{
  "resourceType" : "Bundle",
  "id" : "ccrr-content-bundle-example",
  "meta" : {
    "profile" : ["http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/ccrr-content-bundle"]
  },
  "type" : "collection",
  "timestamp" : "2023-04-05T11:15:33-10:00",
  "entry" : [{
    "fullUrl" : "http://hl7.org/fhir/us/central-cancer-registry-reporting/Composition/ccrr-composition-content-example",
    "resource" : {
      "resourceType" : "Composition",
      "id" : "ccrr-composition-content-example",
      "meta" : {
        "profile" : ["http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/ccrr-composition"]
      },
      "text" : {
        "status" : "extensions",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Composition_ccrr-composition-content-example\"> </a><p><b> Amy Shaw data for HCS </b></p></div>"
      },
      "identifier" : {
        "value" : "c03eab8c-11e8-4d0c-ad2a-b385395e29ab"
      },
      "status" : "final",
      "type" : {
        "coding" : [{
          "system" : "http://loinc.org",
          "code" : "72134-0"
        }]
      },
      "subject" : {
        "reference" : "Patient/example",
        "display" : "Amy Shaw"
      },
      "encounter" : {
        "reference" : "Encounter/encounter-cancer-example",
        "display" : "Encounter Cancer Example"
      },
      "date" : "2023-04-05T22:13:23Z",
      "author" : [{
        "reference" : "Practitioner/1",
        "display" : "Dr. Joseph Nichols"
      }],
      "title" : "Central Cancer Registry Report",
      "section" : [{
        "title" : "Primary Cancer Condition Section",
        "code" : {
          "coding" : [{
            "system" : "http://snomed.info/sct",
            "code" : "363346000",
            "display" : "Malignant neoplastic disease (disorder)"
          }]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n<p>Primary Cancer Condition Section</p></div>"
        },
        "entry" : [{
          "reference" : "Condition/primary-cancer-condition-breast"
        }]
      },
      {
        "title" : "TNM Staging section",
        "code" : {
          "coding" : [{
            "system" : "http://loinc.org",
            "code" : "21908-9",
            "display" : "Stage group.clinical Cancer"
          }]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n<p>Cancer Stage Group</p></div>"
        },
        "entry" : [{
          "reference" : "Observation/cancer-stage-group-example"
        },
        {
          "reference" : "Observation/tnm-clinical-regional-nodes-category-cN0"
        },
        {
          "reference" : "Observation/tnm-clinical-primary-tumor-category-cT2"
        },
        {
          "reference" : "Observation/tnm-clinical-distant-metastases-category-cM0"
        }]
      },
      {
        "title" : "Problem Section",
        "code" : {
          "coding" : [{
            "system" : "http://loinc.org",
            "code" : "11450-4",
            "display" : "Problem list - Reported"
          }]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n<p>Problem Section</p></div>"
        },
        "entry" : [{
          "reference" : "Condition/problem-list-diabetes"
        }]
      },
      {
        "title" : "ODH Section",
        "code" : {
          "coding" : [{
            "system" : "http://loinc.org",
            "code" : "74165-2",
            "display" : "History of employment status NIOSH"
          }]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n<p>ODH Usual Work Section</p></div>"
        },
        "entry" : [{
          "reference" : "Observation/odh-usual-work"
        }]
      },
      {
        "title" : "Social History Section",
        "code" : {
          "coding" : [{
            "system" : "http://loinc.org",
            "code" : "29762-2",
            "display" : "Social history note"
          }]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n<p>Social History Section</p></div>"
        },
        "entry" : [{
          "reference" : "Observation/non-smoker"
        }]
      }]
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/us/central-cancer-registry-reporting/Practitioner/1",
    "resource" : {
      "resourceType" : "Practitioner",
