Central Cancer Registry Reporting Content IG
2.0.0-ballot - STU 2 Ballot United States of America flag

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

: EB.1: Initial CCRR Content Bundle - Example - TTL Representation

Raw ttl | Download

@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <http://loinc.org/rdf#> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix sct: <http://snomed.info/id/> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

<http://hl7.org/fhir/Bundle/ccrr-content-bundle-example> a fhir:Bundle ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "ccrr-content-bundle-example"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/ccrr-content-bundle" ;
       fhir:index 0 ;
       fhir:link <http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/ccrr-content-bundle>
     ]
  ] ;
  fhir:Bundle.type [ fhir:value "collection"] ;
  fhir:Bundle.timestamp [ fhir:value "2023-04-05T11:15:33-10:00"^^xsd:dateTime] ;
  fhir:Bundle.entry [
     fhir:index 0 ;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://hl7.org/fhir/us/central-cancer-registry-reporting/Composition/ccrr-composition-content-example" ] ;
     fhir:Bundle.entry.resource <http://hl7.org/fhir/us/central-cancer-registry-reporting/Composition/ccrr-composition-content-example>
  ], [
     fhir:index 1 ;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://hl7.org/fhir/us/central-cancer-registry-reporting/Practitioner/1" ] ;
     fhir:Bundle.entry.resource <http://hl7.org/fhir/us/central-cancer-registry-reporting/Practitioner/1>
  ], [
     fhir:index 2 ;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://hl7.org/fhir/us/central-cancer-registry-reporting/Observation/cancer-stage-group-example" ] ;
     fhir:Bundle.entry.resource <http://hl7.org/fhir/us/central-cancer-registry-reporting/Observation/cancer-stage-group-example>
  ], [
     fhir:index 3 ;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://hl7.org/fhir/us/central-cancer-registry-reporting/Observation/tnm-clinical-primary-tumor-category-cT2" ] ;
     fhir:Bundle.entry.resource <http://hl7.org/fhir/us/central-cancer-registry-reporting/Observation/tnm-clinical-primary-tumor-category-cT2>
  ], [
     fhir:index 4 ;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://hl7.org/fhir/us/central-cancer-registry-reporting/Observation/tnm-clinical-regional-nodes-category-cN0" ] ;
     fhir:Bundle.entry.resource <http://hl7.org/fhir/us/central-cancer-registry-reporting/Observation/tnm-clinical-regional-nodes-category-cN0>
  ], [
     fhir:index 5 ;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://hl7.org/fhir/us/central-cancer-registry-reporting/Observation/tnm-clinical-distant-metastases-category-cM0" ] ;
     fhir:Bundle.entry.resource <http://hl7.org/fhir/us/central-cancer-registry-reporting/Observation/tnm-clinical-distant-metastases-category-cM0>
  ], [
     fhir:index 6 ;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://hl7.org/fhir/us/central-cancer-registry-reporting/Condition/problem-list-diabetes" ] ;
     fhir:Bundle.entry.resource <http://hl7.org/fhir/us/central-cancer-registry-reporting/Condition/problem-list-diabetes>
  ], [
     fhir:index 7 ;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://hl7.org/fhir/us/central-cancer-registry-reporting/Observation/non-smoker" ] ;
     fhir:Bundle.entry.resource <http://hl7.org/fhir/us/central-cancer-registry-reporting/Observation/non-smoker>
  ], [
     fhir:index 8 ;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://hl7.org/fhir/us/central-cancer-registry-reporting/Organization/example-cancer-org" ] ;
     fhir:Bundle.entry.resource <http://hl7.org/fhir/us/central-cancer-registry-reporting/Organization/example-cancer-org>
  ] .

