](https://www.cap.org/protocols-and-guidelines/cancer-reporting-tools/cancer-protocols) directly within their laboratory information system (LIS) workflow and to ensure that each report is completed with the necessary required elements. Most anatomic pathology (AP)-LIS vendors offer a CAP eCC synoptic module for reporting on surgical cancer resections and selected biopsies."#xD;#xA;#xD;#xA;"The CAP eCC is based on the [CAP Cancer Protocols](https://www.cap.org/protocols-and-guidelines/cancer-reporting-tools/cancer-protocols) and is produced under the guidance of the [CAP Pathology Electronic Reporting (PERT) Committee](https://www.cap.org/member-resources/councils-committees/pathology-electronic-reporting-pert-committee) along with close interaction and advisement of the [Cancer Committee](https://www.cap.org/member-resources/councils-committees/cancer-committee).#xD;#xA;#xD;#xA;The eCC is developed in collaboration with and partially underwritten by the Centers for Disease Control and Prevention (CDC). Additional collaborators include the American Joint Committee on Cancer (AJCC), Cancer Care Ontario (CCO), and the North American Association of Central Cancer Registries (NAACCR).#xD;#xA;#xD;#xA;The CAP currently is working with the [California Cancer Registry (CCR)](http://www.ccrcal.org/) to offer the benefits of the eCC to California laboratories. CCR and the CAP are seeking out laboratories interested in participating in an ongoi…
identifier:
  system:
    v: http://cap.org/eCC
based on:
  link: http://hl7.org/fhir/us/cancer-reporting/ServiceRequest/servicerequest-cancer-path
  reference:
    v: ServiceRequest/servicerequest-cancer-path
status:
  v: final
category:
  coding: LP7839-6
    system:
      v: http://loinc.org
    code:
      v: LP7839-6
    display:
      v: Pathology
code:
  coding: https://loinc.org/rdf/60568-3
    system:
      v: http://loinc.org
    code:
      v: 60568-3
    display:
      v: Pathology Synoptic report
subject:
  link: http://hl7.org/fhir/us/cancer-reporting/Patient/patient-OakleyAnnie
  reference:
    v: Patient/patient-OakleyAnnie
  display:
    v: Annie Oakley
encounter:
  link: http://hl7.org/fhir/us/cancer-reporting/Encounter/encounter-uspath-specimen-collection
  reference:
    v: Encounter/encounter-uspath-specimen-collection
effective: dateTime
  v: 2025-03-18T21:39:30.000Z
performer:
  link: http://hl7.org/fhir/us/cancer-reporting/PractitionerRole/practitionerrole-uspath-pathologist
  reference:
    v: PractitionerRole/practitionerrole-uspath-pathologist
results interpreter:
  link: http://hl7.org/fhir/us/cancer-reporting/PractitionerRole/practitionerrole-uspath-pathologist
  reference:
    v: PractitionerRole/practitionerrole-uspath-pathologist
specimen:
  link: http://hl7.org/fhir/us/cancer-reporting/Specimen/specimen-breast
  reference:
    v: Specimen/specimen-breast
result:
  link: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-section-specimen
  reference:
    v: Observation/observation-section-specimen
result:
  link: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-section-tumor
  reference:
    v: Observation/observation-section-tumor
result:
  link: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-section-tumor-extent
  reference:
    v: Observation/observation-section-tumor-extent
result:
  link: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-section-lymph-nodes
  reference:
    v: Observation/observation-section-lymph-nodes
result:
  link: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-section-margins
  reference:
    v: Observation/observation-section-margins
result:
  link: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-section-regional-lymph-nodes
  reference:
    v: Observation/observation-section-regional-lymph-nodes
result:
  link: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-section-distant-metastasis
  reference:
    v: Observation/observation-section-distant-metastasis
result:
  link: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-section-ptnm-classification
  reference:
    v: Observation/observation-section-ptnm-classification
result:
  link: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-section-additional-findings
  reference:
    v: Observation/observation-section-additional-findings
result:
  link: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-section-special-studies
  reference:
    v: Observation/observation-section-special-studies
result:
  link: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-section-comments
  reference:
    v: Observation/observation-section-comments
presented form:
  content type:
    v: application/xml

patient-OakleyAnnie
type: us
type: Patient
id:
  v: patient-OakleyAnnie
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient
    link: http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient
text:
  status:
    v: generated
  div: Generated Narrative: Patient patient-OakleyAnnie Profile: US Core Patient Profile Annie Oakley Female, DoB: 1990-06-01 ( MRN: AlaskaDLN#abc123 (use: usual, )) Other Ids: CaliforniaDLN/patient-OakleyAnnie SHID/12446 (use: usual, ) FHIR/66574567 (use: usual, ) Contact Detail ph: 1-(303)555-1212(Home) annie.oakley@example.com 4348 Main Street Denver CO 80111 US Links: Also see: RelatedPerson Bill Hickok
identifier:
  system:
    v: urn:oid:2.16.840.1.113883.4.3.6
  value:
    v: patient-OakleyAnnie
identifier:
  use:
    v: usual
  type:
    text:
      v: SHID
  system:
    v: https://www.example.org/hospital/smarthealthit
  value:
    v: 12446
identifier:
  use:
    v: usual
  type:
    text:
      v: FHIR
  system:
    v: http://example.com/FHIR/StructureDefinition/patient-fhir-id
  value:
    v: 66574567
identifier:
  use:
    v: usual
  type:
    text:
      v: MRN
  system:
    v: urn:oid:2.16.840.1.113883.4.3.2
  value:
    v: abc123
name:
  family:
    v: Oakley
  given:
    v: Annie
telecom:
  system:
    v: phone
  value:
    v: 1-(303)555-1212
  use:
    v: home
telecom:
  system:
    v: email
gender:
  v: female
birth date:
  v: 1990-06-01
address:
  line:
    v: 4348 Main Street
  city:
    v: Denver
  state:
    v: CO
  postal code:
    v: 80111
  country:
    v: US
link:
  other:
    link: http://hl7.org/fhir/us/cancer-reporting/RelatedPerson/relatedperson-pathology-next-of-kin
    reference:
      v: RelatedPerson/relatedperson-pathology-next-of-kin
  type:
    v: seealso

encounter-uspath-specimen-collection
type: us
type: Encounter
id:
  v: encounter-uspath-specimen-collection
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter|6.1.0
    link: 6.1
    link: .0
text:
  status:
    v: generated
  div: Generated Narrative: Encounter encounter-uspath-specimen-collection Profile: US Core Encounter Profileversion: null6.1.0) identifier: http://example.com/fhir/encounters/123 status: Finished class: ActCode IMP: inpatient encounter (version = 9.0.0 ) type: Pathology consultation, comprehensive, records and specimen with report subject: Annie Oakley Female, DoB: 1990-06-01 ( MRN: AlaskaDLN#abc123 (use: usual, )) basedOn: ServiceRequest Surgical pathology study participant individual: Practitioner Wise Owl participant individual: Practitioner Stains Alot
identifier:
  system:
    v: http://example.com/fhir/encounters
  value:
    v: 123
status:
  v: finished
class:
  system:
    v: http://terminology.hl7.org/CodeSystem/v3-ActCode
  version:
    v: 9.0.0
  code:
    v: IMP
  display:
    v: inpatient encounter
type:
  coding: http://snomed.info/id/726007
    system:
      v: http://snomed.info/sct
    code:
      v: 726007
    display:
      v: Pathology consultation, comprehensive, records and specimen with report
subject:
  link: http://hl7.org/fhir/us/cancer-reporting/Patient/patient-OakleyAnnie
  reference:
    v: Patient/patient-OakleyAnnie
based on:
  link: http://hl7.org/fhir/us/cancer-reporting/ServiceRequest/servicerequest-cancer-path
  reference:
    v: ServiceRequest/servicerequest-cancer-path
participant:
  individual:
    link: http://hl7.org/fhir/us/cancer-reporting/Practitioner/practitioner-oncologist
    reference:
      v: Practitioner/practitioner-oncologist
participant:
  individual:
    link: http://hl7.org/fhir/us/cancer-reporting/Practitioner/practitioner-pathologist
    reference:
      v: Practitioner/practitioner-pathologist

practitionerrole-uspath-practitioner-oncologist
type: us
type: PractitionerRole
id:
  v: practitionerrole-uspath-practitioner-oncologist
meta:
  profile:
    v: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-related-practitioner-role
    link: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-related-practitioner-role
text:
  status:
    v: generated
  div: Generated Narrative: PractitionerRole practitionerrole-uspath-practitioner-oncologist Profile: US Pathology Related Practitioner Role practitioner: Practitioner Wise Owl organization: Organization Redwood Women's Center, P.C. code: Ordering Provider telecom: ph: 720-242-5555
practitioner:
  link: http://hl7.org/fhir/us/cancer-reporting/Practitioner/practitioner-oncologist
  reference:
    v: Practitioner/practitioner-oncologist
organization:
  link: http://hl7.org/fhir/us/cancer-reporting/Organization/organization-Redwood-Womens-Center-PC
  reference:
    v: Organization/organization-Redwood-Womens-Center-PC
code:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/v2-0443
    version:
      v: 2.3.0
    code:
      v: OP
    display:
      v: Ordering Provider
telecom:
  system:
    v: phone
  value:
    v: 720-242-5555

observation-section-specimen
type: us
type: Observation
id:
  v: observation-section-specimen
meta:
  profile:
    v: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-observation
    link: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-observation
text:
  status:
    v: generated
  div: Generated Narrative: Observation observation-section-specimen Profile: US Pathology Observation identifier: <a href="http://terminology.hl7.org/5.0.0/NamingSystem-CAPeCC.html" title=""The College of American Pathologists (CAP) eCC (electronic Cancer Checklists) enables pathologists to use the [CAP Cancer Protocols](https://www.cap.org/protocols-and-guidelines/cancer-reporting-tools/cancer-protocols) directly within their laboratory information system (LIS) workflow and to ensure that each report is completed with the necessary required elements. Most anatomic pathology (AP)-LIS vendors offer a CAP eCC synoptic module for reporting on surgical cancer resections and selected biopsies."#xD;#xA;#xD;#xA;"The CAP eCC is based on the [CAP Cancer Protocols](https://www.cap.org/protocols-and-guidelines/cancer-reporting-tools/cancer-protocols) and is produced under the guidance of the [CAP Pathology Electronic Reporting (PERT) Committee](https://www.cap.org/member-resources/councils-committees/pathology-electronic-reporting-pert-committee) along with close interaction and advisement of the [Cancer Committee](https://www.cap.org/member-resources/councils-committees/cancer-committee).#xD;#xA;#xD;#xA;The eCC is developed in collaboration with and partially underwritten by the Centers for Disease Control and Prevention (CDC). Additional collaborators include the American Joint Committee on Cancer (AJCC), Cancer Care Ontario (CCO), and the North American Association of Central Cancer Registries (NAACCR).#xD;#xA;#xD;#xA;The CAP currently is working with the [California Cancer Registry (CCR)](http://www.ccrcal.org/) to offer the benefits of the eCC to California laboratories. CCR and the CAP are seeking out laboratories interested in participating in an ongoing project using the eCC to directly transfer cancer data to the central registry."#xD;#xA;#xD;#xA;"The CAP releases eCC templates on a rolling basis, coordinating as much as possible with the posting of new and revised [Cancer …
identifier:
  system:
    v: http://cap.org/eCC
status:
  v: final
category:
  coding:
    system:
      v: http://hl7.org/fhir/us/cancer-reporting/CodeSystem/us-pathology-codesystem
    code:
      v: SECTION
    display:
      v: Section
code:
  coding:
    system:
      v: http://cap.org/eCC
    code:
      v: 16182.100004300
    display:
      v: SPECIMEN
subject:
  link: http://hl7.org/fhir/us/cancer-reporting/Patient/patient-OakleyAnnie
  reference:
    v: Patient/patient-OakleyAnnie
effective: dateTime
  v: 2025-03-18
performer:
  link: http://hl7.org/fhir/us/cancer-reporting/Practitioner/practitioner-oncologist
  reference:
    v: Practitioner/practitioner-oncologist
has member:
  link: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-procedure-breast-excision
  reference:
    v: Observation/observation-procedure-breast-excision
has member:
  link: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-specimen-laterality
  reference:
    v: Observation/observation-specimen-laterality

servicerequest-cancer-path
type: us
type: ServiceRequest
id:
  v: servicerequest-cancer-path
meta:
  profile:
    v: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-service-request
    link: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-service-request
text:
  status:
    v: generated
  div: Generated Narrative: ServiceRequest servicerequest-cancer-path Profile: US Pathology Service Request status: Active intent: Order category: Pathology code: Surgical Pathology subject: Annie Oakley Female, DoB: 1990-06-01 ( MRN: AlaskaDLN#abc123 (use: usual, )) encounter: Encounter: identifier = http://example.com/fhir/encounters#123; status = finished; class = inpatient encounter (ActCode[9.0.0]#IMP); type = Pathology consultation, comprehensive, records and specimen with report occurrence: 2025-03-18 17:00:14-0500 requester: PractitionerRole Ordering Provider specimen: Specimen: identifier = https://www.example.org/some-lis/fhir/specimen-identifier-provisioner#987654321; accessionIdentifier = https://www.example.org/some-lis/fhir/specimen-identifier-provisioner#987654321X; type = Tissue specimen (specimen)
status:
  v: active
intent:
  v: order
category:
  coding: http://snomed.info/id/386053000
    system:
      v: http://snomed.info/sct
    code:
      v: 386053000
    display:
      v: Evaluation procedure (procedure)
  text:
    v: Pathology
code:
  coding: https://loinc.org/rdf/11529-5
    system:
      v: http://loinc.org
    code:
      v: 11529-5
    display:
      v: Surgical pathology study
  text:
    v: Surgical Pathology
subject:
  link: http://hl7.org/fhir/us/cancer-reporting/Patient/patient-OakleyAnnie
  reference:
    v: Patient/patient-OakleyAnnie
encounter:
  link: http://hl7.org/fhir/us/cancer-reporting/Encounter/encounter-uspath-specimen-collection
  reference:
    v: Encounter/encounter-uspath-specimen-collection
occurrence: dateTime
  v: 2025-03-18T17:00:14-05:00
requester:
  link: http://hl7.org/fhir/us/cancer-reporting/PractitionerRole/practitionerrole-uspath-surgeon
  reference:
    v: PractitionerRole/practitionerrole-uspath-surgeon
specimen:
  link: http://hl7.org/fhir/us/cancer-reporting/Specimen/specimen-breast
  reference:
    v: Specimen/specimen-breast

practitionerrole-uspath-pathologist
type: us
type: PractitionerRole
id:
  v: practitionerrole-uspath-pathologist
meta:
  profile:
    v: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-related-practitioner-role
    link: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-related-practitioner-role
text:
  status:
    v: generated
  div: Generated Narrative: PractitionerRole practitionerrole-uspath-pathologist Profile: US Pathology Related Practitioner Role practitioner: Practitioner Stains Alot organization: Organization Some Pathology Lab Name code: Primary Interpreter telecom: ph: 720-242-9999
practitioner:
  link: http://hl7.org/fhir/us/cancer-reporting/Practitioner/practitioner-pathologist
  reference:
    v: Practitioner/practitioner-pathologist
organization:
  link: http://hl7.org/fhir/us/cancer-reporting/Organization/organization-principal-pathology-lab
  reference:
    v: Organization/organization-principal-pathology-lab
code:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/v2-0443
    version:
      v: 2.3.0
    code:
      v: PI
    display:
      v: Primary Interpreter
telecom:
  system:
    v: phone
  value:
    v: 720-242-9999

specimen-breast
type: us
type: Specimen
id:
  v: specimen-breast
meta:
  profile:
    v: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-specimen
    link: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-specimen
text:
  status:
    v: generated
  div: Generated Narrative: Specimen specimen-breast Profile: US Pathology Specimen identifier: https://www.example.org/some-lis/fhir/specimen-identifier-provisioner/987654321 accessionIdentifier: https://www.example.org/some-lis/fhir/specimen-identifier-provisioner/987654321X type: Tissue specimen (specimen) request: ServiceRequest Surgical pathology study Collections - Collected[x] Method BodySite * 2025-03-18 17:00:14-0500 Excision (procedure) Right breast, 8 o'clock, 4 cm from nipple Containers - Identifier Type * https://www.example.org/some-lis/fhir/specimen-containerID-provisioner/123456789 Specimen container (physical object)
identifier:
  system:
    v: https://www.example.org/some-lis/fhir/specimen-identifier-provisioner
  value:
    v: 987654321
accession identifier:
  system:
    v: https://www.example.org/some-lis/fhir/specimen-identifier-provisioner
  value:
    v: 987654321X
type:
  coding: http://snomed.info/id/119376003
    system:
      v: http://snomed.info/sct
    code:
      v: 119376003
    display:
      v: Tissue specimen (specimen)
request:
  link: http://hl7.org/fhir/us/cancer-reporting/ServiceRequest/servicerequest-cancer-path
  reference:
    v: ServiceRequest/servicerequest-cancer-path
collection:
  collected: dateTime
    v: 2025-03-18T17:00:14-05:00
  method:
    coding: http://snomed.info/id/65801008
      system:
        v: http://snomed.info/sct
      code:
        v: 65801008
      display:
        v: Excision (procedure)
  body site:
    coding: http://snomed.info/id/76752008
      system:
        v: http://snomed.info/sct
      code:
        v: 76752008
      display:
        v: Breast structure (body structure)
    text:
      v: Right breast, 8 o'clock, 4 cm from nipple
container:
  identifier:
    system:
      v: https://www.example.org/some-lis/fhir/specimen-containerID-provisioner
    value:
      v: 123456789
  type:
    coding: http://snomed.info/id/434711009
      system:
        v: http://snomed.info/sct
      code:
        v: 434711009
      display:
        v: Specimen container (physical object)

