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
<Bundle xmlns="http://hl7.org/fhir">
<id value="ccrr-content-bundle-example"/>
<meta>
<profile
value="http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/ccrr-content-bundle"/>
</meta>
<type value="collection"/>
<timestamp value="2023-04-05T11:15:33-10:00"/>
<entry>
<fullUrl
value="http://hl7.org/fhir/us/central-cancer-registry-reporting/Composition/ccrr-composition-content-example"/>
<resource>
<Composition>
<id value="ccrr-composition-content-example"/>
<meta>
<profile
value="http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/ccrr-composition"/>
</meta>
<text>
<status value="extensions"/>
<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>
</text>
<identifier>
<value value="c03eab8c-11e8-4d0c-ad2a-b385395e29ab"/>
</identifier>
<status value="final"/>
<type>
<coding>
<system value="http://loinc.org"/>
<code value="72134-0"/>
</coding>
</type>
<subject>🔗
<reference value="Patient/example"/>
<display value="Amy Shaw"/>
</subject>
<encounter>🔗
<reference value="Encounter/encounter-cancer-example"/>
<display value="Encounter Cancer Example"/>
</encounter>
<date value="2023-04-05T22:13:23Z"/>
<author>🔗
<reference value="Practitioner/1"/>
<display value="Dr. Joseph Nichols"/>
</author>
<title value="Central Cancer Registry Report"/>
<section>
<title value="Primary Cancer Condition Section"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="363346000"/>
<display value="Malignant neoplastic disease (disorder)"/>
</coding>
</code>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<p>Primary Cancer Condition Section</p></div>
</text>
<entry>🔗
<reference value="Condition/primary-cancer-condition-breast"/>
</entry>
</section>
<section>
<title value="TNM Staging section"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="21908-9"/>
<display value="Stage group.clinical Cancer"/>
</coding>
</code>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<p>Cancer Stage Group</p></div>
</text>
<entry>🔗
<reference value="Observation/cancer-stage-group-example"/>
</entry>
<entry>🔗
<reference
value="Observation/tnm-clinical-regional-nodes-category-cN0"/>
</entry>
<entry>🔗
<reference
value="Observation/tnm-clinical-primary-tumor-category-cT2"/>
</entry>
<entry>🔗
<reference
value="Observation/tnm-clinical-distant-metastases-category-cM0"/>
</entry>
</section>
<section>
<title value="Problem Section"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="11450-4"/>
<display value="Problem list - Reported"/>
</coding>
</code>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<p>Problem Section</p></div>
</text>
<entry>🔗
<reference value="Condition/problem-list-diabetes"/>
</entry>
</section>
<section>
<title value="ODH Section"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="74165-2"/>
<display value="History of employment status NIOSH"/>
</coding>
</code>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<p>ODH Usual Work Section</p></div>
</text>
<entry>🔗
<reference value="Observation/odh-usual-work"/>
</entry>
</section>
<section>
<title value="Social History Section"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="29762-2"/>
<display value="Social history note"/>
</coding>
</code>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<p>Social History Section</p></div>
</text>
<entry>🔗
<reference value="Observation/non-smoker"/>
</entry>
</section>
</Composition>
</resource>
</entry>
<entry>
<fullUrl
value="http://ecr.drajer.com/secure/fhir-r4/fhir/Patient/example"/>
<resource>
<Patient>
<id value="example"/>
<meta>
<profile
value="http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/central-cancer-registry-reporting-patient"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Patient_example"> </a>
<p><b>Profile:</b> <a href="StructureDefinition-central-cancer-registry-reporting-patient.html">Central Cancer Registry Reporting Patient</a></p>
<p><b>Patient:</b> Amy V. Baxter (formerly Amy V. Shaw)</p>
<p><b>Identifiers:</b></p>
<ul>
<li>Medical Record Number: 1032702 (system: http://CancerOrg.smarthealthit.org)</li>
<li>Social Security Number: 11-222-3333</li>
</ul>
<p><b>Active:</b> true</p>