      "id" : "1",
      "meta" : {
        "profile" : ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner|6.1.0"]
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Practitioner_1\"> </a>\n  <p><b>Profile:</b> <a href=\"https://hl7.org/fhir/us/core/StructureDefinition-us-core-us-core-practitioner.html\">US Core Practitioner</a></p>\n  <p><b>Practitioner:</b> Dr. Joseph Nichols</p>\n  <p><b>Identifier:</b> US NPI: 1122334455</p>\n  <p><b>Address:</b> 1234 Main St., Tulsa, OK 74126, US (work)</p>\n  <p><b>Email:</b> joseph.nichols@example.com</p>\n  <p><b>Phone:</b> 800-277-1993</p>\n  </div>"
      },
      "identifier" : [{
        "system" : "http://hl7.org/fhir/sid/us-npi",
        "value" : "1122334455"
      }],
      "name" : [{
        "family" : "Nichols",
        "given" : ["Joseph"],
        "prefix" : ["Dr"]
      }],
      "telecom" : [{
        "system" : "email",
        "value" : "joseph.nichols@example.com",
        "use" : "work"
      },
      {
        "system" : "phone",
        "value" : "800-277-1993",
        "use" : "work"
      }],
      "address" : [{
        "use" : "work",
        "line" : ["1234 Main St."],
        "city" : "Tulsa",
        "state" : "OK",
        "postalCode" : "74126",
        "country" : "US"
      }]
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/us/central-cancer-registry-reporting/Observation/cancer-stage-group-example",
    "resource" : {
      "resourceType" : "Observation",
      "id" : "cancer-stage-group-example",
      "meta" : {
        "profile" : ["http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tnm-stage-group"]
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_cancer-stage-group-example\"> </a>\n  <p><b>Profile: </b> <a href=\"https://hl7.org/fhir/us/mcode/StructureDefinition-mcode-tnm-stage-group.html\">mCODE TNM Stage Group</a></p>\n   <p><b>Observation:</b> cancer-stage-group-example</p><p><b>status</b>: final</p><p><b>code</b>: Stage group.clinical Cancer LOINC 21908-9</p><p><b>subject</b>: <a href=\"Patient-example.html\">Patient-example: Amy Shaw</a></p>\n  <p><b>focus</b>: <a href=\"Condition-primary-cancer-condition-breast.html\">primary-cancer-condition-breast</a></p><p><b>effective</b>: 2023-03-21</p><p><b>value</b>: American Joint Committee on Cancer stage IIA (qualifier value) SNOMED CT[Intl] 1222766008)</p><p><b>method</b>: American Joint Commission on Cancer, Cancer Staging Manual, 8th edition neoplasm staging system (tumor staging) SNOMED CT[Intl] #897275008</p><p><b>hasMember</b>: </p><ul><li><a href=\"Observation-tnm-clinical-primary-tumor-category-cT2.html\">Observation/tnm-clinical-primary-tumor-category-cT2</a></li><li><a href=\"Observation-tnm-clinical-regional-nodes-category-cN0.html\">Observation/tnm-clinical-regional-nodes-category-cN0</a></li><li><a href=\"Observation-tnm-clinical-distant-metastases-category-cM0.html\">Observation/tnm-clinical-distant-metastases-category-cM0</a></li></ul></div>"
      },
      "status" : "final",
      "category" : [{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
          "code" : "imaging",
          "display" : "Imaging"
        }]
      }],
      "code" : {
        "coding" : [{
          "system" : "http://loinc.org",
          "code" : "21908-9",
          "display" : "Stage group.clinical Cancer"
        }]
      },
      "subject" : {
        "reference" : "Patient/example"
      },
      "focus" : [{
        "reference" : "Condition/primary-cancer-condition-breast"
      }],
      "effectiveDateTime" : "2023-03-21",
      "performer" : [{
        "reference" : "Practitioner/1",
        "display" : "Joseph Nichols"
      }],
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "1222766008",
          "display" : "American Joint Committee on Cancer stage IIA (qualifier value)"
        }]
      },
      "method" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "897275008",
          "display" : "American Joint Committee on Cancer, Cancer Staging Manual, 8th edition tumor staging system"
        }]
      },
      "hasMember" : [{
        "reference" : "Observation/tnm-clinical-primary-tumor-category-cT2"
      },
      {