observation-section-tumor
type: us
type: Observation
id:
  v: observation-section-tumor
meta:
  profile:
    v: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-observation
    link: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-observation
text:
  status:
    v: generated
  div: Generated Narrative: Observation observation-section-tumor Profile: US Pathology Observation identifier: <a href="http://terminology.hl7.org/5.0.0/NamingSystem-CAPeCC.html" title=""The College of American Pathologists (CAP) eCC (electronic Cancer Checklists) enables pathologists to use the [CAP Cancer Protocols](https://www.cap.org/protocols-and-guidelines/cancer-reporting-tools/cancer-protocols) directly within their laboratory information system (LIS) workflow and to ensure that each report is completed with the necessary required elements. Most anatomic pathology (AP)-LIS vendors offer a CAP eCC synoptic module for reporting on surgical cancer resections and selected biopsies."#xD;#xA;#xD;#xA;"The CAP eCC is based on the [CAP Cancer Protocols](https://www.cap.org/protocols-and-guidelines/cancer-reporting-tools/cancer-protocols) and is produced under the guidance of the [CAP Pathology Electronic Reporting (PERT) Committee](https://www.cap.org/member-resources/councils-committees/pathology-electronic-reporting-pert-committee) along with close interaction and advisement of the [Cancer Committee](https://www.cap.org/member-resources/councils-committees/cancer-committee).#xD;#xA;#xD;#xA;The eCC is developed in collaboration with and partially underwritten by the Centers for Disease Control and Prevention (CDC). Additional collaborators include the American Joint Committee on Cancer (AJCC), Cancer Care Ontario (CCO), and the North American Association of Central Cancer Registries (NAACCR).#xD;#xA;#xD;#xA;The CAP currently is working with the [California Cancer Registry (CCR)](http://www.ccrcal.org/) to offer the benefits of the eCC to California laboratories. CCR and the CAP are seeking out laboratories interested in participating in an ongoing project using the eCC to directly transfer cancer data to the central registry."#xD;#xA;#xD;#xA;"The CAP releases eCC templates on a rolling basis, coordinating as much as possible with the posting of new and revised [Cancer Pro…
identifier:
  system:
    v: http://cap.org/eCC
status:
  v: final
category:
  coding:
    system:
      v: http://hl7.org/fhir/us/cancer-reporting/CodeSystem/us-pathology-codesystem
    code:
      v: SECTION
    display:
      v: Section
code:
  coding:
    system:
      v: http://cap.org/eCC
    code:
      v: 16249.100004300
    display:
      v: TUMOR
subject:
  link: http://hl7.org/fhir/us/cancer-reporting/Patient/patient-OakleyAnnie
  reference:
    v: Patient/patient-OakleyAnnie
effective: dateTime
  v: 2024-12-05
performer:
  link: http://hl7.org/fhir/us/cancer-reporting/Practitioner/practitioner-oncologist
  reference:
    v: Practitioner/practitioner-oncologist
has member:
  link: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-tumor-site
  reference:
    v: Observation/observation-tumor-site
has member:
  link: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-histologic-type
  reference:
    v: Observation/observation-histologic-type
has member:
  link: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-histologic-grade
  reference:
    v: Observation/observation-histologic-grade
has member:
  link: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-tumor-size
  reference:
    v: Observation/observation-tumor-size
has member:
  link: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-tumor-focality
  reference:
    v: Observation/observation-tumor-focality
has member:
  link: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-ductal-carcinoma
  reference:
    v: Observation/observation-ductal-carcinoma

observation-section-tumor-extent
type: us
type: Observation
id:
  v: observation-section-tumor-extent
meta:
  profile:
    v: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-observation
    link: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-observation
text:
  status:
    v: generated
  div: Generated Narrative: Observation observation-section-tumor-extent Profile: US Pathology Observation identifier: <a href="http://terminology.hl7.org/5.0.0/NamingSystem-CAPeCC.html" title=""The College of American Pathologists (CAP) eCC (electronic Cancer Checklists) enables pathologists to use the [CAP Cancer Protocols](https://www.cap.org/protocols-and-guidelines/cancer-reporting-tools/cancer-protocols) directly within their laboratory information system (LIS) workflow and to ensure that each report is completed with the necessary required elements. Most anatomic pathology (AP)-LIS vendors offer a CAP eCC synoptic module for reporting on surgical cancer resections and selected biopsies."#xD;#xA;#xD;#xA;"The CAP eCC is based on the [CAP Cancer Protocols](https://www.cap.org/protocols-and-guidelines/cancer-reporting-tools/cancer-protocols) and is produced under the guidance of the [CAP Pathology Electronic Reporting (PERT) Committee](https://www.cap.org/member-resources/councils-committees/pathology-electronic-reporting-pert-committee) along with close interaction and advisement of the [Cancer Committee](https://www.cap.org/member-resources/councils-committees/cancer-committee).#xD;#xA;#xD;#xA;The eCC is developed in collaboration with and partially underwritten by the Centers for Disease Control and Prevention (CDC). Additional collaborators include the American Joint Committee on Cancer (AJCC), Cancer Care Ontario (CCO), and the North American Association of Central Cancer Registries (NAACCR).#xD;#xA;#xD;#xA;The CAP currently is working with the [California Cancer Registry (CCR)](http://www.ccrcal.org/) to offer the benefits of the eCC to California laboratories. CCR and the CAP are seeking out laboratories interested in participating in an ongoing project using the eCC to directly transfer cancer data to the central registry."#xD;#xA;#xD;#xA;"The CAP releases eCC templates on a rolling basis, coordinating as much as possible with the posting of new and revised [Can…
identifier:
  system:
    v: http://cap.org/eCC
status:
  v: final
category:
  coding:
    system:
      v: http://hl7.org/fhir/us/cancer-reporting/CodeSystem/us-pathology-codesystem
    code:
      v: SECTION
    display:
      v: Section
code:
  coding:
    system:
      v: http://cap.org/eCC
    code:
      v: 16403.100004300
    display:
      v: Tumor Extent (Note H)
subject:
  link: http://hl7.org/fhir/us/cancer-reporting/Patient/patient-OakleyAnnie
  reference:
    v: Patient/patient-OakleyAnnie
effective: Period
  start:
    v: 2025-03-18T14:52:02+00:00
performer:
  link: http://hl7.org/fhir/us/cancer-reporting/Practitioner/practitioner-oncologist
  reference:
    v: Practitioner/practitioner-oncologist
derived from:
  link: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-section-tumor
  reference:
    v: Observation/observation-section-tumor

observation-section-lymph-nodes
type: us
type: Observation
id:
  v: observation-section-lymph-nodes
meta:
  profile:
    v: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-observation
    link: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-observation
text:
  status:
    v: generated
  div: Generated Narrative: Observation observation-section-lymph-nodes Profile: US Pathology Observation identifier: <a href="http://terminology.hl7.org/5.0.0/NamingSystem-CAPeCC.html" title=""The College of American Pathologists (CAP) eCC (electronic Cancer Checklists) enables pathologists to use the [CAP Cancer Protocols](https://www.cap.org/protocols-and-guidelines/cancer-reporting-tools/cancer-protocols) directly within their laboratory information system (LIS) workflow and to ensure that each report is completed with the necessary required elements. Most anatomic pathology (AP)-LIS vendors offer a CAP eCC synoptic module for reporting on surgical cancer resections and selected biopsies."#xD;#xA;#xD;#xA;"The CAP eCC is based on the [CAP Cancer Protocols](https://www.cap.org/protocols-and-guidelines/cancer-reporting-tools/cancer-protocols) and is produced under the guidance of the [CAP Pathology Electronic Reporting (PERT) Committee](https://www.cap.org/member-resources/councils-committees/pathology-electronic-reporting-pert-committee) along with close interaction and advisement of the [Cancer Committee](https://www.cap.org/member-resources/councils-committees/cancer-committee).#xD;#xA;#xD;#xA;The eCC is developed in collaboration with and partially underwritten by the Centers for Disease Control and Prevention (CDC). Additional collaborators include the American Joint Committee on Cancer (AJCC), Cancer Care Ontario (CCO), and the North American Association of Central Cancer Registries (NAACCR).#xD;#xA;#xD;#xA;The CAP currently is working with the [California Cancer Registry (CCR)](http://www.ccrcal.org/) to offer the benefits of the eCC to California laboratories. CCR and the CAP are seeking out laboratories interested in participating in an ongoing project using the eCC to directly transfer cancer data to the central registry."#xD;#xA;#xD;#xA;"The CAP releases eCC templates on a rolling basis, coordinating as much as possible with the posting of new and revised [Canc…
identifier:
  system:
    v: http://cap.org/eCC
status:
  v: final
category:
  coding:
    system:
      v: http://hl7.org/fhir/us/cancer-reporting/CodeSystem/us-pathology-codesystem
    code:
      v: SECTION
    display:
      v: Section
code:
  coding:
    system:
      v: http://cap.org/eCC
    code:
      v: 868263.100004300
    display:
      v: Lymph Nodes
subject:
  link: http://hl7.org/fhir/us/cancer-reporting/Patient/patient-OakleyAnnie
  reference:
    v: Patient/patient-OakleyAnnie
effective: dateTime
  v: 2025-03-18
performer:
  link: http://hl7.org/fhir/us/cancer-reporting/Practitioner/practitioner-oncologist
  reference:
    v: Practitioner/practitioner-oncologist

observation-section-margins
type: us
type: Observation
id:
  v: observation-section-margins
meta:
  profile:
    v: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-observation
    link: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-observation
text:
  status:
    v: generated
  div: Generated Narrative: Observation observation-section-margins Profile: US Pathology Observation identifier: <a href="http://terminology.hl7.org/5.0.0/NamingSystem-CAPeCC.html" title=""The College of American Pathologists (CAP) eCC (electronic Cancer Checklists) enables pathologists to use the [CAP Cancer Protocols](https://www.cap.org/protocols-and-guidelines/cancer-reporting-tools/cancer-protocols) directly within their laboratory information system (LIS) workflow and to ensure that each report is completed with the necessary required elements. Most anatomic pathology (AP)-LIS vendors offer a CAP eCC synoptic module for reporting on surgical cancer resections and selected biopsies."#xD;#xA;#xD;#xA;"The CAP eCC is based on the [CAP Cancer Protocols](https://www.cap.org/protocols-and-guidelines/cancer-reporting-tools/cancer-protocols) and is produced under the guidance of the [CAP Pathology Electronic Reporting (PERT) Committee](https://www.cap.org/member-resources/councils-committees/pathology-electronic-reporting-pert-committee) along with close interaction and advisement of the [Cancer Committee](https://www.cap.org/member-resources/councils-committees/cancer-committee).#xD;#xA;#xD;#xA;The eCC is developed in collaboration with and partially underwritten by the Centers for Disease Control and Prevention (CDC). Additional collaborators include the American Joint Committee on Cancer (AJCC), Cancer Care Ontario (CCO), and the North American Association of Central Cancer Registries (NAACCR).#xD;#xA;#xD;#xA;The CAP currently is working with the [California Cancer Registry (CCR)](http://www.ccrcal.org/) to offer the benefits of the eCC to California laboratories. CCR and the CAP are seeking out laboratories interested in participating in an ongoing project using the eCC to directly transfer cancer data to the central registry."#xD;#xA;#xD;#xA;"The CAP releases eCC templates on a rolling basis, coordinating as much as possible with the posting of new and revised [Cancer P…
identifier:
  system:
    v: http://cap.org/eCC
status:
  v: final
category:
  coding:
    system:
      v: http://hl7.org/fhir/us/cancer-reporting/CodeSystem/us-pathology-codesystem
    code:
      v: SECTION
    display:
      v: Section
code:
  coding:
    system:
      v: http://cap.org/eCC
    code:
      v: 16567.100004300
    display:
      v: MARGINS (Note L)
subject:
  link: http://hl7.org/fhir/us/cancer-reporting/Patient/patient-OakleyAnnie
  reference:
    v: Patient/patient-OakleyAnnie
effective: dateTime
  v: 2025-03-18
performer:
  link: http://hl7.org/fhir/us/cancer-reporting/Practitioner/practitioner-oncologist
  reference:
    v: Practitioner/practitioner-oncologist
has member:
  link: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-margins-margin-status-for-invasive-carcinoma
  reference:
    v: Observation/observation-margins-margin-status-for-invasive-carcinoma

observation-section-regional-lymph-nodes
type: us
type: Observation
id:
  v: observation-section-regional-lymph-nodes
meta:
  profile:
    v: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-observation
    link: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-observation
text:
  status:
    v: generated
  div: Generated Narrative: Observation observation-section-regional-lymph-nodes Profile: US Pathology Observation identifier: <a href="http://terminology.hl7.org/5.0.0/NamingSystem-CAPeCC.html" title=""The College of American Pathologists (CAP) eCC (electronic Cancer Checklists) enables pathologists to use the [CAP Cancer Protocols](https://www.cap.org/protocols-and-guidelines/cancer-reporting-tools/cancer-protocols) directly within their laboratory information system (LIS) workflow and to ensure that each report is completed with the necessary required elements. Most anatomic pathology (AP)-LIS vendors offer a CAP eCC synoptic module for reporting on surgical cancer resections and selected biopsies."#xD;#xA;#xD;#xA;"The CAP eCC is based on the [CAP Cancer Protocols](https://www.cap.org/protocols-and-guidelines/cancer-reporting-tools/cancer-protocols) and is produced under the guidance of the [CAP Pathology Electronic Reporting (PERT) Committee](https://www.cap.org/member-resources/councils-committees/pathology-electronic-reporting-pert-committee) along with close interaction and advisement of the [Cancer Committee](https://www.cap.org/member-resources/councils-committees/cancer-committee).#xD;#xA;#xD;#xA;The eCC is developed in collaboration with and partially underwritten by the Centers for Disease Control and Prevention (CDC). Additional collaborators include the American Joint Committee on Cancer (AJCC), Cancer Care Ontario (CCO), and the North American Association of Central Cancer Registries (NAACCR).#xD;#xA;#xD;#xA;The CAP currently is working with the [California Cancer Registry (CCR)](http://www.ccrcal.org/) to offer the benefits of the eCC to California laboratories. CCR and the CAP are seeking out laboratories interested in participating in an ongoing project using the eCC to directly transfer cancer data to the central registry."#xD;#xA;#xD;#xA;"The CAP releases eCC templates on a rolling basis, coordinating as much as possible with the posting of new and revi…
identifier:
  system:
    v: http://cap.org/eCC
status:
  v: final
category:
  coding:
    system:
      v: http://hl7.org/fhir/us/cancer-reporting/CodeSystem/us-pathology-codesystem
    code:
      v: SECTION
    display:
      v: Section
code:
  coding:
    system:
      v: http://cap.org/eCC
    code:
      v: 16697.100004300
    display:
      v: REGIONAL LYMPH NODES (Note M)
subject:
  link: http://hl7.org/fhir/us/cancer-reporting/Patient/patient-OakleyAnnie
  reference:
    v: Patient/patient-OakleyAnnie
effective: dateTime
  v: 2025-03-18
performer:
  link: http://hl7.org/fhir/us/cancer-reporting/Practitioner/practitioner-oncologist
  reference:
    v: Practitioner/practitioner-oncologist
has member:
  link: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-regional-lymph-node-status
  reference:
    v: Observation/observation-regional-lymph-node-status

observation-section-distant-metastasis
type: us
type: Observation
id:
  v: observation-section-distant-metastasis
meta:
  profile:
    v: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-observation
    link: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-observation
text:
  status:
    v: generated
  div: Generated Narrative: Observation observation-section-distant-metastasis Profile: US Pathology Observation identifier: <a href="http://terminology.hl7.org/5.0.0/NamingSystem-CAPeCC.html" title=""The College of American Pathologists (CAP) eCC (electronic Cancer Checklists) enables pathologists to use the [CAP Cancer Protocols](https://www.cap.org/protocols-and-guidelines/cancer-reporting-tools/cancer-protocols) directly within their laboratory information system (LIS) workflow and to ensure that each report is completed with the necessary required elements. Most anatomic pathology (AP)-LIS vendors offer a CAP eCC synoptic module for reporting on surgical cancer resections and selected biopsies."#xD;#xA;#xD;#xA;"The CAP eCC is based on the [CAP Cancer Protocols](https://www.cap.org/protocols-and-guidelines/cancer-reporting-tools/cancer-protocols) and is produced under the guidance of the [CAP Pathology Electronic Reporting (PERT) Committee](https://www.cap.org/member-resources/councils-committees/pathology-electronic-reporting-pert-committee) along with close interaction and advisement of the [Cancer Committee](https://www.cap.org/member-resources/councils-committees/cancer-committee).#xD;#xA;#xD;#xA;The eCC is developed in collaboration with and partially underwritten by the Centers for Disease Control and Prevention (CDC). Additional collaborators include the American Joint Committee on Cancer (AJCC), Cancer Care Ontario (CCO), and the North American Association of Central Cancer Registries (NAACCR).#xD;#xA;#xD;#xA;The CAP currently is working with the [California Cancer Registry (CCR)](http://www.ccrcal.org/) to offer the benefits of the eCC to California laboratories. CCR and the CAP are seeking out laboratories interested in participating in an ongoing project using the eCC to directly transfer cancer data to the central registry."#xD;#xA;#xD;#xA;"The CAP releases eCC templates on a rolling basis, coordinating as much as possible with the posting of new and revise…
identifier:
  system:
    v: http://cap.org/eCC
status:
  v: final
category:
  coding:
    system:
      v: http://hl7.org/fhir/us/cancer-reporting/CodeSystem/us-pathology-codesystem
    code:
      v: SECTION
    display:
      v: Section
code:
  coding:
    system:
      v: http://cap.org/eCC
    code:
      v: 352333.100004300
    display:
      v: Distant Metastasis
subject:
  link: http://hl7.org/fhir/us/cancer-reporting/Patient/patient-OakleyAnnie
  reference:
    v: Patient/patient-OakleyAnnie
effective: dateTime
  v: 2025-03-18
performer:
  link: http://hl7.org/fhir/us/cancer-reporting/Practitioner/practitioner-oncologist
  reference:
    v: Practitioner/practitioner-oncologist
has member:
  link: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-distant-metastasis
  reference:
    v: Observation/observation-distant-metastasis

observation-section-ptnm-classification
type: us
type: Observation
id:
  v: observation-section-ptnm-classification
meta:
  profile:
    v: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-observation
    link: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-observation
text:
  status:
    v: generated
  div: Generated Narrative: Observation observation-section-ptnm-classification Profile: US Pathology Observation identifier: <a href="http://terminology.hl7.org/5.0.0/NamingSystem-CAPeCC.html" title=""The College of American Pathologists (CAP) eCC (electronic Cancer Checklists) enables pathologists to use the [CAP Cancer Protocols](https://www.cap.org/protocols-and-guidelines/cancer-reporting-tools/cancer-protocols) directly within their laboratory information system (LIS) workflow and to ensure that each report is completed with the necessary required elements. Most anatomic pathology (AP)-LIS vendors offer a CAP eCC synoptic module for reporting on surgical cancer resections and selected biopsies."#xD;#xA;#xD;#xA;"The CAP eCC is based on the [CAP Cancer Protocols](https://www.cap.org/protocols-and-guidelines/cancer-reporting-tools/cancer-protocols) and is produced under the guidance of the [CAP Pathology Electronic Reporting (PERT) Committee](https://www.cap.org/member-resources/councils-committees/pathology-electronic-reporting-pert-committee) along with close interaction and advisement of the [Cancer Committee](https://www.cap.org/member-resources/councils-committees/cancer-committee).#xD;#xA;#xD;#xA;The eCC is developed in collaboration with and partially underwritten by the Centers for Disease Control and Prevention (CDC). Additional collaborators include the American Joint Committee on Cancer (AJCC), Cancer Care Ontario (CCO), and the North American Association of Central Cancer Registries (NAACCR).#xD;#xA;#xD;#xA;The CAP currently is working with the [California Cancer Registry (CCR)](http://www.ccrcal.org/) to offer the benefits of the eCC to California laboratories. CCR and the CAP are seeking out laboratories interested in participating in an ongoing project using the eCC to directly transfer cancer data to the central registry."#xD;#xA;#xD;#xA;"The CAP releases eCC templates on a rolling basis, coordinating as much as possible with the posting of new and revis…
identifier:
  system:
    v: http://cap.org/eCC
status:
  v: final
category:
  coding:
    system:
      v: http://hl7.org/fhir/us/cancer-reporting/CodeSystem/us-pathology-codesystem
    code:
      v: SECTION
    display:
      v: Section
code:
  coding:
    system:
      v: http://cap.org/eCC
    code:
      v: 16717.100004300
    display:
      v: PATHOLOGIC STAGE CLASSIFICATION (pTNM, AJCC 8th Edition) (Note M)
subject:
  link: http://hl7.org/fhir/us/cancer-reporting/Patient/patient-OakleyAnnie
  reference:
    v: Patient/patient-OakleyAnnie
effective: dateTime
  v: 2025-03-18
performer:
  link: http://hl7.org/fhir/us/cancer-reporting/Practitioner/practitioner-oncologist
  reference:
    v: Practitioner/practitioner-oncologist
has member:
  link: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-ptnm-classification-pT-Category
  reference:
    v: Observation/observation-ptnm-classification-pT-Category
has member:
  link: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-ptnm-classification-pN-Category
  reference:
    v: Observation/observation-ptnm-classification-pN-Category