<p><b>Gender:</b> female</p>
<p><b>Birth Date:</b> 1987-02-20</p>
<p><b>Marital Status:</b> Never Married</p>
<p><b>Race:</b> White, American Indian or Alaska Native (Shoshone), Asian (Filipino)</p>
<p><b>Ethnicity:</b> Hispanic or Latino (Mexican, Dominican)</p>
<p><b>Birthplace:</b> Georgia, US</p>
<p><b>Addresses:</b></p>
<ul>
<li>49 Meadow St, Mounds, OK 74047, US (2016-12-06 to 2020-07-22)</li>
<li>183 Mountain View St, Mounds, OK 74048, US (2020-07-22 to present)</li>
</ul>
<p><b>Telecom:</b></p>
<ul>
<li>Phone: 555-555-5555 (home)</li>
<li>Email: amy.shaw@example.com</li>
</ul>
<p><b>Languages:</b> English</p>
<p><b>Managing Organization:</b> Cancer Organization (Organization/example-cancer-org)</p>
</div>
</text>
<extension
url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-race">
<extension url="ombCategory">
<valueCoding>
<system value="urn:oid:2.16.840.1.113883.6.238"/>
<code value="2106-3"/>
<display value="White"/>
</valueCoding>
</extension>
<extension url="ombCategory">
<valueCoding>
<system value="urn:oid:2.16.840.1.113883.6.238"/>
<code value="1002-5"/>
<display value="American Indian or Alaska Native"/>
</valueCoding>
</extension>
<extension url="ombCategory">
<valueCoding>
<system value="urn:oid:2.16.840.1.113883.6.238"/>
<code value="2028-9"/>
<display value="Asian"/>
</valueCoding>
</extension>
<extension url="detailed">
<valueCoding>
<system value="urn:oid:2.16.840.1.113883.6.238"/>
<code value="1586-7"/>
<display value="Shoshone"/>
</valueCoding>
</extension>
<extension url="detailed">
<valueCoding>
<system value="urn:oid:2.16.840.1.113883.6.238"/>
<code value="2036-2"/>
<display value="Filipino"/>
</valueCoding>
</extension>
<extension url="text">
<valueString value="Mixed"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity">
<extension url="ombCategory">
<valueCoding>
<system value="urn:oid:2.16.840.1.113883.6.238"/>
<code value="2135-2"/>
<display value="Hispanic or Latino"/>
</valueCoding>
</extension>
<extension url="detailed">
<valueCoding>
<system value="urn:oid:2.16.840.1.113883.6.238"/>
<code value="2184-0"/>
<display value="Dominican"/>
</valueCoding>
</extension>
<extension url="detailed">
<valueCoding>
<system value="urn:oid:2.16.840.1.113883.6.238"/>
<code value="2148-5"/>
<display value="Mexican"/>
</valueCoding>
</extension>
<extension url="text">
<valueString value="Hispanic or Latino"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/patient-birthPlace">
<extension
url="http://hl7.org/fhir/StructureDefinition/patient-birthPlace">
<valueAddress>
<state value="GA"/>
<country value="US"/>
</valueAddress>
</extension>
</extension>
<identifier>
<use value="usual"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="MR"/>
<display value="Medical Record Number"/>
</coding>
<text value="Medical Record Number"/>
</type>
<system value="http://CancerOrg.smarthealthit.org"/>
<value value="1032702"/>
</identifier>
<identifier>
<use value="usual"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="SS"/>
<display value="Social Security Number"/>
</coding>
<text value="Social Security Number"/>
</type>
<system value="http://hl7.org/fhir/sid/us-ssn"/>
<value value="11-222-3333"/>
</identifier>
<active value="true"/>
<name>
<use value="maiden"/>
<family value="Shaw"/>
<given value="Amy"/>
<given value="V."/>
<period>
<start value="1987-02-20"/>
<end value="2020-07-22"/>
</period>
</name>
<name>
<family value="Baxter"/>
<given value="Amy"/>
<given value="V."/>
<suffix value="PharmD"/>
<period>
<start value="2020-07-22"/>
</period>
</name>
<telecom>
<system value="phone"/>
<value value="555-555-5555"/>
<use value="home"/>
</telecom>
<telecom>
<system value="email"/>
<value value="amy.shaw@example.com"/>
</telecom>
<gender value="female"/>
<birthDate value="1987-02-20"/>
<deceasedBoolean value="false"/>
<address>
<line value="49 Meadow St"/>
<city value="Mounds"/>
<state value="OK"/>
<postalCode value="74047"/>
<country value="US"/>
<period>
<start value="2016-12-06"/>
<end value="2020-07-22"/>
</period>
</address>
<address>
<line value="183 Mountain View St"/>
<city value="Mounds"/>
<state value="OK"/>
<postalCode value="74048"/>
<country value="US"/>