        "reference" : "Observation/tnm-clinical-regional-nodes-category-cN0"
      },
      {
        "reference" : "Observation/tnm-clinical-distant-metastases-category-cM0"
      }]
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/us/central-cancer-registry-reporting/Observation/tnm-clinical-primary-tumor-category-cT2",
    "resource" : {
      "resourceType" : "Observation",
      "id" : "tnm-clinical-primary-tumor-category-cT2",
      "meta" : {
        "profile" : ["http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tnm-primary-tumor-category"]
      },
      "text" : {
        "status" : "extensions",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_tnm-clinical-primary-tumor-category-cT2\"> </a>\n  <p><b>Profile:</b> <a href=\"https://hl7.org/fhir/us/mcode/StructureDefinition-mcode-tnm-primary-tumor-category.html\">mCODE TNM Primary Tumor Category</a></p> \n<p><b>Observation:</b> TNM Clinical Primary Tumor Category (cT2)</p>\n    <p><b>Status:</b> final</p>\n  <p><b>Category:</b> Laboratory</p>\n  <p><b>Code:</b> Primary tumor.clinical [Class] Cancer (LOINC: 21905-5)</p>\n  <p><b>Subject:</b> <a href=\"Patient-example.html\">Patient-example: Amy Shaw</a></p>\n  <p><b>Effective Date:</b> 2023-03-21</p>\n  <p><b>Performer:</b> <a href=\"Practitioner-1.html\">Dr. Joseph Nichols (Practitioner/1)</a></p>\n  <p><b>Value:</b> cT2 - 1228929004 (American Joint Committee on Cancer cT2 qualifier)</p>\n  <p><b>Method:</b> American Joint Commission on Cancer, Cancer Staging Manual, 8th edition neoplasm staging system (tumor staging) (SNOMED CT: 897275008)</p>\n  </div>"
      },
      "status" : "final",
      "category" : [{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
          "code" : "imaging",
          "display" : "Imaging"
        }]
      }],
      "code" : {
        "coding" : [{
          "system" : "http://loinc.org",
          "code" : "21905-5",
          "display" : "Primary tumor.clinical [Class] Cancer"
        }]
      },
      "subject" : {
        "reference" : "Patient/example"
      },
      "effectiveDateTime" : "2023-03-21",
      "performer" : [{
        "reference" : "Practitioner/1"
      }],
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "1228929004",
          "display" : "American Joint Committee on Cancer cT2 (qualifier value)"
        }]
      },
      "method" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "897275008",
          "display" : "American Joint Committee on Cancer, Cancer Staging Manual, 8th edition tumor staging system"
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/us/central-cancer-registry-reporting/Observation/tnm-clinical-regional-nodes-category-cN0",
    "resource" : {
      "resourceType" : "Observation",
      "id" : "tnm-clinical-regional-nodes-category-cN0",
      "meta" : {
        "profile" : ["http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tnm-regional-nodes-category"]
      },
      "text" : {
        "status" : "extensions",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_tnm-clinical-regional-nodes-category-cN0\"> </a>\n  <p><b>Profile:</b> <a href=\"https://hl7.org/fhir/us/mcode/StructureDefinition-mcode-tnm-regional-nodes-category.html\">mmCODE TNM Regional Nodes Category</a></p>\n <p><b>Observation:</b> TNM Clinical Regional Nodes Category (cN0)</p>\n    <p><b>Status:</b> final</p>\n  <p><b>Category:</b> Laboratory</p>\n  <p><b>Code:</b> Regional lymph nodes.clinical [Class] Cancer (LOINC: 21906-3)</p>\n  <p><b>Subject:</b> <a href=\"Patient-example.html\">Patient-example: Amy Shaw</a></p>\n  <p><b>Effective Date:</b> 2023-03-21</p>\n  <p><b>Performer:</b> <a href=\"Practitioner-1.html\">Dr. Joseph Nichols (Practitioner/1)</a></p>\n  <p><b>Value:</b> cN0 (American Joint Committee on Cancer cN0 qualifier)</p>\n  <p><b>Method:</b> American Joint Commission on Cancer, Cancer Staging Manual, 8th edition neoplasm staging system (tumor staging) (SNOMED CT: 897275008)</p>\n  </div>"
      },
      "status" : "final",
      "category" : [{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
          "code" : "imaging",
          "display" : "Imaging"
        }]
      }],
      "code" : {