observation-section-additional-findings
type: us
type: Observation
id:
  v: observation-section-additional-findings
meta:
  profile:
    v: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-observation
    link: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-observation
text:
  status:
    v: generated
  div: Generated Narrative: Observation observation-section-additional-findings Profile: US Pathology Observation identifier: <a href="http://terminology.hl7.org/5.0.0/NamingSystem-CAPeCC.html" title=""The College of American Pathologists (CAP) eCC (electronic Cancer Checklists) enables pathologists to use the [CAP Cancer Protocols](https://www.cap.org/protocols-and-guidelines/cancer-reporting-tools/cancer-protocols) directly within their laboratory information system (LIS) workflow and to ensure that each report is completed with the necessary required elements. Most anatomic pathology (AP)-LIS vendors offer a CAP eCC synoptic module for reporting on surgical cancer resections and selected biopsies."#xD;#xA;#xD;#xA;"The CAP eCC is based on the [CAP Cancer Protocols](https://www.cap.org/protocols-and-guidelines/cancer-reporting-tools/cancer-protocols) and is produced under the guidance of the [CAP Pathology Electronic Reporting (PERT) Committee](https://www.cap.org/member-resources/councils-committees/pathology-electronic-reporting-pert-committee) along with close interaction and advisement of the [Cancer Committee](https://www.cap.org/member-resources/councils-committees/cancer-committee).#xD;#xA;#xD;#xA;The eCC is developed in collaboration with and partially underwritten by the Centers for Disease Control and Prevention (CDC). Additional collaborators include the American Joint Committee on Cancer (AJCC), Cancer Care Ontario (CCO), and the North American Association of Central Cancer Registries (NAACCR).#xD;#xA;#xD;#xA;The CAP currently is working with the [California Cancer Registry (CCR)](http://www.ccrcal.org/) to offer the benefits of the eCC to California laboratories. CCR and the CAP are seeking out laboratories interested in participating in an ongoing project using the eCC to directly transfer cancer data to the central registry."#xD;#xA;#xD;#xA;"The CAP releases eCC templates on a rolling basis, coordinating as much as possible with the posting of new and revis…
identifier:
  system:
    v: http://cap.org/eCC
status:
  v: final
category:
  coding:
    system:
      v: http://hl7.org/fhir/us/cancer-reporting/CodeSystem/us-pathology-codesystem
    code:
      v: SECTION
    display:
      v: Section
code:
  coding:
    system:
      v: http://cap.org/eCC
    code:
      v: 16782.100004300
    display:
      v: ADDITIONAL FINDINGS (Note N)
subject:
  link: http://hl7.org/fhir/us/cancer-reporting/Patient/patient-OakleyAnnie
  reference:
    v: Patient/patient-OakleyAnnie
effective: dateTime
  v: 2025-03-18
performer:
  link: http://hl7.org/fhir/us/cancer-reporting/Practitioner/practitioner-oncologist
  reference:
    v: Practitioner/practitioner-oncologist
has member:
  link: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-additional-findings-specify
  reference:
    v: Observation/observation-additional-findings-specify

observation-section-special-studies
type: us
type: Observation
id:
  v: observation-section-special-studies
meta:
  profile:
    v: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-observation
    link: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-observation
text:
  status:
    v: generated
  div: Generated Narrative: Observation observation-section-special-studies Profile: US Pathology Observation identifier: <a href="http://terminology.hl7.org/5.0.0/NamingSystem-CAPeCC.html" title=""The College of American Pathologists (CAP) eCC (electronic Cancer Checklists) enables pathologists to use the [CAP Cancer Protocols](https://www.cap.org/protocols-and-guidelines/cancer-reporting-tools/cancer-protocols) directly within their laboratory information system (LIS) workflow and to ensure that each report is completed with the necessary required elements. Most anatomic pathology (AP)-LIS vendors offer a CAP eCC synoptic module for reporting on surgical cancer resections and selected biopsies."#xD;#xA;#xD;#xA;"The CAP eCC is based on the [CAP Cancer Protocols](https://www.cap.org/protocols-and-guidelines/cancer-reporting-tools/cancer-protocols) and is produced under the guidance of the [CAP Pathology Electronic Reporting (PERT) Committee](https://www.cap.org/member-resources/councils-committees/pathology-electronic-reporting-pert-committee) along with close interaction and advisement of the [Cancer Committee](https://www.cap.org/member-resources/councils-committees/cancer-committee).#xD;#xA;#xD;#xA;The eCC is developed in collaboration with and partially underwritten by the Centers for Disease Control and Prevention (CDC). Additional collaborators include the American Joint Committee on Cancer (AJCC), Cancer Care Ontario (CCO), and the North American Association of Central Cancer Registries (NAACCR).#xD;#xA;#xD;#xA;The CAP currently is working with the [California Cancer Registry (CCR)](http://www.ccrcal.org/) to offer the benefits of the eCC to California laboratories. CCR and the CAP are seeking out laboratories interested in participating in an ongoing project using the eCC to directly transfer cancer data to the central registry."#xD;#xA;#xD;#xA;"The CAP releases eCC templates on a rolling basis, coordinating as much as possible with the posting of new and revised […
identifier:
  system:
    v: http://cap.org/eCC
status:
  v: final
category:
  coding:
    system:
      v: http://hl7.org/fhir/us/cancer-reporting/CodeSystem/us-pathology-codesystem
    code:
      v: SECTION
    display:
      v: Section
code:
  coding:
    system:
      v: http://cap.org/eCC
    code:
      v: 17834.100004300
    display:
      v: SPECIAL STUDIES
subject:
  link: http://hl7.org/fhir/us/cancer-reporting/Patient/patient-OakleyAnnie
  reference:
    v: Patient/patient-OakleyAnnie
effective: dateTime
  v: 2025-03-18
performer:
  link: http://hl7.org/fhir/us/cancer-reporting/Practitioner/practitioner-oncologist
  reference:
    v: Practitioner/practitioner-oncologist
has member:
  link: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-special-studies-breast-biomarker
  reference:
    v: Observation/observation-special-studies-breast-biomarker

observation-section-comments
type: us
type: Observation
id:
  v: observation-section-comments
meta:
  profile:
    v: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-observation
    link: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-observation
text:
  status:
    v: generated
  div: Generated Narrative: Observation observation-section-comments Profile: US Pathology Observation identifier: <a href="http://terminology.hl7.org/5.0.0/NamingSystem-CAPeCC.html" title=""The College of American Pathologists (CAP) eCC (electronic Cancer Checklists) enables pathologists to use the [CAP Cancer Protocols](https://www.cap.org/protocols-and-guidelines/cancer-reporting-tools/cancer-protocols) directly within their laboratory information system (LIS) workflow and to ensure that each report is completed with the necessary required elements. Most anatomic pathology (AP)-LIS vendors offer a CAP eCC synoptic module for reporting on surgical cancer resections and selected biopsies."#xD;#xA;#xD;#xA;"The CAP eCC is based on the [CAP Cancer Protocols](https://www.cap.org/protocols-and-guidelines/cancer-reporting-tools/cancer-protocols) and is produced under the guidance of the [CAP Pathology Electronic Reporting (PERT) Committee](https://www.cap.org/member-resources/councils-committees/pathology-electronic-reporting-pert-committee) along with close interaction and advisement of the [Cancer Committee](https://www.cap.org/member-resources/councils-committees/cancer-committee).#xD;#xA;#xD;#xA;The eCC is developed in collaboration with and partially underwritten by the Centers for Disease Control and Prevention (CDC). Additional collaborators include the American Joint Committee on Cancer (AJCC), Cancer Care Ontario (CCO), and the North American Association of Central Cancer Registries (NAACCR).#xD;#xA;#xD;#xA;The CAP currently is working with the [California Cancer Registry (CCR)](http://www.ccrcal.org/) to offer the benefits of the eCC to California laboratories. CCR and the CAP are seeking out laboratories interested in participating in an ongoing project using the eCC to directly transfer cancer data to the central registry."#xD;#xA;#xD;#xA;"The CAP releases eCC templates on a rolling basis, coordinating as much as possible with the posting of new and revised [Cancer …
identifier:
  system:
    v: http://cap.org/eCC
status:
  v: final
category:
  coding:
    system:
      v: http://hl7.org/fhir/us/cancer-reporting/CodeSystem/us-pathology-codesystem
    code:
      v: SECTION
    display:
      v: Section
code:
  coding:
    system:
      v: http://cap.org/eCC
    code:
      v: 381061.100004300
    display:
      v: COMMENTS
subject:
  link: http://hl7.org/fhir/us/cancer-reporting/Patient/patient-OakleyAnnie
  reference:
    v: Patient/patient-OakleyAnnie
effective: dateTime
  v: 2025-03-18
performer:
  link: http://hl7.org/fhir/us/cancer-reporting/Practitioner/practitioner-oncologist
  reference:
    v: Practitioner/practitioner-oncologist

practitioner-oncologist
type: us
type: Practitioner
id:
  v: practitioner-oncologist
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner
    link: http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner
text:
  status:
    v: generated
  div: Generated Narrative: Practitioner practitioner-oncologist Profile: US Core Practitioner Profile identifier: NPI/1234567893 name: Wise Owl
identifier:
  system:
    v: http://hl7.org/fhir/sid/us-npi
  value:
    v: 1234567893
name:
  family:
    v: Owl
  given:
    v: Wise

observation-procedure-breast-excision
type: us
type: Observation
id:
  v: observation-procedure-breast-excision
meta:
  profile:
    v: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-observation
    link: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-observation
text:
  status:
    v: generated
  div: Generated Narrative: Observation observation-procedure-breast-excision Profile: US Pathology Observation identifier: <a href="http://terminology.hl7.org/5.0.0/NamingSystem-CAPeCC.html" title=""The College of American Pathologists (CAP) eCC (electronic Cancer Checklists) enables pathologists to use the [CAP Cancer Protocols](https://www.cap.org/protocols-and-guidelines/cancer-reporting-tools/cancer-protocols) directly within their laboratory information system (LIS) workflow and to ensure that each report is completed with the necessary required elements. Most anatomic pathology (AP)-LIS vendors offer a CAP eCC synoptic module for reporting on surgical cancer resections and selected biopsies."#xD;#xA;#xD;#xA;"The CAP eCC is based on the [CAP Cancer Protocols](https://www.cap.org/protocols-and-guidelines/cancer-reporting-tools/cancer-protocols) and is produced under the guidance of the [CAP Pathology Electronic Reporting (PERT) Committee](https://www.cap.org/member-resources/councils-committees/pathology-electronic-reporting-pert-committee) along with close interaction and advisement of the [Cancer Committee](https://www.cap.org/member-resources/councils-committees/cancer-committee).#xD;#xA;#xD;#xA;The eCC is developed in collaboration with and partially underwritten by the Centers for Disease Control and Prevention (CDC). Additional collaborators include the American Joint Committee on Cancer (AJCC), Cancer Care Ontario (CCO), and the North American Association of Central Cancer Registries (NAACCR).#xD;#xA;#xD;#xA;The CAP currently is working with the [California Cancer Registry (CCR)](http://www.ccrcal.org/) to offer the benefits of the eCC to California laboratories. CCR and the CAP are seeking out laboratories interested in participating in an ongoing project using the eCC to directly transfer cancer data to the central registry."#xD;#xA;#xD;#xA;"The CAP releases eCC templates on a rolling basis, coordinating as much as possible with the posting of new and revised…
identifier:
  system:
    v: http://cap.org/eCC
status:
  v: final
category:
  coding:
    system:
      v: http://hl7.org/fhir/us/cancer-reporting/CodeSystem/us-pathology-codesystem
    code:
      v: QUESTION
    display:
      v: Question
code:
  coding:
    system:
      v: http://cap.org/eCC
    code:
      v: 58807.100004300
    display:
      v: Procedure (Note A)
  coding: http://snomed.info/id/2620001000004108
    system:
      v: http://snomed.info/sct
    code:
      v: 2620001000004108
    display:
      v: Specimen collection procedure (observable entity)
subject:
  link: http://hl7.org/fhir/us/cancer-reporting/Patient/patient-OakleyAnnie
  reference:
    v: Patient/patient-OakleyAnnie
effective: Period
  start:
    v: 2025-03-18T14:52:02+00:00
performer:
  link: http://hl7.org/fhir/us/cancer-reporting/Practitioner/practitioner-oncologist
  reference:
    v: Practitioner/practitioner-oncologist
value: CodeableConcept
  coding:
    system:
      v: http://cap.org/eCC
    code:
      v: 40307.100004300
    display:
      v: Excision (less than total mastectomy)
  coding: http://snomed.info/id/1231734007
    system:
      v: http://snomed.info/sct
    code:
      v: 1231734007
    display:
      v: Excision of breast (procedure)
derived from:
  link: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-section-specimen
  reference:
    v: Observation/observation-section-specimen

observation-specimen-laterality
type: us
type: Observation
id:
  v: observation-specimen-laterality
meta:
  profile:
    v: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-observation
    link: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-observation
text:
  status:
    v: generated
  div: Generated Narrative: Observation observation-specimen-laterality Profile: US Pathology Observation identifier: <a href="http://terminology.hl7.org/5.0.0/NamingSystem-CAPeCC.html" title=""The College of American Pathologists (CAP) eCC (electronic Cancer Checklists) enables pathologists to use the [CAP Cancer Protocols](https://www.cap.org/protocols-and-guidelines/cancer-reporting-tools/cancer-protocols) directly within their laboratory information system (LIS) workflow and to ensure that each report is completed with the necessary required elements. Most anatomic pathology (AP)-LIS vendors offer a CAP eCC synoptic module for reporting on surgical cancer resections and selected biopsies."#xD;#xA;#xD;#xA;"The CAP eCC is based on the [CAP Cancer Protocols](https://www.cap.org/protocols-and-guidelines/cancer-reporting-tools/cancer-protocols) and is produced under the guidance of the [CAP Pathology Electronic Reporting (PERT) Committee](https://www.cap.org/member-resources/councils-committees/pathology-electronic-reporting-pert-committee) along with close interaction and advisement of the [Cancer Committee](https://www.cap.org/member-resources/councils-committees/cancer-committee).#xD;#xA;#xD;#xA;The eCC is developed in collaboration with and partially underwritten by the Centers for Disease Control and Prevention (CDC). Additional collaborators include the American Joint Committee on Cancer (AJCC), Cancer Care Ontario (CCO), and the North American Association of Central Cancer Registries (NAACCR).#xD;#xA;#xD;#xA;The CAP currently is working with the [California Cancer Registry (CCR)](http://www.ccrcal.org/) to offer the benefits of the eCC to California laboratories. CCR and the CAP are seeking out laboratories interested in participating in an ongoing project using the eCC to directly transfer cancer data to the central registry."#xD;#xA;#xD;#xA;"The CAP releases eCC templates on a rolling basis, coordinating as much as possible with the posting of new and revised [Canc…
identifier:
  system:
    v: http://cap.org/eCC
status:
  v: final
category:
  coding:
    system:
      v: http://hl7.org/fhir/us/cancer-reporting/CodeSystem/us-pathology-codesystem
    code:
      v: QUESTION
    display:
      v: Question
code:
  coding:
    system:
      v: http://cap.org/eCC
    code:
      v: 16214.100004300
    display:
      v: Specimen Laterality
subject:
  link: http://hl7.org/fhir/us/cancer-reporting/Patient/patient-OakleyAnnie
  reference:
    v: Patient/patient-OakleyAnnie
effective: Period
  start:
    v: 2025-03-18T14:52:02+00:00
performer:
  link: http://hl7.org/fhir/us/cancer-reporting/Practitioner/practitioner-oncologist
  reference:
    v: Practitioner/practitioner-oncologist
value: CodeableConcept
  coding:
    system:
      v: http://cap.org/eCC
    code:
      v: 16215.100004300
    display:
      v: Right
  coding: http://snomed.info/id/73056007
    system:
      v: http://snomed.info/sct
    code:
      v: 73056007
    display:
      v: Right breast structure (body structure)
derived from:
  link: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-section-specimen
  reference:
    v: Observation/observation-section-specimen

observation-tumor-site
type: us
type: Observation
id:
  v: observation-tumor-site
meta:
  profile:
    v: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-observation
    link: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-observation
text:
  status:
    v: generated
  div: Generated Narrative: Observation observation-tumor-site Profile: US Pathology Observation identifier: <a href="http://terminology.hl7.org/5.0.0/NamingSystem-CAPeCC.html" title=""The College of American Pathologists (CAP) eCC (electronic Cancer Checklists) enables pathologists to use the [CAP Cancer Protocols](https://www.cap.org/protocols-and-guidelines/cancer-reporting-tools/cancer-protocols) directly within their laboratory information system (LIS) workflow and to ensure that each report is completed with the necessary required elements. Most anatomic pathology (AP)-LIS vendors offer a CAP eCC synoptic module for reporting on surgical cancer resections and selected biopsies."#xD;#xA;#xD;#xA;"The CAP eCC is based on the [CAP Cancer Protocols](https://www.cap.org/protocols-and-guidelines/cancer-reporting-tools/cancer-protocols) and is produced under the guidance of the [CAP Pathology Electronic Reporting (PERT) Committee](https://www.cap.org/member-resources/councils-committees/pathology-electronic-reporting-pert-committee) along with close interaction and advisement of the [Cancer Committee](https://www.cap.org/member-resources/councils-committees/cancer-committee).#xD;#xA;#xD;#xA;The eCC is developed in collaboration with and partially underwritten by the Centers for Disease Control and Prevention (CDC). Additional collaborators include the American Joint Committee on Cancer (AJCC), Cancer Care Ontario (CCO), and the North American Association of Central Cancer Registries (NAACCR).#xD;#xA;#xD;#xA;The CAP currently is working with the [California Cancer Registry (CCR)](http://www.ccrcal.org/) to offer the benefits of the eCC to California laboratories. CCR and the CAP are seeking out laboratories interested in participating in an ongoing project using the eCC to directly transfer cancer data to the central registry."#xD;#xA;#xD;#xA;"The CAP releases eCC templates on a rolling basis, coordinating as much as possible with the posting of new and revised [Cancer Protoc…
identifier:
  system:
    v: http://cap.org/eCC
status:
  v: final
category:
  coding:
    system:
      v: http://hl7.org/fhir/us/cancer-reporting/CodeSystem/us-pathology-codesystem
    code:
      v: QUESTION
    display:
      v: Question
code:
  coding:
    system:
      v: http://cap.org/eCC
    code:
      v: 51180.100004300
    display:
      v: Tumor Site (Note B)
  coding: http://snomed.info/id/399687005
    system:
      v: http://snomed.info/sct
    code:
      v: 399687005
    display:
      v: Anatomic location of primary malignant neoplasm (observable entity)
subject:
  link: http://hl7.org/fhir/us/cancer-reporting/Patient/patient-OakleyAnnie
  reference:
    v: Patient/patient-OakleyAnnie
effective: Period
  start:
    v: 2025-03-18T14:52:02+00:00
performer:
  link: http://hl7.org/fhir/us/cancer-reporting/Practitioner/practitioner-oncologist
  reference:
    v: Practitioner/practitioner-oncologist
has member:
  link: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-clock-position
  reference:
    v: Observation/observation-clock-position
derived from:
  link: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-section-tumor
  reference:
    v: Observation/observation-section-tumor

