Central Cancer Registry Reporting Content IG
2.0.0-ballot - STU 2 -Ballot
Central Cancer Registry Reporting Content IG
2.0.0-ballot - STU 2 -Ballot
Central Cancer Registry Reporting Content IG, published by HL7 International / Public Health. This guide is not an authorized publication; it is the continuous build for version 2.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-central-cancer-registry-reporting-ig/ and changes regularly. See the Directory of published versions
{
"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://ecr.drajer.com/secure/fhir-r4/fhir/Patient/example",
"resource" : {
"resourceType" : "Patient",
"id" : "example",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/central-cancer-registry-reporting-patient"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_example\"> </a>\n <p><b>Profile:</b> <a href=\"StructureDefinition-central-cancer-registry-reporting-patient.html\">Central Cancer Registry Reporting Patient</a></p>\n <p><b>Patient:</b> Amy V. Baxter (formerly Amy V. Shaw)</p>\n <p><b>Identifiers:</b></p>\n <ul>\n <li>Medical Record Number: 1032702 (system: http://CancerOrg.smarthealthit.org)</li>\n <li>Social Security Number: 11-222-3333</li>\n </ul>\n <p><b>Active:</b> true</p>\n <p><b>Gender:</b> female</p>\n <p><b>Birth Date:</b> 1987-02-20</p>\n <p><b>Marital Status:</b> Never Married</p>\n <p><b>Race:</b> White, American Indian or Alaska Native (Shoshone), Asian (Filipino)</p>\n <p><b>Ethnicity:</b> Hispanic or Latino (Mexican, Dominican)</p>\n <p><b>Birthplace:</b> Georgia, US</p>\n <p><b>Addresses:</b></p>\n <ul>\n <li>49 Meadow St, Mounds, OK 74047, US (2016-12-06 to 2020-07-22)</li>\n <li>183 Mountain View St, Mounds, OK 74048, US (2020-07-22 to present)</li>\n </ul>\n <p><b>Telecom:</b></p>\n <ul>\n <li>Phone: 555-555-5555 (home)</li>\n <li>Email: amy.shaw@example.com</li>\n </ul>\n <p><b>Languages:</b> English</p>\n <p><b>Managing Organization:</b> Cancer Organization (Organization/example-cancer-org)</p>\n</div>"
},
"extension" : [
{
"extension" : [
{
"url" : "ombCategory",
"valueCoding" : {
"system" : "urn:oid:2.16.840.1.113883.6.238",
"code" : "2106-3",
"display" : "White"
}
},
{
"url" : "ombCategory",
"valueCoding" : {
"system" : "urn:oid:2.16.840.1.113883.6.238",
"code" : "1002-5",
"display" : "American Indian or Alaska Native"
}
},
{
"url" : "ombCategory",
"valueCoding" : {
"system" : "urn:oid:2.16.840.1.113883.6.238",
"code" : "2028-9",
"display" : "Asian"
}
},
{
"url" : "detailed",
"valueCoding" : {
"system" : "urn:oid:2.16.840.1.113883.6.238",
"code" : "1586-7",
"display" : "Shoshone"
}
},
{
"url" : "detailed",
"valueCoding" : {
"system" : "urn:oid:2.16.840.1.113883.6.238",
"code" : "2036-2",
"display" : "Filipino"
}
},
{
"url" : "text",
"valueString" : "Mixed"
}
],
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"
},
{
"extension" : [
{
"url" : "ombCategory",
"valueCoding" : {
"system" : "urn:oid:2.16.840.1.113883.6.238",
"code" : "2135-2",
"display" : "Hispanic or Latino"
}
},
{
"url" : "detailed",
"valueCoding" : {
"system" : "urn:oid:2.16.840.1.113883.6.238",
"code" : "2184-0",
"display" : "Dominican"
}
},
{
"url" : "detailed",
"valueCoding" : {
"system" : "urn:oid:2.16.840.1.113883.6.238",
"code" : "2148-5",
"display" : "Mexican"
}
},
{
"url" : "text",
"valueString" : "Hispanic or Latino"
}
],
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/patient-birthPlace",
"valueAddress" : {
"state" : "GA",
"country" : "US"
}
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/patient-birthPlace"
}
],
"identifier" : [
{
"use" : "usual",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "MR",
"display" : "Medical Record Number"
}
],
"text" : "Medical Record Number"
},
"system" : "http://CancerOrg.smarthealthit.org",
"value" : "1032702"
},
{
"use" : "usual",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "SS",
"display" : "Social Security Number"
}
],
"text" : "Social Security Number"
},
"system" : "http://hl7.org/fhir/sid/us-ssn",
"value" : "11-222-3333"
}
],
"active" : true,
"name" : [
{
"use" : "maiden",
"family" : "Shaw",
"given" : [
"Amy",
"V."
