Cancer Pathology Data Sharing, published by HL7 International / Orders and Observations. This guide is not an authorized publication; it is the continuous build for version 2.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/cancer-reporting/ and changes regularly. See the Directory of published versions

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: Distant Metastasis Section - XML Representation

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<Observation xmlns="http://hl7.org/fhir">
  <id value="observation-section-distant-metastasis"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-observation"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Observation observation-section-distant-metastasis</b></p><a name="observation-section-distant-metastasis"> </a><a name="hcobservation-section-distant-metastasis"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-us-pathology-observation.html">US Pathology Observation</a></p></div><p><b>identifier</b>: <a href="http://terminology.hl7.org/5.0.0/NamingSystem-CAPeCC.html" title="&quot;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.&quot;

&quot;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).

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).

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.&quot;

&quot;The CAP releases eCC templates on a rolling basis, coordinating as much as possible with the posting of new and revised [Cancer Protocols and Cancer Biomarker Reporting Templates](https://www.cap.org/protocols-and-guidelines/cancer-reporting-tools/cancer-protocol-templates). A few weeks prior to each Major or Agile release, email notifications are sent out to all licensed CAP eCC users.&quot; For more information, see page [here](https://www.cap.org/laboratory-improvement/proficiency-testing/cap-ecc)">CAPeCC</a>/urn:uuid:a0d2cb8e-ab6f-4efe-ad2b-03c20d625a9f</p><p><b>status</b>: Final</p><p><b>category</b>: <span title="Codes:{http://hl7.org/fhir/us/cancer-reporting/CodeSystem/us-pathology-codesystem SECTION}">Section</span></p><p><b>code</b>: <span title="Codes:{http://cap.org/eCC 352333.100004300}">Distant Metastasis</span></p><p><b>subject</b>: <a href="Patient-patient-OakleyAnnie.html">Annie Oakley  Female, DoB: 1990-06-01 ( MRN: AlaskaDLN#abc123 (use: usual, ))</a></p><p><b>effective</b>: 2025-03-18</p><p><b>performer</b>: <a href="Practitioner-practitioner-oncologist.html">Practitioner Wise Owl </a></p><p><b>hasMember</b>: <a href="Observation-observation-distant-metastasis.html">Observation DISTANT METASTASIS</a></p></div>
  </text>
  <identifier>
    <system value="http://cap.org/eCC"/>
    <value value="urn:uuid:a0d2cb8e-ab6f-4efe-ad2b-03c20d625a9f"/>
  </identifier>
  <status value="final"/>
  <category>
    <coding>
      <system
              value="http://hl7.org/fhir/us/cancer-reporting/CodeSystem/us-pathology-codesystem"/>
      <code value="SECTION"/>
      <display value="Section"/>
    </coding>
  </category>
  <code>
    <coding>
      <system value="http://cap.org/eCC"/>
      <code value="352333.100004300"/>
      <display value="Distant Metastasis"/>
    </coding>
  </code>
  <subject>🔗 
    <reference value="Patient/patient-OakleyAnnie"/>
  </subject>
  <effectiveDateTime value="2025-03-18"/>
  <performer>🔗 
    <reference value="Practitioner/practitioner-oncologist"/>
  </performer>
  <hasMember>🔗 
    <reference value="Observation/observation-distant-metastasis"/>
  </hasMember>
</Observation>