observation-histologic-type
type: us
type: Observation
id:
  v: observation-histologic-type
meta:
  profile:
    v: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-observation
    link: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-observation
text:
  status:
    v: generated
  div: Generated Narrative: Observation observation-histologic-type Profile: US Pathology Observation identifier: <a href="http://terminology.hl7.org/5.0.0/NamingSystem-CAPeCC.html" title=""The College of American Pathologists (CAP) eCC (electronic Cancer Checklists) enables pathologists to use the [CAP Cancer Protocols](https://www.cap.org/protocols-and-guidelines/cancer-reporting-tools/cancer-protocols) directly within their laboratory information system (LIS) workflow and to ensure that each report is completed with the necessary required elements. Most anatomic pathology (AP)-LIS vendors offer a CAP eCC synoptic module for reporting on surgical cancer resections and selected biopsies."#xD;#xA;#xD;#xA;"The CAP eCC is based on the [CAP Cancer Protocols](https://www.cap.org/protocols-and-guidelines/cancer-reporting-tools/cancer-protocols) and is produced under the guidance of the [CAP Pathology Electronic Reporting (PERT) Committee](https://www.cap.org/member-resources/councils-committees/pathology-electronic-reporting-pert-committee) along with close interaction and advisement of the [Cancer Committee](https://www.cap.org/member-resources/councils-committees/cancer-committee).#xD;#xA;#xD;#xA;The eCC is developed in collaboration with and partially underwritten by the Centers for Disease Control and Prevention (CDC). Additional collaborators include the American Joint Committee on Cancer (AJCC), Cancer Care Ontario (CCO), and the North American Association of Central Cancer Registries (NAACCR).#xD;#xA;#xD;#xA;The CAP currently is working with the [California Cancer Registry (CCR)](http://www.ccrcal.org/) to offer the benefits of the eCC to California laboratories. CCR and the CAP are seeking out laboratories interested in participating in an ongoing project using the eCC to directly transfer cancer data to the central registry."#xD;#xA;#xD;#xA;"The CAP releases eCC templates on a rolling basis, coordinating as much as possible with the posting of new and revised [Cancer P…
identifier:
  system:
    v: http://cap.org/eCC
status:
  v: final
category:
  coding:
    system:
      v: http://hl7.org/fhir/us/cancer-reporting/CodeSystem/us-pathology-codesystem
    code:
      v: QUESTION
    display:
      v: Question
code:
  coding:
    system:
      v: http://cap.org/eCC
    code:
      v: 41794.100004300
    display:
      v: Histologic Type (Note C)
subject:
  link: http://hl7.org/fhir/us/cancer-reporting/Patient/patient-OakleyAnnie
  reference:
    v: Patient/patient-OakleyAnnie
effective: dateTime
  v: 2025-03-18
performer:
  link: http://hl7.org/fhir/us/cancer-reporting/Practitioner/practitioner-oncologist
  reference:
    v: Practitioner/practitioner-oncologist
value: CodeableConcept
  coding:
    system:
      v: http://cap.org/eCC
    code:
      v: 16280.100004300
    display:
      v: Invasive carcinoma of no special type (ductal)

observation-histologic-grade
type: us
type: Observation
id:
  v: observation-histologic-grade
meta:
  profile:
    v: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-observation
    link: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-observation
text:
  status:
    v: generated
  div: Generated Narrative: Observation observation-histologic-grade Profile: US Pathology Observation identifier: <a href="http://terminology.hl7.org/5.0.0/NamingSystem-CAPeCC.html" title=""The College of American Pathologists (CAP) eCC (electronic Cancer Checklists) enables pathologists to use the [CAP Cancer Protocols](https://www.cap.org/protocols-and-guidelines/cancer-reporting-tools/cancer-protocols) directly within their laboratory information system (LIS) workflow and to ensure that each report is completed with the necessary required elements. Most anatomic pathology (AP)-LIS vendors offer a CAP eCC synoptic module for reporting on surgical cancer resections and selected biopsies."#xD;#xA;#xD;#xA;"The CAP eCC is based on the [CAP Cancer Protocols](https://www.cap.org/protocols-and-guidelines/cancer-reporting-tools/cancer-protocols) and is produced under the guidance of the [CAP Pathology Electronic Reporting (PERT) Committee](https://www.cap.org/member-resources/councils-committees/pathology-electronic-reporting-pert-committee) along with close interaction and advisement of the [Cancer Committee](https://www.cap.org/member-resources/councils-committees/cancer-committee).#xD;#xA;#xD;#xA;The eCC is developed in collaboration with and partially underwritten by the Centers for Disease Control and Prevention (CDC). Additional collaborators include the American Joint Committee on Cancer (AJCC), Cancer Care Ontario (CCO), and the North American Association of Central Cancer Registries (NAACCR).#xD;#xA;#xD;#xA;The CAP currently is working with the [California Cancer Registry (CCR)](http://www.ccrcal.org/) to offer the benefits of the eCC to California laboratories. CCR and the CAP are seeking out laboratories interested in participating in an ongoing project using the eCC to directly transfer cancer data to the central registry."#xD;#xA;#xD;#xA;"The CAP releases eCC templates on a rolling basis, coordinating as much as possible with the posting of new and revised [Cancer …
identifier:
  system:
    v: http://cap.org/eCC
status:
  v: final
category:
  coding:
    system:
      v: http://hl7.org/fhir/us/cancer-reporting/CodeSystem/us-pathology-codesystem
    code:
      v: QUESTION
    display:
      v: Question
code:
  coding:
    system:
      v: http://cap.org/eCC
    code:
      v: 380281.100004300
    display:
      v: Histologic Grade (Nottingham Histologic Score) (required only if applicable) (Note D)
subject:
  link: http://hl7.org/fhir/us/cancer-reporting/Patient/patient-OakleyAnnie
  reference:
    v: Patient/patient-OakleyAnnie
effective: Period
  start:
    v: 2025-03-18T14:52:02+00:00
performer:
  link: http://hl7.org/fhir/us/cancer-reporting/Practitioner/practitioner-oncologist
  reference:
    v: Practitioner/practitioner-oncologist
value: CodeableConcept
  coding:
    system:
      v: http://cap.org/eCC
    code:
      v: 380283.100004300
    display:
      v: Nottingham Score
has member:
  link: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-glandular-differentiation
  reference:
    v: Observation/observation-glandular-differentiation
has member:
  link: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-nuclear-pleomorphism
  reference:
    v: Observation/observation-nuclear-pleomorphism
has member:
  link: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-mitotic-rate
  reference:
    v: Observation/observation-mitotic-rate
has member:
  link: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-overall-grade
  reference:
    v: Observation/observation-overall-grade
derived from:
  link: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-section-tumor
  reference:
    v: Observation/observation-section-tumor

observation-tumor-size
type: us
type: Observation
id:
  v: observation-tumor-size
meta:
  profile:
    v: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-observation
    link: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-observation
text:
  status:
    v: generated
  div: Generated Narrative: Observation observation-tumor-size Profile: US Pathology Observation identifier: <a href="http://terminology.hl7.org/5.0.0/NamingSystem-CAPeCC.html" title=""The College of American Pathologists (CAP) eCC (electronic Cancer Checklists) enables pathologists to use the [CAP Cancer Protocols](https://www.cap.org/protocols-and-guidelines/cancer-reporting-tools/cancer-protocols) directly within their laboratory information system (LIS) workflow and to ensure that each report is completed with the necessary required elements. Most anatomic pathology (AP)-LIS vendors offer a CAP eCC synoptic module for reporting on surgical cancer resections and selected biopsies."#xD;#xA;#xD;#xA;"The CAP eCC is based on the [CAP Cancer Protocols](https://www.cap.org/protocols-and-guidelines/cancer-reporting-tools/cancer-protocols) and is produced under the guidance of the [CAP Pathology Electronic Reporting (PERT) Committee](https://www.cap.org/member-resources/councils-committees/pathology-electronic-reporting-pert-committee) along with close interaction and advisement of the [Cancer Committee](https://www.cap.org/member-resources/councils-committees/cancer-committee).#xD;#xA;#xD;#xA;The eCC is developed in collaboration with and partially underwritten by the Centers for Disease Control and Prevention (CDC). Additional collaborators include the American Joint Committee on Cancer (AJCC), Cancer Care Ontario (CCO), and the North American Association of Central Cancer Registries (NAACCR).#xD;#xA;#xD;#xA;The CAP currently is working with the [California Cancer Registry (CCR)](http://www.ccrcal.org/) to offer the benefits of the eCC to California laboratories. CCR and the CAP are seeking out laboratories interested in participating in an ongoing project using the eCC to directly transfer cancer data to the central registry."#xD;#xA;#xD;#xA;"The CAP releases eCC templates on a rolling basis, coordinating as much as possible with the posting of new and revised [Cancer Protoc…
identifier:
  system:
    v: http://cap.org/eCC
status:
  v: final
category:
  coding:
    system:
      v: http://hl7.org/fhir/us/cancer-reporting/CodeSystem/us-pathology-codesystem
    code:
      v: QUESTION
    display:
      v: Question
code:
  coding:
    system:
      v: http://cap.org/eCC
    code:
      v: 30148.100004300
    display:
      v: Tumor Size (Note E)
subject:
  link: http://hl7.org/fhir/us/cancer-reporting/Patient/patient-OakleyAnnie
  reference:
    v: Patient/patient-OakleyAnnie
  display:
    v: Annie Oakley
effective: Period
  start:
    v: 2025-03-18T14:52:02+00:00
performer:
  link: http://hl7.org/fhir/us/cancer-reporting/PractitionerRole/practitionerrole-uspath-pathologist
  reference:
    v: PractitionerRole/practitionerrole-uspath-pathologist
value: CodeableConcept
  coding:
    system:
      v: http://cap.org/eCC
    code:
      v: 31357.100004300
    display:
      v: Greatest dimension of largest invasive focus greater than 1 mm (specify exact measurement in Millimeters (mm))
  coding: http://snomed.info/id/200001000004104
    system:
      v: http://snomed.info/sct
    code:
      v: 200001000004104
    display:
      v: Greatest length dimension of excised primary malignant neoplasm (observable entity)
has member:
  link: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-additional-dimension
  reference:
    v: Observation/observation-additional-dimension
derived from:
  link: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-section-tumor
  reference:
    v: Observation/observation-section-tumor

observation-tumor-focality
type: us
type: Observation
id:
  v: observation-tumor-focality
meta:
  profile:
    v: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-observation
    link: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-observation
text:
  status:
    v: generated
  div: Generated Narrative: Observation observation-tumor-focality Profile: US Pathology Observation identifier: <a href="http://terminology.hl7.org/5.0.0/NamingSystem-CAPeCC.html" title=""The College of American Pathologists (CAP) eCC (electronic Cancer Checklists) enables pathologists to use the [CAP Cancer Protocols](https://www.cap.org/protocols-and-guidelines/cancer-reporting-tools/cancer-protocols) directly within their laboratory information system (LIS) workflow and to ensure that each report is completed with the necessary required elements. Most anatomic pathology (AP)-LIS vendors offer a CAP eCC synoptic module for reporting on surgical cancer resections and selected biopsies."#xD;#xA;#xD;#xA;"The CAP eCC is based on the [CAP Cancer Protocols](https://www.cap.org/protocols-and-guidelines/cancer-reporting-tools/cancer-protocols) and is produced under the guidance of the [CAP Pathology Electronic Reporting (PERT) Committee](https://www.cap.org/member-resources/councils-committees/pathology-electronic-reporting-pert-committee) along with close interaction and advisement of the [Cancer Committee](https://www.cap.org/member-resources/councils-committees/cancer-committee).#xD;#xA;#xD;#xA;The eCC is developed in collaboration with and partially underwritten by the Centers for Disease Control and Prevention (CDC). Additional collaborators include the American Joint Committee on Cancer (AJCC), Cancer Care Ontario (CCO), and the North American Association of Central Cancer Registries (NAACCR).#xD;#xA;#xD;#xA;The CAP currently is working with the [California Cancer Registry (CCR)](http://www.ccrcal.org/) to offer the benefits of the eCC to California laboratories. CCR and the CAP are seeking out laboratories interested in participating in an ongoing project using the eCC to directly transfer cancer data to the central registry."#xD;#xA;#xD;#xA;"The CAP releases eCC templates on a rolling basis, coordinating as much as possible with the posting of new and revised [Cancer Pr…
identifier:
  system:
    v: http://cap.org/eCC
status:
  v: final
category:
  coding:
    system:
      v: http://hl7.org/fhir/us/cancer-reporting/CodeSystem/us-pathology-codesystem
    code:
      v: QUESTION
    display:
      v: Question
code:
  coding:
    system:
      v: http://cap.org/eCC
    code:
      v: 38392.100004300
    display:
      v: Tumor Focality (Note F)
subject:
  link: http://hl7.org/fhir/us/cancer-reporting/Patient/patient-OakleyAnnie
  reference:
    v: Patient/patient-OakleyAnnie
effective: Period
  start:
    v: 2025-03-18T14:52:02+00:00
performer:
  link: http://hl7.org/fhir/us/cancer-reporting/Practitioner/practitioner-oncologist
  reference:
    v: Practitioner/practitioner-oncologist
value: CodeableConcept
  coding:
    system:
      v: http://cap.org/eCC
    code:
      v: 16448.100004300
    display:
      v: Single focus of invasive carcinoma
derived from:
  link: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-section-tumor
  reference:
    v: Observation/observation-section-tumor

observation-ductal-carcinoma
type: us
type: Observation
id:
  v: observation-ductal-carcinoma
meta:
  profile:
    v: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-observation
    link: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-observation
text:
  status:
    v: generated
  div: Generated Narrative: Observation observation-ductal-carcinoma Profile: US Pathology Observation identifier: <a href="http://terminology.hl7.org/5.0.0/NamingSystem-CAPeCC.html" title=""The College of American Pathologists (CAP) eCC (electronic Cancer Checklists) enables pathologists to use the [CAP Cancer Protocols](https://www.cap.org/protocols-and-guidelines/cancer-reporting-tools/cancer-protocols) directly within their laboratory information system (LIS) workflow and to ensure that each report is completed with the necessary required elements. Most anatomic pathology (AP)-LIS vendors offer a CAP eCC synoptic module for reporting on surgical cancer resections and selected biopsies."#xD;#xA;#xD;#xA;"The CAP eCC is based on the [CAP Cancer Protocols](https://www.cap.org/protocols-and-guidelines/cancer-reporting-tools/cancer-protocols) and is produced under the guidance of the [CAP Pathology Electronic Reporting (PERT) Committee](https://www.cap.org/member-resources/councils-committees/pathology-electronic-reporting-pert-committee) along with close interaction and advisement of the [Cancer Committee](https://www.cap.org/member-resources/councils-committees/cancer-committee).#xD;#xA;#xD;#xA;The eCC is developed in collaboration with and partially underwritten by the Centers for Disease Control and Prevention (CDC). Additional collaborators include the American Joint Committee on Cancer (AJCC), Cancer Care Ontario (CCO), and the North American Association of Central Cancer Registries (NAACCR).#xD;#xA;#xD;#xA;The CAP currently is working with the [California Cancer Registry (CCR)](http://www.ccrcal.org/) to offer the benefits of the eCC to California laboratories. CCR and the CAP are seeking out laboratories interested in participating in an ongoing project using the eCC to directly transfer cancer data to the central registry."#xD;#xA;#xD;#xA;"The CAP releases eCC templates on a rolling basis, coordinating as much as possible with the posting of new and revised [Cancer …
identifier:
  system:
    v: http://cap.org/eCC
status:
  v: final
category:
  coding:
    system:
      v: http://hl7.org/fhir/us/cancer-reporting/CodeSystem/us-pathology-codesystem
    code:
      v: QUESTION
    display:
      v: Question
code:
  coding:
    system:
      v: http://cap.org/eCC
    code:
      v: 44040.100004300
    display:
      v: Ductal Carcinoma In Situ (DCIS) (Note G)
subject:
  link: http://hl7.org/fhir/us/cancer-reporting/Patient/patient-OakleyAnnie
  reference:
    v: Patient/patient-OakleyAnnie
effective: Period
  start:
    v: 2025-03-18T14:52:02+00:00
performer:
  link: http://hl7.org/fhir/us/cancer-reporting/Practitioner/practitioner-oncologist
  reference:
    v: Practitioner/practitioner-oncologist
value: CodeableConcept
  coding:
    system:
      v: http://cap.org/eCC
    code:
      v: 16306.100004300
    display:
      v: Not identified
  coding: http://snomed.info/id/47492008
    system:
      v: http://snomed.info/sct
    code:
      v: 47492008
    display:
      v: Not seen (qualifier value)
derived from:
  link: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-section-tumor
  reference:
    v: Observation/observation-section-tumor