<http://hl7.org/fhir/us/central-cancer-registry-reporting/Composition/ccrr-composition-content-example> a fhir:Composition ;
  fhir:Resource.id [ fhir:value "ccrr-composition-content-example"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/ccrr-composition" ;
       fhir:index 0 ;
       fhir:link <http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/ccrr-composition>
     ]
  ] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "extensions" ] ;
     fhir:Narrative.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>"
  ] ;
  fhir:Composition.identifier [
     fhir:Identifier.value [ fhir:value "c03eab8c-11e8-4d0c-ad2a-b385395e29ab" ]
  ] ;
  fhir:Composition.status [ fhir:value "final"] ;
  fhir:Composition.type [
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       a loinc:72134-0 ;
       fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
       fhir:Coding.code [ fhir:value "72134-0" ]
     ]
  ] ;
  fhir:Composition.subject [
     fhir:link <http://hl7.org/fhir/Patient/example> ;
     fhir:Reference.reference [ fhir:value "Patient/example" ] ;
     fhir:Reference.display [ fhir:value "Amy Shaw" ]
  ] ;
  fhir:Composition.encounter [
     fhir:link <http://hl7.org/fhir/Encounter/encounter-cancer-example> ;
     fhir:Reference.reference [ fhir:value "Encounter/encounter-cancer-example" ] ;
     fhir:Reference.display [ fhir:value "Encounter Cancer Example" ]
  ] ;
  fhir:Composition.date [ fhir:value "2023-04-05T22:13:23Z"^^xsd:dateTime] ;
  fhir:Composition.author [
     fhir:index 0 ;
     fhir:link <http://hl7.org/fhir/Practitioner/1> ;
     fhir:Reference.reference [ fhir:value "Practitioner/1" ] ;
     fhir:Reference.display [ fhir:value "Dr. Joseph Nichols" ]
  ] ;
  fhir:Composition.title [ fhir:value "Central Cancer Registry Report"] ;
  fhir:Composition.section [
     fhir:index 0 ;
     fhir:Composition.section.title [ fhir:value "Primary Cancer Condition Section" ] ;
     fhir:Composition.section.code [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         a sct:363346000 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "363346000" ] ;
         fhir:Coding.display [ fhir:value "Malignant neoplastic disease (disorder)" ]
       ]
     ] ;
     fhir:Composition.section.text [
       fhir:Narrative.status [ fhir:value "generated" ] ;
       fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n<p>Primary Cancer Condition Section</p></div>"
     ] ;
     fhir:Composition.section.entry [
       fhir:index 0 ;
       fhir:link <http://hl7.org/fhir/Condition/primary-cancer-condition-breast> ;
       fhir:Reference.reference [ fhir:value "Condition/primary-cancer-condition-breast" ]
     ]
  ], [
     fhir:index 1 ;
     fhir:Composition.section.title [ fhir:value "TNM Staging section" ] ;
     fhir:Composition.section.code [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         a loinc:21908-9 ;
         fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
         fhir:Coding.code [ fhir:value "21908-9" ] ;
         fhir:Coding.display [ fhir:value "Stage group.clinical Cancer" ]
       ]
     ] ;
     fhir:Composition.section.text [
       fhir:Narrative.status [ fhir:value "generated" ] ;
       fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n<p>Cancer Stage Group</p></div>"
     ] ;
     fhir:Composition.section.entry [
       fhir:index 0 ;
       fhir:link <http://hl7.org/fhir/Observation/cancer-stage-group-example> ;
       fhir:Reference.reference [ fhir:value "Observation/cancer-stage-group-example" ]
     ], [
       fhir:index 1 ;
       fhir:link <http://hl7.org/fhir/Observation/tnm-clinical-regional-nodes-category-cN0> ;
       fhir:Reference.reference [ fhir:value "Observation/tnm-clinical-regional-nodes-category-cN0" ]
     ], [
       fhir:index 2 ;
       fhir:link <http://hl7.org/fhir/Observation/tnm-clinical-primary-tumor-category-cT2> ;
       fhir:Reference.reference [ fhir:value "Observation/tnm-clinical-primary-tumor-category-cT2" ]
     ], [
       fhir:index 3 ;
       fhir:link <http://hl7.org/fhir/Observation/tnm-clinical-distant-metastases-category-cM0> ;
       fhir:Reference.reference [ fhir:value "Observation/tnm-clinical-distant-metastases-category-cM0" ]
     ]
  ], [
     fhir:index 2 ;
     fhir:Composition.section.title [ fhir:value "Problem Section" ] ;
     fhir:Composition.section.code [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         a loinc:11450-4 ;
         fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
         fhir:Coding.code [ fhir:value "11450-4" ] ;
         fhir:Coding.display [ fhir:value "Problem list - Reported" ]
       ]
     ] ;
     fhir:Composition.section.text [
       fhir:Narrative.status [ fhir:value "generated" ] ;
       fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n<p>Problem Section</p></div>"
     ] ;
     fhir:Composition.section.entry [
       fhir:index 0 ;
       fhir:link <http://hl7.org/fhir/Condition/problem-list-diabetes> ;
       fhir:Reference.reference [ fhir:value "Condition/problem-list-diabetes" ]
     ]
  ], [
     fhir:index 3 ;
     fhir:Composition.section.title [ fhir:value "ODH Section" ] ;
     fhir:Composition.section.code [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         a loinc:74165-2 ;
         fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
         fhir:Coding.code [ fhir:value "74165-2" ] ;
         fhir:Coding.display [ fhir:value "History of employment status NIOSH" ]
       ]
     ] ;
     fhir:Composition.section.text [
       fhir:Narrative.status [ fhir:value "generated" ] ;
       fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n<p>ODH Usual Work Section</p></div>"
     ] ;
     fhir:Composition.section.entry [
       fhir:index 0 ;
       fhir:link <http://hl7.org/fhir/Observation/odh-usual-work> ;
       fhir:Reference.reference [ fhir:value "Observation/odh-usual-work" ]
     ]
  ], [
     fhir:index 4 ;
     fhir:Composition.section.title [ fhir:value "Social History Section" ] ;
     fhir:Composition.section.code [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         a loinc:29762-2 ;
         fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
         fhir:Coding.code [ fhir:value "29762-2" ] ;
         fhir:Coding.display [ fhir:value "Social history note" ]
       ]
     ] ;
     fhir:Composition.section.text [
       fhir:Narrative.status [ fhir:value "generated" ] ;
       fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n<p>Social History Section</p></div>"
     ] ;
     fhir:Composition.section.entry [
       fhir:index 0 ;
       fhir:link <http://hl7.org/fhir/Observation/non-smoker> ;
       fhir:Reference.reference [ fhir:value "Observation/non-smoker" ]
     ]
  ] .