        "coding" : [{
          "system" : "http://loinc.org",
          "code" : "21906-3",
          "display" : "Regional lymph nodes.clinical [Class] Cancer"
        }]
      },
      "subject" : {
        "reference" : "Patient/example"
      },
      "effectiveDateTime" : "2023-03-21",
      "performer" : [{
        "reference" : "Practitioner/1"
      }],
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "1229967007",
          "display" : "American Joint Committee on Cancer cN0 (qualifier value)"
        }]
      },
      "method" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "897275008",
          "display" : "American Joint Committee on Cancer, Cancer Staging Manual, 8th edition tumor staging system"
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/us/central-cancer-registry-reporting/Observation/tnm-clinical-distant-metastases-category-cM0",
    "resource" : {
      "resourceType" : "Observation",
      "id" : "tnm-clinical-distant-metastases-category-cM0",
      "meta" : {
        "profile" : ["http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tnm-distant-metastases-category"]
      },
      "text" : {
        "status" : "extensions",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_tnm-clinical-distant-metastases-category-cM0\"> </a>\n  <p><b>Profile:</b> <a href=\"https://hl7.org/fhir/us/mcode/StructureDefinition-mcode-tnm-distant-metastases-category.html\">mCODE TNM Distant Metastases Category</a></p>\n  <p><b>Observation:</b> TNM Clinical Distant Metastases Category (cM0)</p>\n    <p><b>Status:</b> final</p>\n  <p><b>Category:</b> Imaging</p>\n  <p><b>Code:</b> cM category (SNOMED CT: 399387003)</p>\n  <p><b>Subject:</b> <a href=\"Patient-example.html\">Patient-example: Amy Shaw</a></p>\n  <p><b>Effective Date:</b> 2023-03-21</p>\n  <p><b>Performer:</b> <a href=\"Practitioner-1.html\">Dr. Joseph Nichols (Practitioner/1)</a></p>\n  <p><b>Value:</b> cM0 - 1229901006 (American Joint Committee on Cancer cM0 qualifier)</p>\n  <p><b>Method:</b> American Joint Commission on Cancer, Cancer Staging Manual, 8th edition neoplasm staging system (tumor staging) (SNOMED CT: 897275008)</p>\n  </div>"
      },
      "status" : "final",
      "category" : [{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
          "code" : "imaging",
          "display" : "Imaging"
        }]
      }],
      "code" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "399387003",
          "display" : "cM category"
        }]
      },
      "subject" : {
        "reference" : "Patient/example"
      },
      "effectiveDateTime" : "2023-03-21",
      "performer" : [{
        "reference" : "Practitioner/1"
      }],
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "1229901006",
          "display" : "American Joint Committee on Cancer cM0 (qualifier value)"
        }]
      },
      "method" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "897275008",
          "display" : "American Joint Committee on Cancer, Cancer Staging Manual, 8th edition tumor staging system"
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/us/central-cancer-registry-reporting/Condition/problem-list-diabetes",
    "resource" : {
      "resourceType" : "Condition",
      "id" : "problem-list-diabetes",
      "meta" : {
        "profile" : ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns|6.1.0"]
      },
      "text" : {
        "status" : "extensions",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_problem-list-diabetes\"> </a>\n  <p><b>Profile:</b> <a href=\"https://hl7.org/fhir/us/core/StructureDefinition-us-core-condition-problems-health-concerns.html\">US Core Condition Problems and Health Concerns</a></p>\n <p><b>Condition:</b> Type 2 diabetes mellitus</p>\n    <p><b>Clinical Status:</b> Active</p>\n  <p><b>Verification Status:</b> Confirmed</p>\n  <p><b>Category:</b> Problem List Item</p>\n  <p><b>Code:</b> ICD-10 E11 — Type 2 diabetes mellitus</p>\n  <p><b>Subject:</b> <a href=\"Patient-example.html\">Amy V. Shaw</a></p>\n  <p><b>Recorded Date:</b> 2016-08-10</p>\n</div>"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/condition-assertedDate",
        "valueDateTime" : "2016-08-10"
      }],