observation-margins-margin-status-for-invasive-carcinoma
type: us
type: Observation
id:
  v: observation-margins-margin-status-for-invasive-carcinoma
meta:
  profile:
    v: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-observation
    link: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-observation
text:
  status:
    v: generated
  div: Generated Narrative: Observation observation-margins-margin-status-for-invasive-carcinoma Profile: US Pathology Observation identifier: <a href="http://terminology.hl7.org/5.0.0/NamingSystem-CAPeCC.html" title=""The College of American Pathologists (CAP) eCC (electronic Cancer Checklists) enables pathologists to use the [CAP Cancer Protocols](https://www.cap.org/protocols-and-guidelines/cancer-reporting-tools/cancer-protocols) directly within their laboratory information system (LIS) workflow and to ensure that each report is completed with the necessary required elements. Most anatomic pathology (AP)-LIS vendors offer a CAP eCC synoptic module for reporting on surgical cancer resections and selected biopsies."#xD;#xA;#xD;#xA;"The CAP eCC is based on the [CAP Cancer Protocols](https://www.cap.org/protocols-and-guidelines/cancer-reporting-tools/cancer-protocols) and is produced under the guidance of the [CAP Pathology Electronic Reporting (PERT) Committee](https://www.cap.org/member-resources/councils-committees/pathology-electronic-reporting-pert-committee) along with close interaction and advisement of the [Cancer Committee](https://www.cap.org/member-resources/councils-committees/cancer-committee).#xD;#xA;#xD;#xA;The eCC is developed in collaboration with and partially underwritten by the Centers for Disease Control and Prevention (CDC). Additional collaborators include the American Joint Committee on Cancer (AJCC), Cancer Care Ontario (CCO), and the North American Association of Central Cancer Registries (NAACCR).#xD;#xA;#xD;#xA;The CAP currently is working with the [California Cancer Registry (CCR)](http://www.ccrcal.org/) to offer the benefits of the eCC to California laboratories. CCR and the CAP are seeking out laboratories interested in participating in an ongoing project using the eCC to directly transfer cancer data to the central registry."#xD;#xA;#xD;#xA;"The CAP releases eCC templates on a rolling basis, coordinating as much as possible with the posting…
identifier:
  system:
    v: http://cap.org/eCC
status:
  v: final
category:
  coding:
    system:
      v: http://hl7.org/fhir/us/cancer-reporting/CodeSystem/us-pathology-codesystem
    code:
      v: QUESTION
    display:
      v: Question
code:
  coding:
    system:
      v: http://cap.org/eCC
    code:
      v: 351503.100004300
    display:
      v: Margin Status for Invasive Carcinoma
subject:
  link: http://hl7.org/fhir/us/cancer-reporting/Patient/patient-OakleyAnnie
  reference:
    v: Patient/patient-OakleyAnnie
effective: Period
  start:
    v: 2025-03-18T14:52:02+00:00
performer:
  link: http://hl7.org/fhir/us/cancer-reporting/Practitioner/practitioner-oncologist
  reference:
    v: Practitioner/practitioner-oncologist
value: CodeableConcept
  coding:
    system:
      v: http://cap.org/eCC
    code:
      v: 351504.100004300
    display:
      v: All margins negative for invasive carcinoma
has member:
  link: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-margins-distance-to-closest-margin
  reference:
    v: Observation/observation-margins-distance-to-closest-margin
has member:
  link: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-margins-closest-margin-to-invasive-carcinoma
  reference:
    v: Observation/observation-margins-closest-margin-to-invasive-carcinoma
derived from:
  link: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-section-margins
  reference:
    v: Observation/observation-section-margins

observation-regional-lymph-node-status
type: us
type: Observation
id:
  v: observation-regional-lymph-node-status
meta:
  profile:
    v: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-observation
    link: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-observation
text:
  status:
    v: generated
  div: Generated Narrative: Observation observation-regional-lymph-node-status Profile: US Pathology Observation identifier: <a href="http://terminology.hl7.org/5.0.0/NamingSystem-CAPeCC.html" title=""The College of American Pathologists (CAP) eCC (electronic Cancer Checklists) enables pathologists to use the [CAP Cancer Protocols](https://www.cap.org/protocols-and-guidelines/cancer-reporting-tools/cancer-protocols) directly within their laboratory information system (LIS) workflow and to ensure that each report is completed with the necessary required elements. Most anatomic pathology (AP)-LIS vendors offer a CAP eCC synoptic module for reporting on surgical cancer resections and selected biopsies."#xD;#xA;#xD;#xA;"The CAP eCC is based on the [CAP Cancer Protocols](https://www.cap.org/protocols-and-guidelines/cancer-reporting-tools/cancer-protocols) and is produced under the guidance of the [CAP Pathology Electronic Reporting (PERT) Committee](https://www.cap.org/member-resources/councils-committees/pathology-electronic-reporting-pert-committee) along with close interaction and advisement of the [Cancer Committee](https://www.cap.org/member-resources/councils-committees/cancer-committee).#xD;#xA;#xD;#xA;The eCC is developed in collaboration with and partially underwritten by the Centers for Disease Control and Prevention (CDC). Additional collaborators include the American Joint Committee on Cancer (AJCC), Cancer Care Ontario (CCO), and the North American Association of Central Cancer Registries (NAACCR).#xD;#xA;#xD;#xA;The CAP currently is working with the [California Cancer Registry (CCR)](http://www.ccrcal.org/) to offer the benefits of the eCC to California laboratories. CCR and the CAP are seeking out laboratories interested in participating in an ongoing project using the eCC to directly transfer cancer data to the central registry."#xD;#xA;#xD;#xA;"The CAP releases eCC templates on a rolling basis, coordinating as much as possible with the posting of new and revise…
identifier:
  system:
    v: http://cap.org/eCC
status:
  v: final
category:
  coding:
    system:
      v: http://hl7.org/fhir/us/cancer-reporting/CodeSystem/us-pathology-codesystem
    code:
      v: QUESTION
    display:
      v: Question
code:
  coding:
    system:
      v: http://cap.org/eCC
    code:
      v: 351589.100004300
    display:
      v: Regional Lymph Node Status
subject:
  link: http://hl7.org/fhir/us/cancer-reporting/Patient/patient-OakleyAnnie
  reference:
    v: Patient/patient-OakleyAnnie
effective: dateTime
  v: 2025-03-18
performer:
  link: http://hl7.org/fhir/us/cancer-reporting/Practitioner/practitioner-oncologist
  reference:
    v: Practitioner/practitioner-oncologist
value: CodeableConcept
  coding:
    system:
      v: http://cap.org/eCC
    code:
      v: 374353.100004300
    display:
      v: Regional lymph nodes present
has member:
  link: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-regional-lymph-nodes-number-examined
  reference:
    v: Observation/observation-regional-lymph-nodes-number-examined
has member:
  link: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-regional-lymph-nodes-number-sentinel
  reference:
    v: Observation/observation-regional-lymph-nodes-number-sentinel
derived from:
  link: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-section-regional-lymph-nodes
  reference:
    v: Observation/observation-section-regional-lymph-nodes

observation-distant-metastasis
type: us
type: Observation
id:
  v: observation-distant-metastasis
meta:
  profile:
    v: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-observation
    link: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-observation
text:
  status:
    v: generated
  div: Generated Narrative: Observation observation-distant-metastasis Profile: US Pathology Observation identifier: <a href="http://terminology.hl7.org/5.0.0/NamingSystem-CAPeCC.html" title=""The College of American Pathologists (CAP) eCC (electronic Cancer Checklists) enables pathologists to use the [CAP Cancer Protocols](https://www.cap.org/protocols-and-guidelines/cancer-reporting-tools/cancer-protocols) directly within their laboratory information system (LIS) workflow and to ensure that each report is completed with the necessary required elements. Most anatomic pathology (AP)-LIS vendors offer a CAP eCC synoptic module for reporting on surgical cancer resections and selected biopsies."#xD;#xA;#xD;#xA;"The CAP eCC is based on the [CAP Cancer Protocols](https://www.cap.org/protocols-and-guidelines/cancer-reporting-tools/cancer-protocols) and is produced under the guidance of the [CAP Pathology Electronic Reporting (PERT) Committee](https://www.cap.org/member-resources/councils-committees/pathology-electronic-reporting-pert-committee) along with close interaction and advisement of the [Cancer Committee](https://www.cap.org/member-resources/councils-committees/cancer-committee).#xD;#xA;#xD;#xA;The eCC is developed in collaboration with and partially underwritten by the Centers for Disease Control and Prevention (CDC). Additional collaborators include the American Joint Committee on Cancer (AJCC), Cancer Care Ontario (CCO), and the North American Association of Central Cancer Registries (NAACCR).#xD;#xA;#xD;#xA;The CAP currently is working with the [California Cancer Registry (CCR)](http://www.ccrcal.org/) to offer the benefits of the eCC to California laboratories. CCR and the CAP are seeking out laboratories interested in participating in an ongoing project using the eCC to directly transfer cancer data to the central registry."#xD;#xA;#xD;#xA;"The CAP releases eCC templates on a rolling basis, coordinating as much as possible with the posting of new and revised [Cance…
identifier:
  system:
    v: http://cap.org/eCC
status:
  v: final
category:
  coding:
    system:
      v: http://hl7.org/fhir/us/cancer-reporting/CodeSystem/us-pathology-codesystem
    code:
      v: SECTION
    display:
      v: Section
code:
  coding:
    system:
      v: http://cap.org/eCC
    code:
      v: 352333.100004300
    display:
      v: DISTANT METASTASIS
subject:
  link: http://hl7.org/fhir/us/cancer-reporting/Patient/patient-OakleyAnnie
  reference:
    v: Patient/patient-OakleyAnnie
effective: dateTime
  v: 2025-03-18
performer:
  link: http://hl7.org/fhir/us/cancer-reporting/Practitioner/practitioner-oncologist
  reference:
    v: Practitioner/practitioner-oncologist
has member:
  link: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-distant-metastasis-distant-sites
  reference:
    v: Observation/observation-distant-metastasis-distant-sites

observation-ptnm-classification-pT-Category
type: us
type: Observation
id:
  v: observation-ptnm-classification-pT-Category
meta:
  profile:
    v: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-observation
    link: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-observation
text:
  status:
    v: generated
  div: Generated Narrative: Observation observation-ptnm-classification-pT-Category Profile: US Pathology Observation identifier: <a href="http://terminology.hl7.org/5.0.0/NamingSystem-CAPeCC.html" title=""The College of American Pathologists (CAP) eCC (electronic Cancer Checklists) enables pathologists to use the [CAP Cancer Protocols](https://www.cap.org/protocols-and-guidelines/cancer-reporting-tools/cancer-protocols) directly within their laboratory information system (LIS) workflow and to ensure that each report is completed with the necessary required elements. Most anatomic pathology (AP)-LIS vendors offer a CAP eCC synoptic module for reporting on surgical cancer resections and selected biopsies."#xD;#xA;#xD;#xA;"The CAP eCC is based on the [CAP Cancer Protocols](https://www.cap.org/protocols-and-guidelines/cancer-reporting-tools/cancer-protocols) and is produced under the guidance of the [CAP Pathology Electronic Reporting (PERT) Committee](https://www.cap.org/member-resources/councils-committees/pathology-electronic-reporting-pert-committee) along with close interaction and advisement of the [Cancer Committee](https://www.cap.org/member-resources/councils-committees/cancer-committee).#xD;#xA;#xD;#xA;The eCC is developed in collaboration with and partially underwritten by the Centers for Disease Control and Prevention (CDC). Additional collaborators include the American Joint Committee on Cancer (AJCC), Cancer Care Ontario (CCO), and the North American Association of Central Cancer Registries (NAACCR).#xD;#xA;#xD;#xA;The CAP currently is working with the [California Cancer Registry (CCR)](http://www.ccrcal.org/) to offer the benefits of the eCC to California laboratories. CCR and the CAP are seeking out laboratories interested in participating in an ongoing project using the eCC to directly transfer cancer data to the central registry."#xD;#xA;#xD;#xA;"The CAP releases eCC templates on a rolling basis, coordinating as much as possible with the posting of new and r…
identifier:
  system:
    v: http://cap.org/eCC
status:
  v: final
category:
  coding:
    system:
      v: http://hl7.org/fhir/us/cancer-reporting/CodeSystem/us-pathology-codesystem
    code:
      v: QUESTION
    display:
      v: Question
code:
  coding:
    system:
      v: http://cap.org/eCC
    code:
      v: 327740.100004300
    display:
      v: pT Category
subject:
  link: http://hl7.org/fhir/us/cancer-reporting/Patient/patient-OakleyAnnie
  reference:
    v: Patient/patient-OakleyAnnie
effective: dateTime
  v: 2025-03-18
performer:
  link: http://hl7.org/fhir/us/cancer-reporting/Practitioner/practitioner-oncologist
  reference:
    v: Practitioner/practitioner-oncologist
value: CodeableConcept
  coding:
    system:
      v: http://cap.org/eCC
    code:
      v: 16736.100004300
    display:
      v: pT1b: Tumor greater than 5 mm but less than or equal to 10 mm in greatest dimension
derived from:
  link: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-section-ptnm-classification
  reference:
    v: Observation/observation-section-ptnm-classification

observation-ptnm-classification-pN-Category
type: us
type: Observation
id:
  v: observation-ptnm-classification-pN-Category
meta:
  profile:
    v: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-observation
    link: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-observation
text:
  status:
    v: generated
  div: Generated Narrative: Observation observation-ptnm-classification-pN-Category Profile: US Pathology Observation identifier: <a href="http://terminology.hl7.org/5.0.0/NamingSystem-CAPeCC.html" title=""The College of American Pathologists (CAP) eCC (electronic Cancer Checklists) enables pathologists to use the [CAP Cancer Protocols](https://www.cap.org/protocols-and-guidelines/cancer-reporting-tools/cancer-protocols) directly within their laboratory information system (LIS) workflow and to ensure that each report is completed with the necessary required elements. Most anatomic pathology (AP)-LIS vendors offer a CAP eCC synoptic module for reporting on surgical cancer resections and selected biopsies."#xD;#xA;#xD;#xA;"The CAP eCC is based on the [CAP Cancer Protocols](https://www.cap.org/protocols-and-guidelines/cancer-reporting-tools/cancer-protocols) and is produced under the guidance of the [CAP Pathology Electronic Reporting (PERT) Committee](https://www.cap.org/member-resources/councils-committees/pathology-electronic-reporting-pert-committee) along with close interaction and advisement of the [Cancer Committee](https://www.cap.org/member-resources/councils-committees/cancer-committee).#xD;#xA;#xD;#xA;The eCC is developed in collaboration with and partially underwritten by the Centers for Disease Control and Prevention (CDC). Additional collaborators include the American Joint Committee on Cancer (AJCC), Cancer Care Ontario (CCO), and the North American Association of Central Cancer Registries (NAACCR).#xD;#xA;#xD;#xA;The CAP currently is working with the [California Cancer Registry (CCR)](http://www.ccrcal.org/) to offer the benefits of the eCC to California laboratories. CCR and the CAP are seeking out laboratories interested in participating in an ongoing project using the eCC to directly transfer cancer data to the central registry."#xD;#xA;#xD;#xA;"The CAP releases eCC templates on a rolling basis, coordinating as much as possible with the posting of new and r…
identifier:
  system:
    v: http://cap.org/eCC
status:
  v: final
category:
  coding:
    system:
      v: http://hl7.org/fhir/us/cancer-reporting/CodeSystem/us-pathology-codesystem
    code:
      v: QUESTION
    display:
      v: Question
code:
  coding:
    system:
      v: http://cap.org/eCC
    code:
      v: 763178.100004300
    display:
      v: pN Category
subject:
  link: http://hl7.org/fhir/us/cancer-reporting/Patient/patient-OakleyAnnie
  reference:
    v: Patient/patient-OakleyAnnie
effective: dateTime
  v: 2025-03-18
performer:
  link: http://hl7.org/fhir/us/cancer-reporting/Practitioner/practitioner-oncologist
  reference:
    v: Practitioner/practitioner-oncologist
value: CodeableConcept
  coding:
    system:
      v: http://cap.org/eCC
    code:
      v: 38649.100004300
    display:
      v: pN0: No regional lymph node metastasis identified or ITCs only#
derived from:
  link: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-section-ptnm-classification
  reference:
    v: Observation/observation-section-ptnm-classification

observation-additional-findings-specify
type: us
type: Observation
id:
  v: observation-additional-findings-specify
meta:
  profile:
    v: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-observation
    link: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-observation
text:
  status:
    v: generated
  div: Generated Narrative: Observation observation-additional-findings-specify Profile: US Pathology Observation identifier: <a href="http://terminology.hl7.org/5.0.0/NamingSystem-CAPeCC.html" title=""The College of American Pathologists (CAP) eCC (electronic Cancer Checklists) enables pathologists to use the [CAP Cancer Protocols](https://www.cap.org/protocols-and-guidelines/cancer-reporting-tools/cancer-protocols) directly within their laboratory information system (LIS) workflow and to ensure that each report is completed with the necessary required elements. Most anatomic pathology (AP)-LIS vendors offer a CAP eCC synoptic module for reporting on surgical cancer resections and selected biopsies."#xD;#xA;#xD;#xA;"The CAP eCC is based on the [CAP Cancer Protocols](https://www.cap.org/protocols-and-guidelines/cancer-reporting-tools/cancer-protocols) and is produced under the guidance of the [CAP Pathology Electronic Reporting (PERT) Committee](https://www.cap.org/member-resources/councils-committees/pathology-electronic-reporting-pert-committee) along with close interaction and advisement of the [Cancer Committee](https://www.cap.org/member-resources/councils-committees/cancer-committee).#xD;#xA;#xD;#xA;The eCC is developed in collaboration with and partially underwritten by the Centers for Disease Control and Prevention (CDC). Additional collaborators include the American Joint Committee on Cancer (AJCC), Cancer Care Ontario (CCO), and the North American Association of Central Cancer Registries (NAACCR).#xD;#xA;#xD;#xA;The CAP currently is working with the [California Cancer Registry (CCR)](http://www.ccrcal.org/) to offer the benefits of the eCC to California laboratories. CCR and the CAP are seeking out laboratories interested in participating in an ongoing project using the eCC to directly transfer cancer data to the central registry."#xD;#xA;#xD;#xA;"The CAP releases eCC templates on a rolling basis, coordinating as much as possible with the posting of new and revis…
identifier:
  system:
    v: http://cap.org/eCC
status:
  v: final
category:
  coding:
    system:
      v: http://hl7.org/fhir/us/cancer-reporting/CodeSystem/us-pathology-codesystem
    code:
      v: QUESTION
    display:
      v: Question
code:
  coding:
    system:
      v: http://cap.org/eCC
    code:
      v: 16783.100004300
    display:
      v: Additional Findings (specify)
subject:
  link: http://hl7.org/fhir/us/cancer-reporting/Patient/patient-OakleyAnnie
  reference:
    v: Patient/patient-OakleyAnnie
effective: dateTime
  v: 2025-03-18
performer:
  link: http://hl7.org/fhir/us/cancer-reporting/Practitioner/practitioner-oncologist
  reference:
    v: Practitioner/practitioner-oncologist
derived from:
  link: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-section-additional-findings
  reference:
    v: Observation/observation-section-additional-findings