],
"period" : {
"start" : "1987-02-20",
"end" : "2020-07-22"
}
},
{
"family" : "Baxter",
"given" : [
"Amy",
"V."
],
"suffix" : [
"PharmD"
],
"period" : {
"start" : "2020-07-22"
}
}
],
"telecom" : [
{
"system" : "phone",
"value" : "555-555-5555",
"use" : "home"
},
{
"system" : "email",
"value" : "amy.shaw@example.com"
}
],
"gender" : "female",
"birthDate" : "1987-02-20",
"deceasedBoolean" : false,
"address" : [
{
"line" : [
"49 Meadow St"
],
"city" : "Mounds",
"state" : "OK",
"postalCode" : "74047",
"country" : "US",
"period" : {
"start" : "2016-12-06",
"end" : "2020-07-22"
}
},
{
"line" : [
"183 Mountain View St"
],
"city" : "Mounds",
"state" : "OK",
"postalCode" : "74048",
"country" : "US",
"period" : {
"start" : "2020-07-22"
}
}
],
"maritalStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-MaritalStatus",
"code" : "S",
"display" : "Never Married"
}
]
},
"communication" : [
{
"language" : {
"coding" : [
{
"system" : "urn:ietf:bcp:47",
"code" : "en",
"display" : "English"
}
]
}
}
],
"managingOrganization" : {
🔗 "reference" : "Organization/example-cancer-org",
"display" : "Cancer Organization"
}
}
},
{
"fullUrl" : "http://ecr.drajer.com/secure/fhir-r4/fhir/Encounter/encounter-cancer-example",
"resource" : {
"resourceType" : "Encounter",
"id" : "encounter-cancer-example",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/central-cancer-registry-reporting-encounter"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Encounter_encounter-cancer-example\"> </a>\n <p><b>Profile: </b> <a href=\"StructureDefinition-central-cancer-registry-reporting-encounter.html\"> Central Cancer Registry Reporting Encounter</a></p>\n <p><b>Encounter:</b> encounter-cancer-example</p><p><b>Identifier:</b> 9937012 (System: http://CancerOrg.smarthealthit.org)</p><p><b>Status:</b> finished</p><p><b>Class:</b> AMB (Ambulatory)</p><p><b>Type:</b> Encounter for problem (procedure) (SNOMED CT: 185347001)</p><p><b>Subject:</b> <a href=\"Patient-example.html\">Patient-example: Amy Shaw</a></p>\n<p><b>Reason:</b> Referral by general physician (procedure) (SNOMED CT: 305970004)</p><p><b>Participant:</b> <a href=\"Practitioner-1.html\"> Joseph Nichols – Attender</a></p><p><b>Period:</b> 2023-03-21T17:00:14-05:00 to 2023-03-21T20:00:14-05:00</p><p><b>Diagnosis:</b> <a href=\"Condition-primary-cancer-condition-breast.html\"> Primary Cancer Condition – Breast</a></p>\n <p><b>Service Provider:</b> <a href=\"Organization-example-cancer-org.html\"> Cancer Organization</a></p></div>"
},
"identifier" : [
{
"system" : "http://CancerOrg.smarthealthit.org",
"value" : "9937012"
}
],
"status" : "finished",
"class" : {
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code" : "AMB",
"display" : "ambulatory"
},
"type" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "185347001",
"display" : "Encounter for problem (procedure)"
}
]
}
],
"subject" : {
🔗 "reference" : "Patient/example",
"display" : "Amy Shaw"
},
"participant" : [
{
"type" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code" : "ATND",
"display" : "attender"
}
]
}
],
"individual" : {
🔗 "reference" : "Practitioner/1",
"display" : "Joseph Nichols"
}
}
],
"period" : {
"start" : "2023-03-21T17:00:14-05:00",
"end" : "2023-03-21T20:00:14-05:00"
},
"reasonCode" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "305970004",
"display" : "Referral by general physician (procedure)"
}
]
}
],
"diagnosis" : [
{
"condition" : {
🔗 "reference" : "Condition/primary-cancer-condition-breast"
}
}
],
"serviceProvider" : {
🔗 "reference" : "Organization/example-cancer-org",
"display" : "Cancer Organization"
}
}
},
{
"fullUrl" : "http://ecr.drajer.com/secure/fhir-r4/fhir/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://ecr.drajer.com/secure/fhir-r4/fhir/Condition/primary-cancer-condition-breast",
"resource" : {
"resourceType" : "Condition",
"id" : "primary-cancer-condition-breast",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/central-cancer-registry-primary-cancer-condition"
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_primary-cancer-condition-breast\"> </a>\n <p><b>Profile:</b> <a href=\"StructureDefinition-central-cancer-registry-primary-cancer-condition.html\"> Central Cancer Registry Primary Cancer Condition</a></p>\n <p><b>Condition:</b> Primary Breast Cancer</p>\n <p><b>Clinical Status:</b> Active</p>\n <p><b>Verification Status:</b> Confirmed</p>\n <p><b>Category:</b> Encounter Diagnosis</p>\n <p><b>Code:</b> Infiltrating duct carcinoma of breast (SNOMED CT: 408643008)</p>\n <p><b>Histology/Morphology/Behavior:</b> Infiltrating duct carcinoma (morphologic abnormality) (SNOMED CT: 82711006)</p>\n <p><b>Body Site:</b> Left breast structure (SNOMED CT: 80248007)</p>\n <p><b>Laterality:</b> Left (qualifier value) (SNOMED CT: 7771000)</p>\n <p><b>Subject:</b> <a href=\"Patient-example.html\">Patient-example: Amy Shaw</a></p>\n <p><b>Asserter:</b> <a href=\"Practitioner-1.html\">Dr. Joseph Nichols</a></p>\n <p><b>Asserted Date:</b> 2023-03-21</p>\n <p><b>Stage Summary:</b> American Joint Committee on Cancer stage IIA (qualifier value) (SNOMED CT: 1222766008)</p>\n <p><b>Evidence Type:</b> Histologic test (procedure) (SNOMED CT: 714797009)</p>\n</div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/condition-assertedDate",