<period>
<start value="2020-07-22"/>
</period>
</address>
<maritalStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-MaritalStatus"/>
<code value="S"/>
<display value="Never Married"/>
</coding>
</maritalStatus>
<communication>
<language>
<coding>
<system value="urn:ietf:bcp:47"/>
<code value="en"/>
<display value="English"/>
</coding>
</language>
</communication>
<managingOrganization>🔗
<reference value="Organization/example-cancer-org"/>
<display value="Cancer Organization"/>
</managingOrganization>
</Patient>
</resource>
</entry>
<entry>
<fullUrl
value="http://ecr.drajer.com/secure/fhir-r4/fhir/Encounter/encounter-cancer-example"/>
<resource>
<Encounter>
<id value="encounter-cancer-example"/>
<meta>
<profile
value="http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/central-cancer-registry-reporting-encounter"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Encounter_encounter-cancer-example"> </a>
<p><b>Profile: </b> <a href="StructureDefinition-central-cancer-registry-reporting-encounter.html"> Central Cancer Registry Reporting Encounter</a></p>
<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>
<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>
<p><b>Service Provider:</b> <a href="Organization-example-cancer-org.html"> Cancer Organization</a></p></div>
</text>
<identifier>
<system value="http://CancerOrg.smarthealthit.org"/>
<value value="9937012"/>
</identifier>
<status value="finished"/>
<class>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<code value="AMB"/>
<display value="ambulatory"/>
</class>
<type>
<coding>
<system value="http://snomed.info/sct"/>
<code value="185347001"/>
<display value="Encounter for problem (procedure)"/>
</coding>
</type>
<subject>🔗
<reference value="Patient/example"/>
<display value="Amy Shaw"/>
</subject>
<participant>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType"/>
<code value="ATND"/>
<display value="attender"/>
</coding>
</type>
<individual>🔗
<reference value="Practitioner/1"/>
<display value="Joseph Nichols"/>
</individual>
</participant>
<period>
<start value="2023-03-21T17:00:14-05:00"/>
<end value="2023-03-21T20:00:14-05:00"/>
</period>
<reasonCode>
<coding>
<system value="http://snomed.info/sct"/>
<code value="305970004"/>
<display value="Referral by general physician (procedure)"/>
</coding>
</reasonCode>
<diagnosis>
<condition>🔗
<reference value="Condition/primary-cancer-condition-breast"/>
</condition>
</diagnosis>
<serviceProvider>🔗
<reference value="Organization/example-cancer-org"/>
<display value="Cancer Organization"/>
</serviceProvider>
</Encounter>
</resource>
</entry>
<entry>
<fullUrl
value="http://ecr.drajer.com/secure/fhir-r4/fhir/Practitioner/1"/>
<resource>
<Practitioner>
<id value="1"/>
<meta>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner|6.1.0"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Practitioner_1"> </a>
<p><b>Profile:</b> <a href="https://hl7.org/fhir/us/core/StructureDefinition-us-core-us-core-practitioner.html">US Core Practitioner</a></p>
<p><b>Practitioner:</b> Dr. Joseph Nichols</p>
<p><b>Identifier:</b> US NPI: 1122334455</p>
<p><b>Address:</b> 1234 Main St., Tulsa, OK 74126, US (work)</p>
<p><b>Email:</b> joseph.nichols@example.com</p>
<p><b>Phone:</b> 800-277-1993</p>
</div>
</text>
<identifier>
<system value="http://hl7.org/fhir/sid/us-npi"/>
<value value="1122334455"/>
</identifier>
<name>
<family value="Nichols"/>
<given value="Joseph"/>
<prefix value="Dr"/>
</name>
<telecom>
<system value="email"/>
<value value="joseph.nichols@example.com"/>
<use value="work"/>
</telecom>
<telecom>
<system value="phone"/>
<value value="800-277-1993"/>
<use value="work"/>
</telecom>
<address>
<use value="work"/>
<line value="1234 Main St."/>
<city value="Tulsa"/>
<state value="OK"/>
<postalCode value="74126"/>
<country value="US"/>
</address>
</Practitioner>
</resource>
</entry>
<entry>
<fullUrl
value="http://ecr.drajer.com/secure/fhir-r4/fhir/Condition/primary-cancer-condition-breast"/>
<resource>
<Condition>
<id value="primary-cancer-condition-breast"/>
<meta>
<profile
value="http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/central-cancer-registry-primary-cancer-condition"/>