observation-special-studies-breast-biomarker
type: us
type: Observation
id:
  v: observation-special-studies-breast-biomarker
meta:
  profile:
    v: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-observation
    link: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-observation
text:
  status:
    v: generated
  div: Generated Narrative: Observation observation-special-studies-breast-biomarker Profile: US Pathology Observation identifier: <a href="http://terminology.hl7.org/5.0.0/NamingSystem-CAPeCC.html" title=""The College of American Pathologists (CAP) eCC (electronic Cancer Checklists) enables pathologists to use the [CAP Cancer Protocols](https://www.cap.org/protocols-and-guidelines/cancer-reporting-tools/cancer-protocols) directly within their laboratory information system (LIS) workflow and to ensure that each report is completed with the necessary required elements. Most anatomic pathology (AP)-LIS vendors offer a CAP eCC synoptic module for reporting on surgical cancer resections and selected biopsies."#xD;#xA;#xD;#xA;"The CAP eCC is based on the [CAP Cancer Protocols](https://www.cap.org/protocols-and-guidelines/cancer-reporting-tools/cancer-protocols) and is produced under the guidance of the [CAP Pathology Electronic Reporting (PERT) Committee](https://www.cap.org/member-resources/councils-committees/pathology-electronic-reporting-pert-committee) along with close interaction and advisement of the [Cancer Committee](https://www.cap.org/member-resources/councils-committees/cancer-committee).#xD;#xA;#xD;#xA;The eCC is developed in collaboration with and partially underwritten by the Centers for Disease Control and Prevention (CDC). Additional collaborators include the American Joint Committee on Cancer (AJCC), Cancer Care Ontario (CCO), and the North American Association of Central Cancer Registries (NAACCR).#xD;#xA;#xD;#xA;The CAP currently is working with the [California Cancer Registry (CCR)](http://www.ccrcal.org/) to offer the benefits of the eCC to California laboratories. CCR and the CAP are seeking out laboratories interested in participating in an ongoing project using the eCC to directly transfer cancer data to the central registry."#xD;#xA;#xD;#xA;"The CAP releases eCC templates on a rolling basis, coordinating as much as possible with the posting of new and …
identifier:
  system:
    v: http://cap.org/eCC
status:
  v: final
category:
  coding:
    system:
      v: http://hl7.org/fhir/us/cancer-reporting/CodeSystem/us-pathology-codesystem
    code:
      v: QUESTION
    display:
      v: Question
code:
  coding:
    system:
      v: http://cap.org/eCC
    code:
      v: 43789.100004300
    display:
      v: Breast Biomarker Testing Performed on Previous Biopsy
subject:
  link: http://hl7.org/fhir/us/cancer-reporting/Patient/patient-OakleyAnnie
  reference:
    v: Patient/patient-OakleyAnnie
effective: dateTime
  v: 2025-03-18
performer:
  link: http://hl7.org/fhir/us/cancer-reporting/Practitioner/practitioner-oncologist
  reference:
    v: Practitioner/practitioner-oncologist
has member:
  link: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-special-studies-estrogen-receptor
  reference:
    v: Observation/observation-special-studies-estrogen-receptor
has member:
  link: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-special-studies-her2
  reference:
    v: Observation/observation-special-studies-her2
derived from:
  link: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-section-special-studies
  reference:
    v: Observation/observation-section-special-studies

observation-clock-position
type: us
type: Observation
id:
  v: observation-clock-position
meta:
  profile:
    v: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-observation
    link: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-observation
text:
  status:
    v: generated
  div: Generated Narrative: Observation observation-clock-position Profile: US Pathology Observation identifier: <a href="http://terminology.hl7.org/5.0.0/NamingSystem-CAPeCC.html" title=""The College of American Pathologists (CAP) eCC (electronic Cancer Checklists) enables pathologists to use the [CAP Cancer Protocols](https://www.cap.org/protocols-and-guidelines/cancer-reporting-tools/cancer-protocols) directly within their laboratory information system (LIS) workflow and to ensure that each report is completed with the necessary required elements. Most anatomic pathology (AP)-LIS vendors offer a CAP eCC synoptic module for reporting on surgical cancer resections and selected biopsies."#xD;#xA;#xD;#xA;"The CAP eCC is based on the [CAP Cancer Protocols](https://www.cap.org/protocols-and-guidelines/cancer-reporting-tools/cancer-protocols) and is produced under the guidance of the [CAP Pathology Electronic Reporting (PERT) Committee](https://www.cap.org/member-resources/councils-committees/pathology-electronic-reporting-pert-committee) along with close interaction and advisement of the [Cancer Committee](https://www.cap.org/member-resources/councils-committees/cancer-committee).#xD;#xA;#xD;#xA;The eCC is developed in collaboration with and partially underwritten by the Centers for Disease Control and Prevention (CDC). Additional collaborators include the American Joint Committee on Cancer (AJCC), Cancer Care Ontario (CCO), and the North American Association of Central Cancer Registries (NAACCR).#xD;#xA;#xD;#xA;The CAP currently is working with the [California Cancer Registry (CCR)](http://www.ccrcal.org/) to offer the benefits of the eCC to California laboratories. CCR and the CAP are seeking out laboratories interested in participating in an ongoing project using the eCC to directly transfer cancer data to the central registry."#xD;#xA;#xD;#xA;"The CAP releases eCC templates on a rolling basis, coordinating as much as possible with the posting of new and revised [Cancer Pr…
identifier:
  system:
    v: http://cap.org/eCC
status:
  v: final
category:
  coding:
    system:
      v: http://hl7.org/fhir/us/cancer-reporting/CodeSystem/us-pathology-codesystem
    code:
      v: QUESTION
    display:
      v: Question
code:
  coding:
    system:
      v: http://cap.org/eCC
    code:
      v: 51180.100004300
    display:
      v: Clock position
  coding: http://snomed.info/id/399687005
    system:
      v: http://snomed.info/sct
    code:
      v: 399687005
    display:
      v: Anatomic location of primary malignant neoplasm (observable entity)
subject:
  link: http://hl7.org/fhir/us/cancer-reporting/Patient/patient-OakleyAnnie
  reference:
    v: Patient/patient-OakleyAnnie
effective: Period
  start:
    v: 2025-03-18T14:52:02+00:00
performer:
  link: http://hl7.org/fhir/us/cancer-reporting/Practitioner/practitioner-oncologist
  reference:
    v: Practitioner/practitioner-oncologist
value: CodeableConcept
  coding:
    system:
      v: http://cap.org/eCC
    code:
      v: 42418.100004300
    display:
      v: Clock position
has member:
  link: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-clock-position-8
  reference:
    v: Observation/observation-clock-position-8
derived from:
  link: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-tumor-site
  reference:
    v: Observation/observation-tumor-site

observation-clock-position-8
type: us
type: Observation
id:
  v: observation-clock-position-8
meta:
  profile:
    v: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-observation
    link: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-observation
text:
  status:
    v: generated
  div: Generated Narrative: Observation observation-clock-position-8 Profile: US Pathology Observation identifier: <a href="http://terminology.hl7.org/5.0.0/NamingSystem-CAPeCC.html" title=""The College of American Pathologists (CAP) eCC (electronic Cancer Checklists) enables pathologists to use the [CAP Cancer Protocols](https://www.cap.org/protocols-and-guidelines/cancer-reporting-tools/cancer-protocols) directly within their laboratory information system (LIS) workflow and to ensure that each report is completed with the necessary required elements. Most anatomic pathology (AP)-LIS vendors offer a CAP eCC synoptic module for reporting on surgical cancer resections and selected biopsies."#xD;#xA;#xD;#xA;"The CAP eCC is based on the [CAP Cancer Protocols](https://www.cap.org/protocols-and-guidelines/cancer-reporting-tools/cancer-protocols) and is produced under the guidance of the [CAP Pathology Electronic Reporting (PERT) Committee](https://www.cap.org/member-resources/councils-committees/pathology-electronic-reporting-pert-committee) along with close interaction and advisement of the [Cancer Committee](https://www.cap.org/member-resources/councils-committees/cancer-committee).#xD;#xA;#xD;#xA;The eCC is developed in collaboration with and partially underwritten by the Centers for Disease Control and Prevention (CDC). Additional collaborators include the American Joint Committee on Cancer (AJCC), Cancer Care Ontario (CCO), and the North American Association of Central Cancer Registries (NAACCR).#xD;#xA;#xD;#xA;The CAP currently is working with the [California Cancer Registry (CCR)](http://www.ccrcal.org/) to offer the benefits of the eCC to California laboratories. CCR and the CAP are seeking out laboratories interested in participating in an ongoing project using the eCC to directly transfer cancer data to the central registry."#xD;#xA;#xD;#xA;"The CAP releases eCC templates on a rolling basis, coordinating as much as possible with the posting of new and revised [Cancer …
identifier:
  system:
    v: http://cap.org/eCC
status:
  v: final
category:
  coding:
    system:
      v: http://hl7.org/fhir/us/cancer-reporting/CodeSystem/us-pathology-codesystem
    code:
      v: QUESTION
    display:
      v: Question
code:
  coding:
    system:
      v: http://cap.org/eCC
    code:
      v: 16259.100004300
    display:
      v: Specify Clock Position
  coding: http://snomed.info/id/3980001000004105
    system:
      v: http://snomed.info/sct
    code:
      v: 3980001000004105
    display:
      v: Radial location of primary malignant neoplasm in excised breast specimen (observable entity)
subject:
  link: http://hl7.org/fhir/us/cancer-reporting/Patient/patient-OakleyAnnie
  reference:
    v: Patient/patient-OakleyAnnie
effective: Period
  start:
    v: 2025-03-13T14:52:02+00:00
performer:
  link: http://hl7.org/fhir/us/cancer-reporting/Practitioner/practitioner-oncologist
  reference:
    v: Practitioner/practitioner-oncologist
value: CodeableConcept
  coding:
    system:
      v: http://cap.org/eCC
    code:
      v: 6643.100004300
    display:
      v: 8 o'clock
  coding: http://snomed.info/id/260341007
    system:
      v: http://snomed.info/sct
    code:
      v: 260341007
    display:
      v: 8 o'clock position (qualifier value)

observation-glandular-differentiation
type: us
type: Observation
id:
  v: observation-glandular-differentiation
meta:
  profile:
    v: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-observation
    link: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-observation
text:
  status:
    v: generated
  div: Generated Narrative: Observation observation-glandular-differentiation Profile: US Pathology Observation identifier: <a href="http://terminology.hl7.org/5.0.0/NamingSystem-CAPeCC.html" title=""The College of American Pathologists (CAP) eCC (electronic Cancer Checklists) enables pathologists to use the [CAP Cancer Protocols](https://www.cap.org/protocols-and-guidelines/cancer-reporting-tools/cancer-protocols) directly within their laboratory information system (LIS) workflow and to ensure that each report is completed with the necessary required elements. Most anatomic pathology (AP)-LIS vendors offer a CAP eCC synoptic module for reporting on surgical cancer resections and selected biopsies."#xD;#xA;#xD;#xA;"The CAP eCC is based on the [CAP Cancer Protocols](https://www.cap.org/protocols-and-guidelines/cancer-reporting-tools/cancer-protocols) and is produced under the guidance of the [CAP Pathology Electronic Reporting (PERT) Committee](https://www.cap.org/member-resources/councils-committees/pathology-electronic-reporting-pert-committee) along with close interaction and advisement of the [Cancer Committee](https://www.cap.org/member-resources/councils-committees/cancer-committee).#xD;#xA;#xD;#xA;The eCC is developed in collaboration with and partially underwritten by the Centers for Disease Control and Prevention (CDC). Additional collaborators include the American Joint Committee on Cancer (AJCC), Cancer Care Ontario (CCO), and the North American Association of Central Cancer Registries (NAACCR).#xD;#xA;#xD;#xA;The CAP currently is working with the [California Cancer Registry (CCR)](http://www.ccrcal.org/) to offer the benefits of the eCC to California laboratories. CCR and the CAP are seeking out laboratories interested in participating in an ongoing project using the eCC to directly transfer cancer data to the central registry."#xD;#xA;#xD;#xA;"The CAP releases eCC templates on a rolling basis, coordinating as much as possible with the posting of new and revised…
identifier:
  system:
    v: http://cap.org/eCC
status:
  v: final
category:
  coding:
    system:
      v: http://hl7.org/fhir/us/cancer-reporting/CodeSystem/us-pathology-codesystem
    code:
      v: QUESTION
    display:
      v: Question
code:
  coding:
    system:
      v: http://cap.org/eCC
    code:
      v: 38124.100004300
    display:
      v: Glandular (Acinar) / Tubular Differentiation
subject:
  link: http://hl7.org/fhir/us/cancer-reporting/Patient/patient-OakleyAnnie
  reference:
    v: Patient/patient-OakleyAnnie
effective: Period
  start:
    v: 2025-03-18T14:52:02+00:00
performer:
  link: http://hl7.org/fhir/us/cancer-reporting/Practitioner/practitioner-oncologist
  reference:
    v: Practitioner/practitioner-oncologist
value: CodeableConcept
  coding:
    system:
      v: http://cap.org/eCC
    code:
      v: 16348.100004300
    display:
      v: Score 2 (10 to 75% of tumor area forming glandular / tubular structures)
derived from:
  link: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-histologic-grade
  reference:
    v: Observation/observation-histologic-grade

observation-nuclear-pleomorphism
type: us
type: Observation
id:
  v: observation-nuclear-pleomorphism
meta:
  profile:
    v: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-observation
    link: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-observation
text:
  status:
    v: generated
  div: Generated Narrative: Observation observation-nuclear-pleomorphism Profile: US Pathology Observation identifier: <a href="http://terminology.hl7.org/5.0.0/NamingSystem-CAPeCC.html" title=""The College of American Pathologists (CAP) eCC (electronic Cancer Checklists) enables pathologists to use the [CAP Cancer Protocols](https://www.cap.org/protocols-and-guidelines/cancer-reporting-tools/cancer-protocols) directly within their laboratory information system (LIS) workflow and to ensure that each report is completed with the necessary required elements. Most anatomic pathology (AP)-LIS vendors offer a CAP eCC synoptic module for reporting on surgical cancer resections and selected biopsies."#xD;#xA;#xD;#xA;"The CAP eCC is based on the [CAP Cancer Protocols](https://www.cap.org/protocols-and-guidelines/cancer-reporting-tools/cancer-protocols) and is produced under the guidance of the [CAP Pathology Electronic Reporting (PERT) Committee](https://www.cap.org/member-resources/councils-committees/pathology-electronic-reporting-pert-committee) along with close interaction and advisement of the [Cancer Committee](https://www.cap.org/member-resources/councils-committees/cancer-committee).#xD;#xA;#xD;#xA;The eCC is developed in collaboration with and partially underwritten by the Centers for Disease Control and Prevention (CDC). Additional collaborators include the American Joint Committee on Cancer (AJCC), Cancer Care Ontario (CCO), and the North American Association of Central Cancer Registries (NAACCR).#xD;#xA;#xD;#xA;The CAP currently is working with the [California Cancer Registry (CCR)](http://www.ccrcal.org/) to offer the benefits of the eCC to California laboratories. CCR and the CAP are seeking out laboratories interested in participating in an ongoing project using the eCC to directly transfer cancer data to the central registry."#xD;#xA;#xD;#xA;"The CAP releases eCC templates on a rolling basis, coordinating as much as possible with the posting of new and revised [Can…
identifier:
  system:
    v: http://cap.org/eCC
status:
  v: final
category:
  coding:
    system:
      v: http://hl7.org/fhir/us/cancer-reporting/CodeSystem/us-pathology-codesystem
    code:
      v: QUESTION
    display:
      v: Question
code:
  coding:
    system:
      v: http://cap.org/eCC
    code:
      v: 38125.100004300
    display:
      v: Nuclear Pleomorphism
subject:
  link: http://hl7.org/fhir/us/cancer-reporting/Patient/patient-OakleyAnnie
  reference:
    v: Patient/patient-OakleyAnnie
effective: Period
  start:
    v: 2025-03-18T14:52:02+00:00
performer:
  link: http://hl7.org/fhir/us/cancer-reporting/Practitioner/practitioner-oncologist
  reference:
    v: Practitioner/practitioner-oncologist
value: CodeableConcept
  coding:
    system:
      v: http://cap.org/eCC
    code:
      v: 16355.100004300
    display:
      v: Score 2 (Cells larger than normal with open vesicular nuclei, visible nucleoli, and moderate variability in both size and shape)
derived from:
  link: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-histologic-grade
  reference:
    v: Observation/observation-histologic-grade

observation-mitotic-rate
type: us
type: Observation
id:
  v: observation-mitotic-rate
meta:
  profile:
    v: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-observation
    link: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-observation
text:
  status:
    v: generated
  div: Generated Narrative: Observation observation-mitotic-rate Profile: US Pathology Observation identifier: <a href="http://terminology.hl7.org/5.0.0/NamingSystem-CAPeCC.html" title=""The College of American Pathologists (CAP) eCC (electronic Cancer Checklists) enables pathologists to use the [CAP Cancer Protocols](https://www.cap.org/protocols-and-guidelines/cancer-reporting-tools/cancer-protocols) directly within their laboratory information system (LIS) workflow and to ensure that each report is completed with the necessary required elements. Most anatomic pathology (AP)-LIS vendors offer a CAP eCC synoptic module for reporting on surgical cancer resections and selected biopsies."#xD;#xA;#xD;#xA;"The CAP eCC is based on the [CAP Cancer Protocols](https://www.cap.org/protocols-and-guidelines/cancer-reporting-tools/cancer-protocols) and is produced under the guidance of the [CAP Pathology Electronic Reporting (PERT) Committee](https://www.cap.org/member-resources/councils-committees/pathology-electronic-reporting-pert-committee) along with close interaction and advisement of the [Cancer Committee](https://www.cap.org/member-resources/councils-committees/cancer-committee).#xD;#xA;#xD;#xA;The eCC is developed in collaboration with and partially underwritten by the Centers for Disease Control and Prevention (CDC). Additional collaborators include the American Joint Committee on Cancer (AJCC), Cancer Care Ontario (CCO), and the North American Association of Central Cancer Registries (NAACCR).#xD;#xA;#xD;#xA;The CAP currently is working with the [California Cancer Registry (CCR)](http://www.ccrcal.org/) to offer the benefits of the eCC to California laboratories. CCR and the CAP are seeking out laboratories interested in participating in an ongoing project using the eCC to directly transfer cancer data to the central registry."#xD;#xA;#xD;#xA;"The CAP releases eCC templates on a rolling basis, coordinating as much as possible with the posting of new and revised [Cancer Prot…
identifier:
  system:
    v: http://cap.org/eCC
status:
  v: final
category:
  coding:
    system:
      v: http://hl7.org/fhir/us/cancer-reporting/CodeSystem/us-pathology-codesystem
    code:
      v: QUESTION
    display:
      v: Question
code:
  coding:
    system:
      v: http://cap.org/eCC
    code:
      v: 38390.100004300
    display:
      v: Mitotic Rate
subject:
  link: http://hl7.org/fhir/us/cancer-reporting/Patient/patient-OakleyAnnie
  reference:
    v: Patient/patient-OakleyAnnie
effective: Period
  start:
    v: 2025-03-18T14:52:02+00:00
performer:
  link: http://hl7.org/fhir/us/cancer-reporting/Practitioner/practitioner-oncologist
  reference:
    v: Practitioner/practitioner-oncologist
value: CodeableConcept
  coding:
    system:
      v: http://cap.org/eCC
    code:
      v: 16383.100004300
    display:
      v: Score 1
derived from:
  link: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-histologic-grade
  reference:
    v: Observation/observation-histologic-grade