"valueDateTime" : "2023-03-21"
},
{
"url" : "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-histology-morphology-behavior",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "82711006",
"display" : "Infiltrating duct carcinoma (morphologic abnormality)"
}
]
}
},
{
"url" : "http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/cancer-status-evidence-type",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "714797009",
"display" : "Histologic test (procedure)"
}
]
}
}
],
"clinicalStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code" : "active",
"display" : "Active"
}
]
},
"verificationStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code" : "confirmed",
"display" : "Confirmed"
}
]
},
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-category",
"code" : "encounter-diagnosis",
"display" : "Encounter Diagnosis"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "408643008",
"display" : "Infiltrating duct carcinoma of breast (disorder)"
}
]
},
"bodySite" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-laterality-qualifier",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "7771000",
"display" : "Left (qualifier value)"
}
]
}
}
],
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "80248007",
"display" : "Left breast structure (body structure)"
}
]
}
],
"subject" : {
🔗 "reference" : "Patient/example"
},
"asserter" : {
🔗 "reference" : "Practitioner/1"
},
"stage" : [
{
"summary" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "1222766008",
"display" : "American Joint Committee on Cancer stage IIA (qualifier value)"
}
]
},
"assessment" : [
{
🔗 "reference" : "Observation/cancer-stage-group-example"
}
]
}
]
}
},
{
"fullUrl" : "http://ecr.drajer.com/secure/fhir-r4/fhir/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" : "laboratory"
}
]
}
],
"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://ecr.drajer.com/secure/fhir-r4/fhir/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" : "laboratory"
}
]
}
],
"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://ecr.drajer.com/secure/fhir-r4/fhir/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" : "laboratory"
}
]
}
],
"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://ecr.drajer.com/secure/fhir-r4/fhir/Observation/tnm-clinical-regional-nodes-category-cN0",
"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://ecr.drajer.com/secure/fhir-r4/fhir/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://ecr.drajer.com/secure/fhir-r4/fhir/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://ecr.drajer.com/secure/fhir-r4/fhir/Observation/odh-usual-work",
"resource" : {
"resourceType" : "Observation",
"id" : "odh-usual-work",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/odh/StructureDefinition/odh-UsualWork"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_odh-usual-work\"> </a>\n <p><b>Profile: </b> <a href=\"https://hl7.org/fhir/us/odh/StructureDefinition/odh-UsualWork.html\">ODH Usual Work</a></p>\n <p><b>Subject:</b> <a href=\"Patient-example.html\">Patient-example: Amy Shaw</a></p>\n <p><b>Start Date: </b>2010-01-01</p><p><b>Industry Code/Value: </b>1570 / Carpet and rug mills</p><p><b>Occupation Code/Value: </b>6240 / Carpet, floor, and tile installers and finishers</p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "21843-8",
"display" : "History of Usual occupation"
}
]
},
"subject" : {
🔗 "reference" : "Patient/example",
"display" : "Amy Shaw"
},
"effectivePeriod" : {
"start" : "2010-01-01"
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "2.16.840.1.114222.4.11.7187",
"code" : "1570",
"display" : "Carpet and rug mills"
},
{
"system" : "2.16.840.1.114222.4.11.7186",
"code" : "6240",
"display" : "Carpet, floor, and tile installers and finishers"
}
]
}
}
},
{
"fullUrl" : "http://ecr.drajer.com/secure/fhir-r4/fhir/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"
}
]
}
}
]
}
IG © 2021+ HL7 International / Public Health. Package hl7.fhir.us.central-cancer-registry-reporting#2.0.0-ballot based on FHIR 4.0.1. Generated 2025-11-17
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