</meta>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Condition_primary-cancer-condition-breast"> </a>
<p><b>Profile:</b> <a href="StructureDefinition-central-cancer-registry-primary-cancer-condition.html"> Central Cancer Registry Primary Cancer Condition</a></p>
<p><b>Condition:</b> Primary Breast Cancer</p>
<p><b>Clinical Status:</b> Active</p>
<p><b>Verification Status:</b> Confirmed</p>
<p><b>Category:</b> Encounter Diagnosis</p>
<p><b>Code:</b> Infiltrating duct carcinoma of breast (SNOMED CT: 408643008)</p>
<p><b>Histology/Morphology/Behavior:</b> Infiltrating duct carcinoma (morphologic abnormality) (SNOMED CT: 82711006)</p>
<p><b>Body Site:</b> Left breast structure (SNOMED CT: 80248007)</p>
<p><b>Laterality:</b> Left (qualifier value) (SNOMED CT: 7771000)</p>
<p><b>Subject:</b> <a href="Patient-example.html">Patient-example: Amy Shaw</a></p>
<p><b>Asserter:</b> <a href="Practitioner-1.html">Dr. Joseph Nichols</a></p>
<p><b>Asserted Date:</b> 2023-03-21</p>
<p><b>Stage Summary:</b> American Joint Committee on Cancer stage IIA (qualifier value) (SNOMED CT: 1222766008)</p>
<p><b>Evidence Type:</b> Histologic test (procedure) (SNOMED CT: 714797009)</p>
</div>
</text>
<extension
url="http://hl7.org/fhir/StructureDefinition/condition-assertedDate">
<valueDateTime value="2023-03-21"/>
</extension>
<extension
url="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-histology-morphology-behavior">
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="82711006"/>
<display
value="Infiltrating duct carcinoma (morphologic abnormality)"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/cancer-status-evidence-type">
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="714797009"/>
<display value="Histologic test (procedure)"/>
</coding>
</valueCodeableConcept>
</extension>
<clinicalStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
<code value="active"/>
<display value="Active"/>
</coding>
</clinicalStatus>
<verificationStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-ver-status"/>
<code value="confirmed"/>
<display value="Confirmed"/>
</coding>
</verificationStatus>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-category"/>
<code value="encounter-diagnosis"/>
<display value="Encounter Diagnosis"/>
</coding>
</category>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="408643008"/>
<display
value="Infiltrating duct carcinoma of breast (disorder)"/>
</coding>
</code>
<bodySite>
<extension
url="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-laterality-qualifier">
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="7771000"/>
<display value="Left (qualifier value)"/>
</coding>
</valueCodeableConcept>
</extension>
<coding>
<system value="http://snomed.info/sct"/>
<code value="80248007"/>
<display value="Left breast structure (body structure)"/>
</coding>
</bodySite>
<subject>🔗
<reference value="Patient/example"/>
</subject>
<asserter>🔗
<reference value="Practitioner/1"/>
</asserter>
<stage>
<summary>
<coding>
<system value="http://snomed.info/sct"/>
<code value="1222766008"/>
<display
value="American Joint Committee on Cancer stage IIA (qualifier value)"/>
</coding>
</summary>
<assessment>🔗
<reference value="Observation/cancer-stage-group-example"/>
</assessment>
</stage>
</Condition>
</resource>
</entry>
<entry>
<fullUrl
value="http://ecr.drajer.com/secure/fhir-r4/fhir/Observation/cancer-stage-group-example"/>
<resource>
<Observation>
<id value="cancer-stage-group-example"/>
<meta>
<profile
value="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tnm-stage-group"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_cancer-stage-group-example"> </a>
<p><b>Profile: </b> <a href="https://hl7.org/fhir/us/mcode/StructureDefinition-mcode-tnm-stage-group.html">mCODE TNM Stage Group</a></p>
<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>
<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>
</text>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="laboratory"/>
</coding>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="21908-9"/>
<display value="Stage group.clinical Cancer"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/example"/>