observation-overall-grade
type: us
type: Observation
id:
  v: observation-overall-grade
meta:
  profile:
    v: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-observation
    link: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-observation
text:
  status:
    v: generated
  div: Generated Narrative: Observation observation-overall-grade Profile: US Pathology Observation identifier: <a href="http://terminology.hl7.org/5.0.0/NamingSystem-CAPeCC.html" title=""The College of American Pathologists (CAP) eCC (electronic Cancer Checklists) enables pathologists to use the [CAP Cancer Protocols](https://www.cap.org/protocols-and-guidelines/cancer-reporting-tools/cancer-protocols) directly within their laboratory information system (LIS) workflow and to ensure that each report is completed with the necessary required elements. Most anatomic pathology (AP)-LIS vendors offer a CAP eCC synoptic module for reporting on surgical cancer resections and selected biopsies."#xD;#xA;#xD;#xA;"The CAP eCC is based on the [CAP Cancer Protocols](https://www.cap.org/protocols-and-guidelines/cancer-reporting-tools/cancer-protocols) and is produced under the guidance of the [CAP Pathology Electronic Reporting (PERT) Committee](https://www.cap.org/member-resources/councils-committees/pathology-electronic-reporting-pert-committee) along with close interaction and advisement of the [Cancer Committee](https://www.cap.org/member-resources/councils-committees/cancer-committee).#xD;#xA;#xD;#xA;The eCC is developed in collaboration with and partially underwritten by the Centers for Disease Control and Prevention (CDC). Additional collaborators include the American Joint Committee on Cancer (AJCC), Cancer Care Ontario (CCO), and the North American Association of Central Cancer Registries (NAACCR).#xD;#xA;#xD;#xA;The CAP currently is working with the [California Cancer Registry (CCR)](http://www.ccrcal.org/) to offer the benefits of the eCC to California laboratories. CCR and the CAP are seeking out laboratories interested in participating in an ongoing project using the eCC to directly transfer cancer data to the central registry."#xD;#xA;#xD;#xA;"The CAP releases eCC templates on a rolling basis, coordinating as much as possible with the posting of new and revised [Cancer Pro…
identifier:
  system:
    v: http://cap.org/eCC
status:
  v: final
category:
  coding:
    system:
      v: http://hl7.org/fhir/us/cancer-reporting/CodeSystem/us-pathology-codesystem
    code:
      v: QUESTION
    display:
      v: Question
code:
  coding:
    system:
      v: http://cap.org/eCC
    code:
      v: 38391.100004300
    display:
      v: Overall Grade
subject:
  link: http://hl7.org/fhir/us/cancer-reporting/Patient/patient-OakleyAnnie
  reference:
    v: Patient/patient-OakleyAnnie
effective: Period
  start:
    v: 2024-12-05T14:52:02+00:00
performer:
  link: http://hl7.org/fhir/us/cancer-reporting/Practitioner/practitioner-oncologist
  reference:
    v: Practitioner/practitioner-oncologist
value: CodeableConcept
  coding:
    system:
      v: http://cap.org/eCC
    code:
      v: 16390.100004300
    display:
      v: Grade 1 (scores of 3, 4 or 5)
derived from:
  link: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-histologic-grade
  reference:
    v: Observation/observation-histologic-grade

observation-additional-dimension
type: us
type: Observation
id:
  v: observation-additional-dimension
meta:
  profile:
    v: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-observation
    link: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-observation
text:
  status:
    v: generated
  div: Generated Narrative: Observation observation-additional-dimension Profile: US Pathology Observation identifier: <a href="http://terminology.hl7.org/5.0.0/NamingSystem-CAPeCC.html" title=""The College of American Pathologists (CAP) eCC (electronic Cancer Checklists) enables pathologists to use the [CAP Cancer Protocols](https://www.cap.org/protocols-and-guidelines/cancer-reporting-tools/cancer-protocols) directly within their laboratory information system (LIS) workflow and to ensure that each report is completed with the necessary required elements. Most anatomic pathology (AP)-LIS vendors offer a CAP eCC synoptic module for reporting on surgical cancer resections and selected biopsies."#xD;#xA;#xD;#xA;"The CAP eCC is based on the [CAP Cancer Protocols](https://www.cap.org/protocols-and-guidelines/cancer-reporting-tools/cancer-protocols) and is produced under the guidance of the [CAP Pathology Electronic Reporting (PERT) Committee](https://www.cap.org/member-resources/councils-committees/pathology-electronic-reporting-pert-committee) along with close interaction and advisement of the [Cancer Committee](https://www.cap.org/member-resources/councils-committees/cancer-committee).#xD;#xA;#xD;#xA;The eCC is developed in collaboration with and partially underwritten by the Centers for Disease Control and Prevention (CDC). Additional collaborators include the American Joint Committee on Cancer (AJCC), Cancer Care Ontario (CCO), and the North American Association of Central Cancer Registries (NAACCR).#xD;#xA;#xD;#xA;The CAP currently is working with the [California Cancer Registry (CCR)](http://www.ccrcal.org/) to offer the benefits of the eCC to California laboratories. CCR and the CAP are seeking out laboratories interested in participating in an ongoing project using the eCC to directly transfer cancer data to the central registry."#xD;#xA;#xD;#xA;"The CAP releases eCC templates on a rolling basis, coordinating as much as possible with the posting of new and revised [Can…
identifier:
  system:
    v: http://cap.org/eCC
status:
  v: final
category:
  coding:
    system:
      v: http://hl7.org/fhir/us/cancer-reporting/CodeSystem/us-pathology-codesystem
    code:
      v: QUESTION
    display:
      v: Question
code:
  coding:
    system:
      v: http://cap.org/eCC
    code:
      v: 31359.100004300
    display:
      v: Additional Dimension in Millimeters (mm)
subject:
  link: http://hl7.org/fhir/us/cancer-reporting/Patient/patient-OakleyAnnie
  reference:
    v: Patient/patient-OakleyAnnie
effective: Period
  start:
    v: 2025-03-18T14:52:02+00:00
performer:
  link: http://hl7.org/fhir/us/cancer-reporting/Practitioner/practitioner-oncologist
  reference:
    v: Practitioner/practitioner-oncologist
value: Quantity
  value:
    v: 13
derived from:
  link: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-tumor-size
  reference:
    v: Observation/observation-tumor-size

observation-margins-distance-to-closest-margin
type: us
type: Observation
id:
  v: observation-margins-distance-to-closest-margin
meta:
  profile:
    v: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-observation
    link: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-observation
text:
  status:
    v: generated
  div: Generated Narrative: Observation observation-margins-distance-to-closest-margin Profile: US Pathology Observation identifier: <a href="http://terminology.hl7.org/5.0.0/NamingSystem-CAPeCC.html" title=""The College of American Pathologists (CAP) eCC (electronic Cancer Checklists) enables pathologists to use the [CAP Cancer Protocols](https://www.cap.org/protocols-and-guidelines/cancer-reporting-tools/cancer-protocols) directly within their laboratory information system (LIS) workflow and to ensure that each report is completed with the necessary required elements. Most anatomic pathology (AP)-LIS vendors offer a CAP eCC synoptic module for reporting on surgical cancer resections and selected biopsies."#xD;#xA;#xD;#xA;"The CAP eCC is based on the [CAP Cancer Protocols](https://www.cap.org/protocols-and-guidelines/cancer-reporting-tools/cancer-protocols) and is produced under the guidance of the [CAP Pathology Electronic Reporting (PERT) Committee](https://www.cap.org/member-resources/councils-committees/pathology-electronic-reporting-pert-committee) along with close interaction and advisement of the [Cancer Committee](https://www.cap.org/member-resources/councils-committees/cancer-committee).#xD;#xA;#xD;#xA;The eCC is developed in collaboration with and partially underwritten by the Centers for Disease Control and Prevention (CDC). Additional collaborators include the American Joint Committee on Cancer (AJCC), Cancer Care Ontario (CCO), and the North American Association of Central Cancer Registries (NAACCR).#xD;#xA;#xD;#xA;The CAP currently is working with the [California Cancer Registry (CCR)](http://www.ccrcal.org/) to offer the benefits of the eCC to California laboratories. CCR and the CAP are seeking out laboratories interested in participating in an ongoing project using the eCC to directly transfer cancer data to the central registry."#xD;#xA;#xD;#xA;"The CAP releases eCC templates on a rolling basis, coordinating as much as possible with the posting of new an…
identifier:
  system:
    v: http://cap.org/eCC
status:
  v: final
category:
  coding:
    system:
      v: http://hl7.org/fhir/us/cancer-reporting/CodeSystem/us-pathology-codesystem
    code:
      v: QUESTION
    display:
      v: Question
code:
  coding:
    system:
      v: http://cap.org/eCC
    code:
      v: 351503.100004300
    display:
      v: Distance from Invasive Carcinoma to Closest Margin
subject:
  link: http://hl7.org/fhir/us/cancer-reporting/Patient/patient-OakleyAnnie
  reference:
    v: Patient/patient-OakleyAnnie
effective: Period
  start:
    v: 2025-03-18T14:52:02+00:00
performer:
  link: http://hl7.org/fhir/us/cancer-reporting/Practitioner/practitioner-oncologist
  reference:
    v: Practitioner/practitioner-oncologist
value: CodeableConcept
  coding:
    system:
      v: http://cap.org/eCC
    code:
      v: 16448.100004300
    display:
      v: Exact distance
derived from:
  link: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-margins-margin-status-for-invasive-carcinoma
  reference:
    v: Observation/observation-margins-margin-status-for-invasive-carcinoma

observation-margins-closest-margin-to-invasive-carcinoma
type: us
type: Observation
id:
  v: observation-margins-closest-margin-to-invasive-carcinoma
meta:
  profile:
    v: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-observation
    link: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-observation
text:
  status:
    v: generated
  div: Generated Narrative: Observation observation-margins-closest-margin-to-invasive-carcinoma Profile: US Pathology Observation identifier: <a href="http://terminology.hl7.org/5.0.0/NamingSystem-CAPeCC.html" title=""The College of American Pathologists (CAP) eCC (electronic Cancer Checklists) enables pathologists to use the [CAP Cancer Protocols](https://www.cap.org/protocols-and-guidelines/cancer-reporting-tools/cancer-protocols) directly within their laboratory information system (LIS) workflow and to ensure that each report is completed with the necessary required elements. Most anatomic pathology (AP)-LIS vendors offer a CAP eCC synoptic module for reporting on surgical cancer resections and selected biopsies."#xD;#xA;#xD;#xA;"The CAP eCC is based on the [CAP Cancer Protocols](https://www.cap.org/protocols-and-guidelines/cancer-reporting-tools/cancer-protocols) and is produced under the guidance of the [CAP Pathology Electronic Reporting (PERT) Committee](https://www.cap.org/member-resources/councils-committees/pathology-electronic-reporting-pert-committee) along with close interaction and advisement of the [Cancer Committee](https://www.cap.org/member-resources/councils-committees/cancer-committee).#xD;#xA;#xD;#xA;The eCC is developed in collaboration with and partially underwritten by the Centers for Disease Control and Prevention (CDC). Additional collaborators include the American Joint Committee on Cancer (AJCC), Cancer Care Ontario (CCO), and the North American Association of Central Cancer Registries (NAACCR).#xD;#xA;#xD;#xA;The CAP currently is working with the [California Cancer Registry (CCR)](http://www.ccrcal.org/) to offer the benefits of the eCC to California laboratories. CCR and the CAP are seeking out laboratories interested in participating in an ongoing project using the eCC to directly transfer cancer data to the central registry."#xD;#xA;#xD;#xA;"The CAP releases eCC templates on a rolling basis, coordinating as much as possible with the posting…
identifier:
  system:
    v: http://cap.org/eCC
status:
  v: final
category:
  coding:
    system:
      v: http://hl7.org/fhir/us/cancer-reporting/CodeSystem/us-pathology-codesystem
    code:
      v: QUESTION
    display:
      v: Question
code:
  coding:
    system:
      v: http://cap.org/eCC
    code:
      v: 351503.100004300
    display:
      v: Closest Margin(s) to Invasive Carcinoma
subject:
  link: http://hl7.org/fhir/us/cancer-reporting/Patient/patient-OakleyAnnie
  reference:
    v: Patient/patient-OakleyAnnie
effective: Period
  start:
    v: 2025-03-18T14:52:02+00:00
performer:
  link: http://hl7.org/fhir/us/cancer-reporting/Practitioner/practitioner-oncologist
  reference:
    v: Practitioner/practitioner-oncologist
value: CodeableConcept
  coding:
    system:
      v: http://cap.org/eCC
    code:
      v: 351501.100004300
    display:
      v: Lateral
derived from:
  link: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-section-margins
  reference:
    v: Observation/observation-section-margins

observation-regional-lymph-nodes-number-examined
type: us
type: Observation
id:
  v: observation-regional-lymph-nodes-number-examined
meta:
  profile:
    v: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-observation
    link: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-observation
text:
  status:
    v: generated
  div: Generated Narrative: Observation observation-regional-lymph-nodes-number-examined Profile: US Pathology Observation identifier: <a href="http://terminology.hl7.org/5.0.0/NamingSystem-CAPeCC.html" title=""The College of American Pathologists (CAP) eCC (electronic Cancer Checklists) enables pathologists to use the [CAP Cancer Protocols](https://www.cap.org/protocols-and-guidelines/cancer-reporting-tools/cancer-protocols) directly within their laboratory information system (LIS) workflow and to ensure that each report is completed with the necessary required elements. Most anatomic pathology (AP)-LIS vendors offer a CAP eCC synoptic module for reporting on surgical cancer resections and selected biopsies."#xD;#xA;#xD;#xA;"The CAP eCC is based on the [CAP Cancer Protocols](https://www.cap.org/protocols-and-guidelines/cancer-reporting-tools/cancer-protocols) and is produced under the guidance of the [CAP Pathology Electronic Reporting (PERT) Committee](https://www.cap.org/member-resources/councils-committees/pathology-electronic-reporting-pert-committee) along with close interaction and advisement of the [Cancer Committee](https://www.cap.org/member-resources/councils-committees/cancer-committee).#xD;#xA;#xD;#xA;The eCC is developed in collaboration with and partially underwritten by the Centers for Disease Control and Prevention (CDC). Additional collaborators include the American Joint Committee on Cancer (AJCC), Cancer Care Ontario (CCO), and the North American Association of Central Cancer Registries (NAACCR).#xD;#xA;#xD;#xA;The CAP currently is working with the [California Cancer Registry (CCR)](http://www.ccrcal.org/) to offer the benefits of the eCC to California laboratories. CCR and the CAP are seeking out laboratories interested in participating in an ongoing project using the eCC to directly transfer cancer data to the central registry."#xD;#xA;#xD;#xA;"The CAP releases eCC templates on a rolling basis, coordinating as much as possible with the posting of new …
identifier:
  system:
    v: http://cap.org/eCC
status:
  v: final
category:
  coding:
    system:
      v: http://hl7.org/fhir/us/cancer-reporting/CodeSystem/us-pathology-codesystem
    code:
      v: QUESTION
    display:
      v: Question
code:
  coding:
    system:
      v: http://cap.org/eCC
    code:
      v: 351602.100004300
    display:
      v: Total Number of Lymph Nodes Examined (sentinel and non-sentinel)
subject:
  link: http://hl7.org/fhir/us/cancer-reporting/Patient/patient-OakleyAnnie
  reference:
    v: Patient/patient-OakleyAnnie
effective: dateTime
  v: 2025-03-18
performer:
  link: http://hl7.org/fhir/us/cancer-reporting/Practitioner/practitioner-oncologist
  reference:
    v: Practitioner/practitioner-oncologist
value: CodeableConcept
  coding:
    system:
      v: http://cap.org/eCC
    code:
      v: 351601.100004300
    display:
      v: Exact number (specify)
derived from:
  link: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-regional-lymph-node-status
  reference:
    v: Observation/observation-regional-lymph-node-status

observation-regional-lymph-nodes-number-sentinel
type: us
type: Observation
id:
  v: observation-regional-lymph-nodes-number-sentinel
meta:
  profile:
    v: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-observation
    link: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-observation
text:
  status:
    v: generated
  div: Generated Narrative: Observation observation-regional-lymph-nodes-number-sentinel Profile: US Pathology Observation identifier: <a href="http://terminology.hl7.org/5.0.0/NamingSystem-CAPeCC.html" title=""The College of American Pathologists (CAP) eCC (electronic Cancer Checklists) enables pathologists to use the [CAP Cancer Protocols](https://www.cap.org/protocols-and-guidelines/cancer-reporting-tools/cancer-protocols) directly within their laboratory information system (LIS) workflow and to ensure that each report is completed with the necessary required elements. Most anatomic pathology (AP)-LIS vendors offer a CAP eCC synoptic module for reporting on surgical cancer resections and selected biopsies."#xD;#xA;#xD;#xA;"The CAP eCC is based on the [CAP Cancer Protocols](https://www.cap.org/protocols-and-guidelines/cancer-reporting-tools/cancer-protocols) and is produced under the guidance of the [CAP Pathology Electronic Reporting (PERT) Committee](https://www.cap.org/member-resources/councils-committees/pathology-electronic-reporting-pert-committee) along with close interaction and advisement of the [Cancer Committee](https://www.cap.org/member-resources/councils-committees/cancer-committee).#xD;#xA;#xD;#xA;The eCC is developed in collaboration with and partially underwritten by the Centers for Disease Control and Prevention (CDC). Additional collaborators include the American Joint Committee on Cancer (AJCC), Cancer Care Ontario (CCO), and the North American Association of Central Cancer Registries (NAACCR).#xD;#xA;#xD;#xA;The CAP currently is working with the [California Cancer Registry (CCR)](http://www.ccrcal.org/) to offer the benefits of the eCC to California laboratories. CCR and the CAP are seeking out laboratories interested in participating in an ongoing project using the eCC to directly transfer cancer data to the central registry."#xD;#xA;#xD;#xA;"The CAP releases eCC templates on a rolling basis, coordinating as much as possible with the posting of new …
identifier:
  system:
    v: http://cap.org/eCC
status:
  v: final
category:
  coding:
    system:
      v: http://hl7.org/fhir/us/cancer-reporting/CodeSystem/us-pathology-codesystem
    code:
      v: QUESTION
    display:
      v: Question
code:
  coding:
    system:
      v: http://cap.org/eCC
    code:
      v: 351607.100004300
    display:
      v: Number of Sentinel Nodes Examined
subject:
  link: http://hl7.org/fhir/us/cancer-reporting/Patient/patient-OakleyAnnie
  reference:
    v: Patient/patient-OakleyAnnie
effective: dateTime
  v: 2025-03-18
performer:
  link: http://hl7.org/fhir/us/cancer-reporting/Practitioner/practitioner-oncologist
  reference:
    v: Practitioner/practitioner-oncologist
value: CodeableConcept
  coding:
    system:
      v: http://cap.org/eCC
    code:
      v: 3351606.100004300
    display:
      v: Exact number (specify)
derived from:
  link: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-regional-lymph-node-status
  reference:
    v: Observation/observation-regional-lymph-node-status