<http://hl7.org/fhir/Patient/example> a fhir:Patient .

<http://hl7.org/fhir/Encounter/encounter-cancer-example> a fhir:Encounter .

<http://hl7.org/fhir/Practitioner/1> a fhir:Practitioner .

<http://hl7.org/fhir/Condition/primary-cancer-condition-breast> a fhir:Condition .

<http://hl7.org/fhir/Observation/cancer-stage-group-example> a fhir:Observation .

<http://hl7.org/fhir/Observation/tnm-clinical-regional-nodes-category-cN0> a fhir:Observation .

<http://hl7.org/fhir/Observation/tnm-clinical-primary-tumor-category-cT2> a fhir:Observation .

<http://hl7.org/fhir/Observation/tnm-clinical-distant-metastases-category-cM0> a fhir:Observation .

<http://hl7.org/fhir/Condition/problem-list-diabetes> a fhir:Condition .

<http://hl7.org/fhir/Observation/odh-usual-work> a fhir:Observation .

<http://hl7.org/fhir/Observation/non-smoker> a fhir:Observation .

<http://hl7.org/fhir/us/central-cancer-registry-reporting/Practitioner/1> a fhir:Practitioner ;
  fhir:Resource.id [ fhir:value "1"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner|6.1.0" ;
       fhir:index 0 ;
       fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner|6.1.0>
     ]
  ] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ] ;
     fhir:Narrative.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>"
  ] ;
  fhir:Practitioner.identifier [
     fhir:index 0 ;
     fhir:Identifier.system [ fhir:value "http://hl7.org/fhir/sid/us-npi" ] ;
     fhir:Identifier.value [ fhir:value "1122334455" ]
  ] ;
  fhir:Practitioner.name [
     fhir:index 0 ;
     fhir:HumanName.family [ fhir:value "Nichols" ] ;
     fhir:HumanName.given [
       fhir:value "Joseph" ;
       fhir:index 0
     ] ;
     fhir:HumanName.prefix [
       fhir:value "Dr" ;
       fhir:index 0
     ]
  ] ;
  fhir:Practitioner.telecom [
     fhir:index 0 ;
     fhir:ContactPoint.system [ fhir:value "email" ] ;
     fhir:ContactPoint.value [ fhir:value "joseph.nichols@example.com" ] ;
     fhir:ContactPoint.use [ fhir:value "work" ]
  ], [
     fhir:index 1 ;
     fhir:ContactPoint.system [ fhir:value "phone" ] ;
     fhir:ContactPoint.value [ fhir:value "800-277-1993" ] ;
     fhir:ContactPoint.use [ fhir:value "work" ]
  ] ;
  fhir:Practitioner.address [
     fhir:index 0 ;
     fhir:Address.use [ fhir:value "work" ] ;
     fhir:Address.line [
       fhir:value "1234 Main St." ;
       fhir:index 0
     ] ;
     fhir:Address.city [ fhir:value "Tulsa" ] ;
     fhir:Address.state [ fhir:value "OK" ] ;
     fhir:Address.postalCode [ fhir:value "74126" ] ;
     fhir:Address.country [ fhir:value "US" ]
  ] .