</subject>
<focus>🔗
<reference value="Condition/primary-cancer-condition-breast"/>
</focus>
<effectiveDateTime value="2023-03-21"/>
<performer>🔗
<reference value="Practitioner/1"/>
<display value="Joseph Nichols"/>
</performer>
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="1222766008"/>
<display
value="American Joint Committee on Cancer stage IIA (qualifier value)"/>
</coding>
</valueCodeableConcept>
<method>
<coding>
<system value="http://snomed.info/sct"/>
<code value="897275008"/>
<display
value="American Joint Committee on Cancer, Cancer Staging Manual, 8th edition tumor staging system"/>
</coding>
</method>
<hasMember>🔗
<reference
value="Observation/tnm-clinical-primary-tumor-category-cT2"/>
</hasMember>
<hasMember>🔗
<reference
value="Observation/tnm-clinical-regional-nodes-category-cN0"/>
</hasMember>
<hasMember>🔗
<reference
value="Observation/tnm-clinical-distant-metastases-category-cM0"/>
</hasMember>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://ecr.drajer.com/secure/fhir-r4/fhir/Observation/tnm-clinical-primary-tumor-category-cT2"/>
<resource>
<Observation>
<id value="tnm-clinical-primary-tumor-category-cT2"/>
<meta>
<profile
value="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tnm-primary-tumor-category"/>
</meta>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_tnm-clinical-primary-tumor-category-cT2"> </a>
<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>
<p><b>Observation:</b> TNM Clinical Primary Tumor Category (cT2)</p>
<p><b>Status:</b> final</p>
<p><b>Category:</b> Laboratory</p>
<p><b>Code:</b> Primary tumor.clinical [Class] Cancer (LOINC: 21905-5)</p>
<p><b>Subject:</b> <a href="Patient-example.html">Patient-example: Amy Shaw</a></p>
<p><b>Effective Date:</b> 2023-03-21</p>
<p><b>Performer:</b> <a href="Practitioner-1.html">Dr. Joseph Nichols (Practitioner/1)</a></p>
<p><b>Value:</b> cT2 - 1228929004 (American Joint Committee on Cancer cT2 qualifier)</p>
<p><b>Method:</b> American Joint Commission on Cancer, Cancer Staging Manual, 8th edition neoplasm staging system (tumor staging) (SNOMED CT: 897275008)</p>
</div>
</text>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="laboratory"/>
</coding>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="21905-5"/>
<display value="Primary tumor.clinical [Class] Cancer"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/example"/>
</subject>
<effectiveDateTime value="2023-03-21"/>
<performer>🔗
<reference value="Practitioner/1"/>
</performer>
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="1228929004"/>
<display
value="American Joint Committee on Cancer cT2 (qualifier value)"/>
</coding>
</valueCodeableConcept>
<method>
<coding>
<system value="http://snomed.info/sct"/>
<code value="897275008"/>
<display
value="American Joint Committee on Cancer, Cancer Staging Manual, 8th edition tumor staging system"/>
</coding>
</method>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://ecr.drajer.com/secure/fhir-r4/fhir/Observation/tnm-clinical-regional-nodes-category-cN0"/>
<resource>
<Observation>
<id value="tnm-clinical-regional-nodes-category-cN0"/>
<meta>
<profile
value="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tnm-regional-nodes-category"/>
</meta>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_tnm-clinical-regional-nodes-category-cN0"> </a>
<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>
<p><b>Observation:</b> TNM Clinical Regional Nodes Category (cN0)</p>
<p><b>Status:</b> final</p>
<p><b>Category:</b> Laboratory</p>
<p><b>Code:</b> Regional lymph nodes.clinical [Class] Cancer (LOINC: 21906-3)</p>
<p><b>Subject:</b> <a href="Patient-example.html">Patient-example: Amy Shaw</a></p>
<p><b>Effective Date:</b> 2023-03-21</p>
<p><b>Performer:</b> <a href="Practitioner-1.html">Dr. Joseph Nichols (Practitioner/1)</a></p>
<p><b>Value:</b> cN0 (American Joint Committee on Cancer cN0 qualifier)</p>
<p><b>Method:</b> American Joint Commission on Cancer, Cancer Staging Manual, 8th edition neoplasm staging system (tumor staging) (SNOMED CT: 897275008)</p>
</div>
</text>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="laboratory"/>