observation-distant-metastasis-distant-sites
type: us
type: Observation
id:
  v: observation-distant-metastasis-distant-sites
meta:
  profile:
    v: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-observation
    link: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-observation
text:
  status:
    v: generated
  div: Generated Narrative: Observation observation-distant-metastasis-distant-sites Profile: US Pathology Observation identifier: <a href="http://terminology.hl7.org/5.0.0/NamingSystem-CAPeCC.html" title=""The College of American Pathologists (CAP) eCC (electronic Cancer Checklists) enables pathologists to use the [CAP Cancer Protocols](https://www.cap.org/protocols-and-guidelines/cancer-reporting-tools/cancer-protocols) directly within their laboratory information system (LIS) workflow and to ensure that each report is completed with the necessary required elements. Most anatomic pathology (AP)-LIS vendors offer a CAP eCC synoptic module for reporting on surgical cancer resections and selected biopsies."#xD;#xA;#xD;#xA;"The CAP eCC is based on the [CAP Cancer Protocols](https://www.cap.org/protocols-and-guidelines/cancer-reporting-tools/cancer-protocols) and is produced under the guidance of the [CAP Pathology Electronic Reporting (PERT) Committee](https://www.cap.org/member-resources/councils-committees/pathology-electronic-reporting-pert-committee) along with close interaction and advisement of the [Cancer Committee](https://www.cap.org/member-resources/councils-committees/cancer-committee).#xD;#xA;#xD;#xA;The eCC is developed in collaboration with and partially underwritten by the Centers for Disease Control and Prevention (CDC). Additional collaborators include the American Joint Committee on Cancer (AJCC), Cancer Care Ontario (CCO), and the North American Association of Central Cancer Registries (NAACCR).#xD;#xA;#xD;#xA;The CAP currently is working with the [California Cancer Registry (CCR)](http://www.ccrcal.org/) to offer the benefits of the eCC to California laboratories. CCR and the CAP are seeking out laboratories interested in participating in an ongoing project using the eCC to directly transfer cancer data to the central registry."#xD;#xA;#xD;#xA;"The CAP releases eCC templates on a rolling basis, coordinating as much as possible with the posting of new and …
identifier:
  system:
    v: http://cap.org/eCC
status:
  v: final
category:
  coding:
    system:
      v: http://hl7.org/fhir/us/cancer-reporting/CodeSystem/us-pathology-codesystem
    code:
      v: QUESTION
    display:
      v: Question
code:
  coding:
    system:
      v: http://cap.org/eCC
    code:
      v: 352334.100004300
    display:
      v: Distant Site(s) Involved, if applicable
subject:
  link: http://hl7.org/fhir/us/cancer-reporting/Patient/patient-OakleyAnnie
  reference:
    v: Patient/patient-OakleyAnnie
effective: dateTime
  v: 2025-03-18
performer:
  link: http://hl7.org/fhir/us/cancer-reporting/Practitioner/practitioner-oncologist
  reference:
    v: Practitioner/practitioner-oncologist
value: CodeableConcept
  coding:
    system:
      v: http://cap.org/eCC
    code:
      v: 352343.100004300
    display:
      v: Not applicable
derived from:
  link: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-distant-metastasis
  reference:
    v: Observation/observation-distant-metastasis

observation-special-studies-estrogen-receptor
type: us
type: Observation
id:
  v: observation-special-studies-estrogen-receptor
meta:
  profile:
    v: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-observation
    link: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-observation
text:
  status:
    v: generated
  div: Generated Narrative: Observation observation-special-studies-estrogen-receptor Profile: US Pathology Observation identifier: <a href="http://terminology.hl7.org/5.0.0/NamingSystem-CAPeCC.html" title=""The College of American Pathologists (CAP) eCC (electronic Cancer Checklists) enables pathologists to use the [CAP Cancer Protocols](https://www.cap.org/protocols-and-guidelines/cancer-reporting-tools/cancer-protocols) directly within their laboratory information system (LIS) workflow and to ensure that each report is completed with the necessary required elements. Most anatomic pathology (AP)-LIS vendors offer a CAP eCC synoptic module for reporting on surgical cancer resections and selected biopsies."#xD;#xA;#xD;#xA;"The CAP eCC is based on the [CAP Cancer Protocols](https://www.cap.org/protocols-and-guidelines/cancer-reporting-tools/cancer-protocols) and is produced under the guidance of the [CAP Pathology Electronic Reporting (PERT) Committee](https://www.cap.org/member-resources/councils-committees/pathology-electronic-reporting-pert-committee) along with close interaction and advisement of the [Cancer Committee](https://www.cap.org/member-resources/councils-committees/cancer-committee).#xD;#xA;#xD;#xA;The eCC is developed in collaboration with and partially underwritten by the Centers for Disease Control and Prevention (CDC). Additional collaborators include the American Joint Committee on Cancer (AJCC), Cancer Care Ontario (CCO), and the North American Association of Central Cancer Registries (NAACCR).#xD;#xA;#xD;#xA;The CAP currently is working with the [California Cancer Registry (CCR)](http://www.ccrcal.org/) to offer the benefits of the eCC to California laboratories. CCR and the CAP are seeking out laboratories interested in participating in an ongoing project using the eCC to directly transfer cancer data to the central registry."#xD;#xA;#xD;#xA;"The CAP releases eCC templates on a rolling basis, coordinating as much as possible with the posting of new and…
identifier:
  system:
    v: http://cap.org/eCC
status:
  v: final
category:
  coding:
    system:
      v: http://hl7.org/fhir/us/cancer-reporting/CodeSystem/us-pathology-codesystem
    code:
      v: QUESTION
    display:
      v: Question
code:
  coding:
    system:
      v: http://cap.org/eCC
    code:
      v: 43789.100004300
    display:
      v: Estrogen Receptor (ER)
subject:
  link: http://hl7.org/fhir/us/cancer-reporting/Patient/patient-OakleyAnnie
  reference:
    v: Patient/patient-OakleyAnnie
effective: dateTime
  v: 2025-03-05
performer:
  link: http://hl7.org/fhir/us/cancer-reporting/Practitioner/practitioner-oncologist
  reference:
    v: Practitioner/practitioner-oncologist
value: CodeableConcept
  coding:
    system:
      v: http://cap.org/eCC
    code:
      v: 50738
    display:
      v: Estrogen Receptor (ER)
has member:
  link: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-special-studies-estrogen-receptor-status
  reference:
    v: Observation/observation-special-studies-estrogen-receptor-status
derived from:
  link: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-special-studies-breast-biomarker
  reference:
    v: Observation/observation-special-studies-breast-biomarker

observation-special-studies-her2
type: us
type: Observation
id:
  v: observation-special-studies-her2
meta:
  profile:
    v: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-observation
    link: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-observation
text:
  status:
    v: generated
  div: Generated Narrative: Observation observation-special-studies-her2 Profile: US Pathology Observation identifier: <a href="http://terminology.hl7.org/5.0.0/NamingSystem-CAPeCC.html" title=""The College of American Pathologists (CAP) eCC (electronic Cancer Checklists) enables pathologists to use the [CAP Cancer Protocols](https://www.cap.org/protocols-and-guidelines/cancer-reporting-tools/cancer-protocols) directly within their laboratory information system (LIS) workflow and to ensure that each report is completed with the necessary required elements. Most anatomic pathology (AP)-LIS vendors offer a CAP eCC synoptic module for reporting on surgical cancer resections and selected biopsies."#xD;#xA;#xD;#xA;"The CAP eCC is based on the [CAP Cancer Protocols](https://www.cap.org/protocols-and-guidelines/cancer-reporting-tools/cancer-protocols) and is produced under the guidance of the [CAP Pathology Electronic Reporting (PERT) Committee](https://www.cap.org/member-resources/councils-committees/pathology-electronic-reporting-pert-committee) along with close interaction and advisement of the [Cancer Committee](https://www.cap.org/member-resources/councils-committees/cancer-committee).#xD;#xA;#xD;#xA;The eCC is developed in collaboration with and partially underwritten by the Centers for Disease Control and Prevention (CDC). Additional collaborators include the American Joint Committee on Cancer (AJCC), Cancer Care Ontario (CCO), and the North American Association of Central Cancer Registries (NAACCR).#xD;#xA;#xD;#xA;The CAP currently is working with the [California Cancer Registry (CCR)](http://www.ccrcal.org/) to offer the benefits of the eCC to California laboratories. CCR and the CAP are seeking out laboratories interested in participating in an ongoing project using the eCC to directly transfer cancer data to the central registry."#xD;#xA;#xD;#xA;"The CAP releases eCC templates on a rolling basis, coordinating as much as possible with the posting of new and revised [Can…
identifier:
  system:
    v: http://cap.org/eCC
status:
  v: final
category:
  coding:
    system:
      v: http://hl7.org/fhir/us/cancer-reporting/CodeSystem/us-pathology-codesystem
    code:
      v: QUESTION
    display:
      v: Question
code:
  coding:
    system:
      v: http://cap.org/eCC
    code:
      v: 79483
    display:
      v: HER2 (by immunohistochemistry)
subject:
  link: http://hl7.org/fhir/us/cancer-reporting/Patient/patient-OakleyAnnie
  reference:
    v: Patient/patient-OakleyAnnie
effective: dateTime
  v: 2025-03-18
performer:
  link: http://hl7.org/fhir/us/cancer-reporting/Practitioner/practitioner-pathologist
  reference:
    v: Practitioner/practitioner-pathologist
has member:
  link: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-special-studies-negative
  reference:
    v: Observation/observation-special-studies-negative
derived from:
  link: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-special-studies-breast-biomarker
  reference:
    v: Observation/observation-special-studies-breast-biomarker

observation-special-studies-estrogen-receptor-status
type: us
type: Observation
id:
  v: observation-special-studies-estrogen-receptor-status
meta:
  profile:
    v: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-observation
    link: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-observation
text:
  status:
    v: generated
  div: Generated Narrative: Observation observation-special-studies-estrogen-receptor-status Profile: US Pathology Observation identifier: <a href="http://terminology.hl7.org/5.0.0/NamingSystem-CAPeCC.html" title=""The College of American Pathologists (CAP) eCC (electronic Cancer Checklists) enables pathologists to use the [CAP Cancer Protocols](https://www.cap.org/protocols-and-guidelines/cancer-reporting-tools/cancer-protocols) directly within their laboratory information system (LIS) workflow and to ensure that each report is completed with the necessary required elements. Most anatomic pathology (AP)-LIS vendors offer a CAP eCC synoptic module for reporting on surgical cancer resections and selected biopsies."#xD;#xA;#xD;#xA;"The CAP eCC is based on the [CAP Cancer Protocols](https://www.cap.org/protocols-and-guidelines/cancer-reporting-tools/cancer-protocols) and is produced under the guidance of the [CAP Pathology Electronic Reporting (PERT) Committee](https://www.cap.org/member-resources/councils-committees/pathology-electronic-reporting-pert-committee) along with close interaction and advisement of the [Cancer Committee](https://www.cap.org/member-resources/councils-committees/cancer-committee).#xD;#xA;#xD;#xA;The eCC is developed in collaboration with and partially underwritten by the Centers for Disease Control and Prevention (CDC). Additional collaborators include the American Joint Committee on Cancer (AJCC), Cancer Care Ontario (CCO), and the North American Association of Central Cancer Registries (NAACCR).#xD;#xA;#xD;#xA;The CAP currently is working with the [California Cancer Registry (CCR)](http://www.ccrcal.org/) to offer the benefits of the eCC to California laboratories. CCR and the CAP are seeking out laboratories interested in participating in an ongoing project using the eCC to directly transfer cancer data to the central registry."#xD;#xA;#xD;#xA;"The CAP releases eCC templates on a rolling basis, coordinating as much as possible with the posting of …
identifier:
  system:
    v: http://cap.org/eCC
status:
  v: final
category:
  coding:
    system:
      v: http://hl7.org/fhir/us/cancer-reporting/CodeSystem/us-pathology-codesystem
    code:
      v: QUESTION
    display:
      v: Question
code:
  coding:
    system:
      v: http://cap.org/eCC
    code:
      v: 45138.100004300
    display:
      v: Estrogen Receptor (ER) Status
subject:
  link: http://hl7.org/fhir/us/cancer-reporting/Patient/patient-OakleyAnnie
  reference:
    v: Patient/patient-OakleyAnnie
effective: dateTime
  v: 2025-03-18
performer:
  link: http://hl7.org/fhir/us/cancer-reporting/Practitioner/practitioner-oncologist
  reference:
    v: Practitioner/practitioner-oncologist
value: CodeableConcept
  coding:
    system:
      v: http://cap.org/eCC
    code:
      v: 53472.100004300
    display:
      v: Cannot be determined (indeterminate)
derived from:
  link: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-special-studies-estrogen-receptor
  reference:
    v: Observation/observation-special-studies-estrogen-receptor

practitioner-pathologist
type: us
type: Practitioner
id:
  v: practitioner-pathologist
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner
    link: http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner
text:
  status:
    v: generated
  div: Generated Narrative: Practitioner practitioner-pathologist Profile: US Core Practitioner Profile identifier: NPI/1234567893 name: Stains Alot
identifier:
  system:
    v: http://hl7.org/fhir/sid/us-npi
  value:
    v: 1234567893
name:
  family:
    v: Alot
  given:
    v: Stains

observation-special-studies-negative
type: us
type: Observation
id:
  v: observation-special-studies-negative
meta:
  profile:
    v: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-observation
    link: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-observation
text:
  status:
    v: generated
  div: Generated Narrative: Observation observation-special-studies-negative Profile: US Pathology Observation identifier: <a href="http://terminology.hl7.org/5.0.0/NamingSystem-CAPeCC.html" title=""The College of American Pathologists (CAP) eCC (electronic Cancer Checklists) enables pathologists to use the [CAP Cancer Protocols](https://www.cap.org/protocols-and-guidelines/cancer-reporting-tools/cancer-protocols) directly within their laboratory information system (LIS) workflow and to ensure that each report is completed with the necessary required elements. Most anatomic pathology (AP)-LIS vendors offer a CAP eCC synoptic module for reporting on surgical cancer resections and selected biopsies."#xD;#xA;#xD;#xA;"The CAP eCC is based on the [CAP Cancer Protocols](https://www.cap.org/protocols-and-guidelines/cancer-reporting-tools/cancer-protocols) and is produced under the guidance of the [CAP Pathology Electronic Reporting (PERT) Committee](https://www.cap.org/member-resources/councils-committees/pathology-electronic-reporting-pert-committee) along with close interaction and advisement of the [Cancer Committee](https://www.cap.org/member-resources/councils-committees/cancer-committee).#xD;#xA;#xD;#xA;The eCC is developed in collaboration with and partially underwritten by the Centers for Disease Control and Prevention (CDC). Additional collaborators include the American Joint Committee on Cancer (AJCC), Cancer Care Ontario (CCO), and the North American Association of Central Cancer Registries (NAACCR).#xD;#xA;#xD;#xA;The CAP currently is working with the [California Cancer Registry (CCR)](http://www.ccrcal.org/) to offer the benefits of the eCC to California laboratories. CCR and the CAP are seeking out laboratories interested in participating in an ongoing project using the eCC to directly transfer cancer data to the central registry."#xD;#xA;#xD;#xA;"The CAP releases eCC templates on a rolling basis, coordinating as much as possible with the posting of new and revised …
identifier:
  system:
    v: http://cap.org/eCC
status:
  v: final
category:
  coding:
    system:
      v: http://hl7.org/fhir/us/cancer-reporting/CodeSystem/us-pathology-codesystem
    code:
      v: QUESTION
    display:
      v: Question
code:
  coding:
    system:
      v: http://cap.org/eCC
    code:
      v: 52399.100004300
    display:
      v: HER2 (by immunohistochemistry)
subject:
  link: http://hl7.org/fhir/us/cancer-reporting/Patient/patient-OakleyAnnie
  reference:
    v: Patient/patient-OakleyAnnie
effective: dateTime
  v: 2025-03-18
performer:
  link: http://hl7.org/fhir/us/cancer-reporting/Practitioner/practitioner-oncologist
  reference:
    v: Practitioner/practitioner-oncologist
value: CodeableConcept
  coding:
    system:
      v: http://cap.org/eCC
    code:
      v: 40505.100004300
    display:
      v: Negative (Score 0)
derived from:
  link: http://hl7.org/fhir/us/cancer-reporting/Observation/observation-special-studies-her2
  reference:
    v: Observation/observation-special-studies-her2

relatedperson-pathology-next-of-kin
type: us
type: RelatedPerson
id:
  v: relatedperson-pathology-next-of-kin
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-relatedperson
    link: http://hl7.org/fhir/us/core/StructureDefinition/us-core-relatedperson
text:
  status:
    v: generated
  div: Generated Narrative: RelatedPerson relatedperson-pathology-next-of-kin Profile: US Core RelatedPerson Profile active: true patient: Annie Oakley Female, DoB: 1990-06-01 ( MRN: AlaskaDLN#abc123 (use: usual, )) relationship: Next-of-Kin name: Bill Hickok telecom: ph: 1-989-654-7896
active:
  v: true
patient:
  link: http://hl7.org/fhir/us/cancer-reporting/Patient/patient-OakleyAnnie
  reference:
    v: Patient/patient-OakleyAnnie
relationship:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/v2-0131
    code:
      v: N
    display:
      v: Next-of-Kin
name:
  family:
    v: Hickok
  given:
    v: Bill
telecom:
  system:
    v: phone
  value:
    v: 1-989-654-7896

practitionerrole-uspath-surgeon
type: us
type: PractitionerRole
id:
  v: practitionerrole-uspath-surgeon
meta:
  profile:
    v: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-related-practitioner-role
    link: http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-related-practitioner-role
text:
  status:
    v: generated
  div: Generated Narrative: PractitionerRole practitionerrole-uspath-surgeon Profile: US Pathology Related Practitioner Role practitioner: Practitioner Cuts Alot organization: Organization Redwood Women's Center, P.C. code: Ordering Provider telecom: ph: 720-242-5555
practitioner:
  link: http://hl7.org/fhir/us/cancer-reporting/Practitioner/practitioner-surgeon
  reference:
    v: Practitioner/practitioner-surgeon
organization:
  link: http://hl7.org/fhir/us/cancer-reporting/Organization/organization-Redwood-Womens-Center-PC
  reference:
    v: Organization/organization-Redwood-Womens-Center-PC
code:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/v2-0443
    version:
      v: 2.3.0
    code:
      v: OP
    display:
      v: Ordering Provider
telecom:
  system:
    v: phone
  value:
    v: 720-242-5555

organization-Redwood-Womens-Center-PC
type: us
type: Organization
id:
  v: organization-Redwood-Womens-Center-PC
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization
    link: http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization
text:
  status:
    v: generated
  div: Generated Narrative: Organization organization-Redwood-Womens-Center-PC Profile: US Core Organization Profile active: true name: Redwood Women's Center, P.C. address: 3307 Renner Drive Fortuna CA 95540 USA
active:
  v: true
name:
  v: Redwood Women's Center, P.C.
address:
  line:
    v: 3307 Renner Drive
  city:
    v: Fortuna
  state:
    v: CA
  postal code:
    v: 95540
  country:
    v: USA

organization-principal-pathology-lab
type: us
type: Organization
id:
  v: organization-principal-pathology-lab
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization
    link: http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization
text:
  status:
    v: generated
  div: Generated Narrative: Organization organization-principal-pathology-lab Profile: US Core Organization Profile active: true name: Some Pathology Lab Name address: Any City CA 95540 USA
active:
  v: true
name:
  v: Some Pathology Lab Name
address:
  line:
    v: Any
  city:
    v: City
  state:
    v: CA
  postal code:
    v: 95540
  country:
    v: USA

practitioner-surgeon
type: us
type: Practitioner
id:
  v: practitioner-surgeon
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner
    link: http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner
text:
  status:
    v: generated
  div: Generated Narrative: Practitioner practitioner-surgeon Profile: US Core Practitioner Profile identifier: NPI/1234567893 name: Cuts Alot
identifier:
  system:
    v: http://hl7.org/fhir/sid/us-npi
  value:
    v: 1234567893
name:
  family:
    v: Alot
  given:
    v: Cuts