<http://hl7.org/fhir/us/central-cancer-registry-reporting/Observation/cancer-stage-group-example> a fhir:Observation ;
  fhir:Resource.id [ fhir:value "cancer-stage-group-example"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tnm-stage-group" ;
       fhir:index 0 ;
       fhir:link <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tnm-stage-group>
     ]
  ] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ] ;
     fhir:Narrative.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>"
  ] ;
  fhir:Observation.status [ fhir:value "final"] ;
  fhir:Observation.category [
     fhir:index 0 ;
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/observation-category" ] ;
       fhir:Coding.code [ fhir:value "imaging" ] ;
       fhir:Coding.display [ fhir:value "Imaging" ]
     ]
  ] ;
  fhir:Observation.code [
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       a loinc:21908-9 ;
       fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
       fhir:Coding.code [ fhir:value "21908-9" ] ;
       fhir:Coding.display [ fhir:value "Stage group.clinical Cancer" ]
     ]
  ] ;
  fhir:Observation.subject [
     fhir:link <http://hl7.org/fhir/Patient/example> ;
     fhir:Reference.reference [ fhir:value "Patient/example" ]
  ] ;
  fhir:Observation.focus [
     fhir:index 0 ;
     fhir:link <http://hl7.org/fhir/Condition/primary-cancer-condition-breast> ;
     fhir:Reference.reference [ fhir:value "Condition/primary-cancer-condition-breast" ]
  ] ;
  fhir:Observation.effectiveDateTime [ fhir:value "2023-03-21"^^xsd:date] ;
  fhir:Observation.performer [
     fhir:index 0 ;
     fhir:link <http://hl7.org/fhir/Practitioner/1> ;
     fhir:Reference.reference [ fhir:value "Practitioner/1" ] ;
     fhir:Reference.display [ fhir:value "Joseph Nichols" ]
  ] ;
  fhir:Observation.valueCodeableConcept [
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       a sct:1222766008 ;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
       fhir:Coding.code [ fhir:value "1222766008" ] ;
       fhir:Coding.display [ fhir:value "American Joint Committee on Cancer stage IIA (qualifier value)" ]
     ]
  ] ;
  fhir:Observation.method [
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       a sct:897275008 ;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
       fhir:Coding.code [ fhir:value "897275008" ] ;
       fhir:Coding.display [ fhir:value "American Joint Committee on Cancer, Cancer Staging Manual, 8th edition tumor staging system" ]
     ]
  ] ;
  fhir:Observation.hasMember [
     fhir:index 0 ;
     fhir:link <http://hl7.org/fhir/Observation/tnm-clinical-primary-tumor-category-cT2> ;
     fhir:Reference.reference [ fhir:value "Observation/tnm-clinical-primary-tumor-category-cT2" ]
  ], [
     fhir:index 1 ;
     fhir:link <http://hl7.org/fhir/Observation/tnm-clinical-regional-nodes-category-cN0> ;
     fhir:Reference.reference [ fhir:value "Observation/tnm-clinical-regional-nodes-category-cN0" ]
  ], [
     fhir:index 2 ;
     fhir:link <http://hl7.org/fhir/Observation/tnm-clinical-distant-metastases-category-cM0> ;
     fhir:Reference.reference [ fhir:value "Observation/tnm-clinical-distant-metastases-category-cM0" ]
  ] .