</coding>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="21906-3"/>
<display value="Regional lymph nodes.clinical [Class] Cancer"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/example"/>
</subject>
<effectiveDateTime value="2023-03-21"/>
<performer>🔗
<reference value="Practitioner/1"/>
</performer>
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="1229967007"/>
<display
value="American Joint Committee on Cancer cN0 (qualifier value)"/>
</coding>
</valueCodeableConcept>
<method>
<coding>
<system value="http://snomed.info/sct"/>
<code value="897275008"/>
<display
value="American Joint Committee on Cancer, Cancer Staging Manual, 8th edition tumor staging system"/>
</coding>
</method>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://ecr.drajer.com/secure/fhir-r4/fhir/Observation/tnm-clinical-regional-nodes-category-cN0"/>
<resource>
<Observation>
<id value="tnm-clinical-distant-metastases-category-cM0"/>
<meta>
<profile
value="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tnm-distant-metastases-category"/>
</meta>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_tnm-clinical-distant-metastases-category-cM0"> </a>
<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>
<p><b>Observation:</b> TNM Clinical Distant Metastases Category (cM0)</p>
<p><b>Status:</b> final</p>
<p><b>Category:</b> Imaging</p>
<p><b>Code:</b> cM category (SNOMED CT: 399387003)</p>
<p><b>Subject:</b> <a href="Patient-example.html">Patient-example: Amy Shaw</a></p>
<p><b>Effective Date:</b> 2023-03-21</p>
<p><b>Performer:</b> <a href="Practitioner-1.html">Dr. Joseph Nichols (Practitioner/1)</a></p>
<p><b>Value:</b> cM0 - 1229901006 (American Joint Committee on Cancer cM0 qualifier)</p>
<p><b>Method:</b> American Joint Commission on Cancer, Cancer Staging Manual, 8th edition neoplasm staging system (tumor staging) (SNOMED CT: 897275008)</p>
</div>
</text>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="imaging"/>
<display value="Imaging"/>
</coding>
</category>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="399387003"/>
<display value="cM category"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/example"/>
</subject>
<effectiveDateTime value="2023-03-21"/>
<performer>🔗
<reference value="Practitioner/1"/>
</performer>
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="1229901006"/>
<display
value="American Joint Committee on Cancer cM0 (qualifier value)"/>
</coding>
</valueCodeableConcept>
<method>
<coding>
<system value="http://snomed.info/sct"/>
<code value="897275008"/>
<display
value="American Joint Committee on Cancer, Cancer Staging Manual, 8th edition tumor staging system"/>
</coding>
</method>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://ecr.drajer.com/secure/fhir-r4/fhir/Condition/problem-list-diabetes"/>
<resource>
<Condition>
<id value="problem-list-diabetes"/>
<meta>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns|6.1.0"/>
</meta>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Condition_problem-list-diabetes"> </a>
<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>
<p><b>Condition:</b> Type 2 diabetes mellitus</p>
<p><b>Clinical Status:</b> Active</p>
<p><b>Verification Status:</b> Confirmed</p>
<p><b>Category:</b> Problem List Item</p>
<p><b>Code:</b> ICD-10 E11 — Type 2 diabetes mellitus</p>
<p><b>Subject:</b> <a href="Patient-example.html">Amy V. Shaw</a></p>
<p><b>Recorded Date:</b> 2016-08-10</p>
</div>
</text>
<extension
url="http://hl7.org/fhir/StructureDefinition/condition-assertedDate">
<valueDateTime value="2016-08-10"/>
</extension>
<clinicalStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
<code value="active"/>
<display value="Active"/>
</coding>
<text value="Active"/>
</clinicalStatus>
<verificationStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-ver-status"/>
<code value="confirmed"/>
<display value="Confirmed"/>
</coding>
<text value="Confirmed"/>
</verificationStatus>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-category"/>
<code value="problem-list-item"/>
<display value="Problem List Item"/>
</coding>
<text value="Problem List Item"/>
</category>