      "clinicalStatus" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
          "code" : "active",
          "display" : "Active"
        }],
        "text" : "Active"
      },
      "verificationStatus" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status",
          "code" : "confirmed",
          "display" : "Confirmed"
        }],
        "text" : "Confirmed"
      },
      "category" : [{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/condition-category",
          "code" : "problem-list-item",
          "display" : "Problem List Item"
        }],
        "text" : "Problem List Item"
      }],
      "code" : {
        "coding" : [{
          "system" : "http://hl7.org/fhir/sid/icd-10",
          "code" : "E11",
          "display" : "Type 2 diabetes mellitus"
        }],
        "text" : "Type 2 diabetes mellitus"
      },
      "subject" : {
        "reference" : "Patient/example",
        "display" : "Amy V. Shaw"
      },
      "recordedDate" : "2016-08-10T07:15:07-08:00"
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/us/central-cancer-registry-reporting/Observation/non-smoker",
    "resource" : {
      "resourceType" : "Observation",
      "id" : "non-smoker",
      "meta" : {
        "profile" : ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus|6.1.0"]
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_non-smoker\"> </a>\n  <p><b>Profile:</b> <a href=\"https://hl7.org/fhir/us/core/StructureDefinition-us-core-smokingstatus.html\">US Core Smoking Status</a></p>\n <p><b>category</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/observation-category social-history}\">Social History</span></p><p><b>code</b>: <span title=\"Codes: {http://loinc.org 72166-2}\">Tobacco smoking status</span></p><p><b>subject</b>: <a href=\"Patient-example.html\">Amy V. Shaw</a></p>\n <p><b>issued</b>: 2023-03-21 </p><p><b>value</b>: <span title=\"Codes: {http://snomed.info/sct 266919005}\">Never smoked tobacco (finding)</span></p></div>"
      },
      "status" : "final",
      "category" : [{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
          "code" : "social-history",
          "display" : "Social History"
        }],
        "text" : "Social History"
      }],
      "code" : {
        "coding" : [{
          "system" : "http://loinc.org",
          "code" : "72166-2",
          "display" : "Tobacco smoking status"
        }],
        "text" : "Tobacco smoking status"
      },
      "subject" : {
        "reference" : "Patient/example"
      },
      "effectiveDateTime" : "2023-03-21",
      "issued" : "2023-03-21T05:27:04Z",
      "performer" : [{
        "reference" : "Practitioner/1"
      }],
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "266919005"
        }],
        "text" : "Never smoked tobacco (finding)"
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/us/central-cancer-registry-reporting/Organization/example-cancer-org",
    "resource" : {
      "resourceType" : "Organization",
      "id" : "example-cancer-org",
      "meta" : {
        "profile" : ["http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/central-cancer-registry-reporting-organization"]
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_example-cancer-org\"> </a>\n  <p><b>Profile: </b> <a href=\"StructureDefinition-central-cancer-registry-reporting-organization.html\"> Central Cancer Registry Reporting Organization</a></p>\n  <p><b>Organization:</b> Cancer Organization</p>\n    <p><b>Status:</b> Active</p>\n  <p><b>Identifier (NPI):</b> 1063494177</p>\n   <p><b>Address:</b> 1234 Main Street, Tulsa, OK 74126</p>\n  <p><b>Phone:</b> (917)932-2000</p>\n  </div>"
      },
      "identifier" : [{
        "system" : "http://hl7.org/fhir/sid/us-npi",
        "value" : "1063494177"
      }],
      "active" : true,
      "name" : "Cancer Organization",
      "telecom" : [{
        "system" : "phone",
        "value" : "(917)932-2000",
        "use" : "work"
      }],
      "address" : [{
        "text" : "1234 Main Street, Tulsa OK 74126",
        "line" : ["1234 Main Street"],
        "city" : "Tulsa",
        "state" : "OK",
        "postalCode" : "74126"
      }]
    }
  }]
}