<http://hl7.org/fhir/us/central-cancer-registry-reporting/Observation/tnm-clinical-primary-tumor-category-cT2> a fhir:Observation ;
  fhir:Resource.id [ fhir:value "tnm-clinical-primary-tumor-category-cT2"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tnm-primary-tumor-category" ;
       fhir:index 0 ;
       fhir:link <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tnm-primary-tumor-category>
     ]
  ] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "extensions" ] ;
     fhir:Narrative.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>"
  ] ;
  fhir:Observation.status [ fhir:value "final"] ;
  fhir:Observation.category [
     fhir:index 0 ;
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/observation-category" ] ;
       fhir:Coding.code [ fhir:value "imaging" ] ;
       fhir:Coding.display [ fhir:value "Imaging" ]
     ]
  ] ;
  fhir:Observation.code [
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       a loinc:21905-5 ;
       fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
       fhir:Coding.code [ fhir:value "21905-5" ] ;
       fhir:Coding.display [ fhir:value "Primary tumor.clinical [Class] Cancer" ]
     ]
  ] ;
  fhir:Observation.subject [
     fhir:link <http://hl7.org/fhir/Patient/example> ;
     fhir:Reference.reference [ fhir:value "Patient/example" ]
  ] ;
  fhir:Observation.effectiveDateTime [ fhir:value "2023-03-21"^^xsd:date] ;
  fhir:Observation.performer [
     fhir:index 0 ;
     fhir:link <http://hl7.org/fhir/Practitioner/1> ;
     fhir:Reference.reference [ fhir:value "Practitioner/1" ]
  ] ;
  fhir:Observation.valueCodeableConcept [
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       a sct:1228929004 ;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
       fhir:Coding.code [ fhir:value "1228929004" ] ;
       fhir:Coding.display [ fhir:value "American Joint Committee on Cancer cT2 (qualifier value)" ]
     ]
  ] ;
  fhir:Observation.method [
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       a sct:897275008 ;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
       fhir:Coding.code [ fhir:value "897275008" ] ;
       fhir:Coding.display [ fhir:value "American Joint Committee on Cancer, Cancer Staging Manual, 8th edition tumor staging system" ]
     ]
  ] .

<http://hl7.org/fhir/us/central-cancer-registry-reporting/Observation/tnm-clinical-regional-nodes-category-cN0> a fhir:Observation ;
  fhir:Resource.id [ fhir:value "tnm-clinical-regional-nodes-category-cN0"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tnm-regional-nodes-category" ;
       fhir:index 0 ;
       fhir:link <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tnm-regional-nodes-category>
     ]
  ] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "extensions" ] ;
     fhir:Narrative.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>"
  ] ;
  fhir:Observation.status [ fhir:value "final"] ;
  fhir:Observation.category [
     fhir:index 0 ;
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/observation-category" ] ;
       fhir:Coding.code [ fhir:value "imaging" ] ;
       fhir:Coding.display [ fhir:value "Imaging" ]
     ]
  ] ;
  fhir:Observation.code [
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       a loinc:21906-3 ;
       fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
       fhir:Coding.code [ fhir:value "21906-3" ] ;
       fhir:Coding.display [ fhir:value "Regional lymph nodes.clinical [Class] Cancer" ]
     ]
  ] ;
  fhir:Observation.subject [
     fhir:link <http://hl7.org/fhir/Patient/example> ;
     fhir:Reference.reference [ fhir:value "Patient/example" ]
  ] ;
  fhir:Observation.effectiveDateTime [ fhir:value "2023-03-21"^^xsd:date] ;
  fhir:Observation.performer [
     fhir:index 0 ;
     fhir:link <http://hl7.org/fhir/Practitioner/1> ;
     fhir:Reference.reference [ fhir:value "Practitioner/1" ]
  ] ;
  fhir:Observation.valueCodeableConcept [
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       a sct:1229967007 ;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
       fhir:Coding.code [ fhir:value "1229967007" ] ;
       fhir:Coding.display [ fhir:value "American Joint Committee on Cancer cN0 (qualifier value)" ]
     ]
  ] ;
  fhir:Observation.method [
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       a sct:897275008 ;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
       fhir:Coding.code [ fhir:value "897275008" ] ;
       fhir:Coding.display [ fhir:value "American Joint Committee on Cancer, Cancer Staging Manual, 8th edition tumor staging system" ]
     ]
  ] .