<code>
<coding>
<system value="http://hl7.org/fhir/sid/icd-10"/>
<code value="E11"/>
<display value="Type 2 diabetes mellitus"/>
</coding>
<text value="Type 2 diabetes mellitus"/>
</code>
<subject>🔗
<reference value="Patient/example"/>
<display value="Amy V. Shaw"/>
</subject>
<recordedDate value="2016-08-10T07:15:07-08:00"/>
</Condition>
</resource>
</entry>
<entry>
<fullUrl
value="http://ecr.drajer.com/secure/fhir-r4/fhir/Observation/non-smoker"/>
<resource>
<Observation>
<id value="non-smoker"/>
<meta>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus|6.1.0"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_non-smoker"> </a>
<p><b>Profile:</b> <a href="https://hl7.org/fhir/us/core/StructureDefinition-us-core-smokingstatus.html">US Core Smoking Status</a></p>
<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>
<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>
</text>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="social-history"/>
<display value="Social History"/>
</coding>
<text value="Social History"/>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="72166-2"/>
<display value="Tobacco smoking status"/>
</coding>
<text value="Tobacco smoking status"/>
</code>
<subject>🔗
<reference value="Patient/example"/>
</subject>
<effectiveDateTime value="2023-03-21"/>
<issued value="2023-03-21T05:27:04Z"/>
<performer>🔗
<reference value="Practitioner/1"/>
</performer>
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="266919005"/>
</coding>
<text value="Never smoked tobacco (finding)"/>
</valueCodeableConcept>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://ecr.drajer.com/secure/fhir-r4/fhir/Observation/odh-usual-work"/>
<resource>
<Observation>
<id value="odh-usual-work"/>
<meta>
<profile
value="http://hl7.org/fhir/us/odh/StructureDefinition/odh-UsualWork"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_odh-usual-work"> </a>
<p><b>Profile: </b> <a href="https://hl7.org/fhir/us/odh/StructureDefinition/odh-UsualWork.html">ODH Usual Work</a></p>
<p><b>Subject:</b> <a href="Patient-example.html">Patient-example: Amy Shaw</a></p>
<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>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="21843-8"/>
<display value="History of Usual occupation"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/example"/>
<display value="Amy Shaw"/>
</subject>
<effectivePeriod>
<start value="2010-01-01"/>
</effectivePeriod>
<valueCodeableConcept>
<coding>
<system value="2.16.840.1.114222.4.11.7187"/>
<code value="1570"/>
<display value="Carpet and rug mills"/>
</coding>
<coding>
<system value="2.16.840.1.114222.4.11.7186"/>
<code value="6240"/>
<display
value="Carpet, floor, and tile installers and finishers"/>
</coding>
</valueCodeableConcept>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://ecr.drajer.com/secure/fhir-r4/fhir/Organization/example-cancer-org"/>
<resource>
<Organization>
<id value="example-cancer-org"/>
<meta>
<profile
value="http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/central-cancer-registry-reporting-organization"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Organization_example-cancer-org"> </a>
<p><b>Profile: </b> <a href="StructureDefinition-central-cancer-registry-reporting-organization.html"> Central Cancer Registry Reporting Organization</a></p>
<p><b>Organization:</b> Cancer Organization</p>
<p><b>Status:</b> Active</p>
<p><b>Identifier (NPI):</b> 1063494177</p>
<p><b>Address:</b> 1234 Main Street, Tulsa, OK 74126</p>
<p><b>Phone:</b> (917)932-2000</p>
</div>
</text>
<identifier>
<system value="http://hl7.org/fhir/sid/us-npi"/>
<value value="1063494177"/>
</identifier>
<active value="true"/>
<name value="Cancer Organization"/>
<telecom>
<system value="phone"/>
<value value="(917)932-2000"/>
<use value="work"/>
</telecom>
<address>
<text value="1234 Main Street, Tulsa OK 74126"/>
<line value="1234 Main Street"/>
<city value="Tulsa"/>
<state value="OK"/>
<postalCode value="74126"/>
</address>
</Organization>
</resource>
</entry>
</Bundle>
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 2025-11-13
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