<http://hl7.org/fhir/us/central-cancer-registry-reporting/Observation/tnm-clinical-distant-metastases-category-cM0> a fhir:Observation ;
  fhir:Resource.id [ fhir:value "tnm-clinical-distant-metastases-category-cM0"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tnm-distant-metastases-category" ;
       fhir:index 0 ;
       fhir:link <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tnm-distant-metastases-category>
     ]
  ] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "extensions" ] ;
     fhir:Narrative.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>"
  ] ;
  fhir:Observation.status [ fhir:value "final"] ;
  fhir:Observation.category [
     fhir:index 0 ;
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/observation-category" ] ;
       fhir:Coding.code [ fhir:value "imaging" ] ;
       fhir:Coding.display [ fhir:value "Imaging" ]
     ]
  ] ;
  fhir:Observation.code [
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       a sct:399387003 ;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
       fhir:Coding.code [ fhir:value "399387003" ] ;
       fhir:Coding.display [ fhir:value "cM category" ]
     ]
  ] ;
  fhir:Observation.subject [
     fhir:link <http://hl7.org/fhir/Patient/example> ;
     fhir:Reference.reference [ fhir:value "Patient/example" ]
  ] ;
  fhir:Observation.effectiveDateTime [ fhir:value "2023-03-21"^^xsd:date] ;
  fhir:Observation.performer [
     fhir:index 0 ;
     fhir:link <http://hl7.org/fhir/Practitioner/1> ;
     fhir:Reference.reference [ fhir:value "Practitioner/1" ]
  ] ;
  fhir:Observation.valueCodeableConcept [
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       a sct:1229901006 ;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
       fhir:Coding.code [ fhir:value "1229901006" ] ;
       fhir:Coding.display [ fhir:value "American Joint Committee on Cancer cM0 (qualifier value)" ]
     ]
  ] ;
  fhir:Observation.method [
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       a sct:897275008 ;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
       fhir:Coding.code [ fhir:value "897275008" ] ;
       fhir:Coding.display [ fhir:value "American Joint Committee on Cancer, Cancer Staging Manual, 8th edition tumor staging system" ]
     ]
  ] .

<http://hl7.org/fhir/us/central-cancer-registry-reporting/Condition/problem-list-diabetes> a fhir:Condition ;
  fhir:Resource.id [ fhir:value "problem-list-diabetes"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns|6.1.0" ;
       fhir:index 0 ;
       fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns|6.1.0>
     ]
  ] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "extensions" ] ;
     fhir:Narrative.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>"
  ] ;
  fhir:DomainResource.extension [
     fhir:index 0 ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/condition-assertedDate" ] ;
     fhir:Extension.valueDateTime [ fhir:value "2016-08-10"^^xsd:date ]
  ] ;
  fhir:Condition.clinicalStatus [
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/condition-clinical" ] ;
       fhir:Coding.code [ fhir:value "active" ] ;
       fhir:Coding.display [ fhir:value "Active" ]
     ] ;
     fhir:CodeableConcept.text [ fhir:value "Active" ]
  ] ;
  fhir:Condition.verificationStatus [
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/condition-ver-status" ] ;
       fhir:Coding.code [ fhir:value "confirmed" ] ;
       fhir:Coding.display [ fhir:value "Confirmed" ]
     ] ;
     fhir:CodeableConcept.text [ fhir:value "Confirmed" ]
  ] ;
  fhir:Condition.category [
     fhir:index 0 ;
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/condition-category" ] ;
       fhir:Coding.code [ fhir:value "problem-list-item" ] ;
       fhir:Coding.display [ fhir:value "Problem List Item" ]
     ] ;
     fhir:CodeableConcept.text [ fhir:value "Problem List Item" ]
  ] ;
  fhir:Condition.code [
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       fhir:Coding.system [ fhir:value "http://hl7.org/fhir/sid/icd-10" ] ;
       fhir:Coding.code [ fhir:value "E11" ] ;
       fhir:Coding.display [ fhir:value "Type 2 diabetes mellitus" ]
     ] ;
     fhir:CodeableConcept.text [ fhir:value "Type 2 diabetes mellitus" ]
  ] ;
  fhir:Condition.subject [
     fhir:link <http://hl7.org/fhir/Patient/example> ;
     fhir:Reference.reference [ fhir:value "Patient/example" ] ;
     fhir:Reference.display [ fhir:value "Amy V. Shaw" ]
  ] ;
  fhir:Condition.recordedDate [ fhir:value "2016-08-10T07:15:07-08:00"^^xsd:dateTime] .

<http://hl7.org/fhir/us/central-cancer-registry-reporting/Observation/non-smoker> a fhir:Observation ;
  fhir:Resource.id [ fhir:value "non-smoker"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus|6.1.0" ;
       fhir:index 0 ;
       fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus|6.1.0>
     ]
  ] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ] ;
     fhir:Narrative.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>"
  ] ;
  fhir:Observation.status [ fhir:value "final"] ;
  fhir:Observation.category [
     fhir:index 0 ;
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/observation-category" ] ;
       fhir:Coding.code [ fhir:value "social-history" ] ;
       fhir:Coding.display [ fhir:value "Social History" ]
     ] ;
     fhir:CodeableConcept.text [ fhir:value "Social History" ]
  ] ;
  fhir:Observation.code [
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       a loinc:72166-2 ;
       fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
       fhir:Coding.code [ fhir:value "72166-2" ] ;
       fhir:Coding.display [ fhir:value "Tobacco smoking status" ]
     ] ;
     fhir:CodeableConcept.text [ fhir:value "Tobacco smoking status" ]
  ] ;
  fhir:Observation.subject [
     fhir:link <http://hl7.org/fhir/Patient/example> ;
     fhir:Reference.reference [ fhir:value "Patient/example" ]
  ] ;
  fhir:Observation.effectiveDateTime [ fhir:value "2023-03-21"^^xsd:date] ;
  fhir:Observation.issued [ fhir:value "2023-03-21T05:27:04Z"^^xsd:dateTime] ;
  fhir:Observation.performer [
     fhir:index 0 ;
     fhir:link <http://hl7.org/fhir/Practitioner/1> ;
     fhir:Reference.reference [ fhir:value "Practitioner/1" ]
  ] ;
  fhir:Observation.valueCodeableConcept [
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       a sct:266919005 ;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
       fhir:Coding.code [ fhir:value "266919005" ]
     ] ;
     fhir:CodeableConcept.text [ fhir:value "Never smoked tobacco (finding)" ]
  ] .

<http://hl7.org/fhir/us/central-cancer-registry-reporting/Organization/example-cancer-org> a fhir:Organization ;
  fhir:Resource.id [ fhir:value "example-cancer-org"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/central-cancer-registry-reporting-organization" ;
       fhir:index 0 ;
       fhir:link <http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/central-cancer-registry-reporting-organization>
     ]
  ] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ] ;
     fhir:Narrative.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>"
  ] ;
  fhir:Organization.identifier [
     fhir:index 0 ;
     fhir:Identifier.system [ fhir:value "http://hl7.org/fhir/sid/us-npi" ] ;
     fhir:Identifier.value [ fhir:value "1063494177" ]
  ] ;
  fhir:Organization.active [ fhir:value "true"^^xsd:boolean] ;
  fhir:Organization.name [ fhir:value "Cancer Organization"] ;
  fhir:Organization.telecom [
     fhir:index 0 ;
     fhir:ContactPoint.system [ fhir:value "phone" ] ;
     fhir:ContactPoint.value [ fhir:value "(917)932-2000" ] ;
     fhir:ContactPoint.use [ fhir:value "work" ]
  ] ;
  fhir:Organization.address [
     fhir:index 0 ;
     fhir:Address.text [ fhir:value "1234 Main Street, Tulsa OK 74126" ] ;
     fhir:Address.line [
       fhir:value "1234 Main Street" ;
       fhir:index 0
     ] ;
     fhir:Address.city [ fhir:value "Tulsa" ] ;
     fhir:Address.state [ fhir:value "OK" ] ;
     fhir:Address.postalCode [ fhir:value "74126" ]
  ] .

# - ontology header ------------------------------------------------------------

<http://hl7.org/fhir/Bundle/ccrr-content-bundle-example.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl ;
  owl:versionIRI <http://build.fhir.org/Bundle/ccrr-content-bundle-example.ttl> .