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-encounter-based-content-bundle-example",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/ccrr-content-bundle"
]
},
"type" : "collection",
"timestamp" : "2023-11-08T11:15:33-10:00",
"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> Encounter-based Content Bundle </b></p></div>"
},
"identifier" : {
"value" : "b13eab8c-11e8-4d0c-ad2a-b385395e27gh"
},
"status" : "final",
"type" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "72134-0"
}
]
},
"subject" : {
🔗 "reference" : "Patient/example",
"display" : "Amy Shaw"
},
"encounter" : {
🔗 "reference" : "Encounter/encounter-cancer-example-surgery",
"display" : "Encounter Cancer Surgery Example"
},
"date" : "2023-11-08T22:13:23Z",
"author" : [
{
🔗 "reference" : "Organization/example-cancer-org",
"display" : "Cancer Organization"
}
],
"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" : "Procedures Section",
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "47519-4",
"display" : "History of Procedures Document"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n<p>Procedures Section</p></div>"
},
"entry" : [
{
🔗 "reference" : "Procedure/cancer-related-surgical-procedure-lumpectomy"
}
]
}
]
}
},
{
"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-surgery",
"resource" : {
"resourceType" : "Encounter",
"id" : "encounter-cancer-example-surgery",
"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-surgery\"> </a>\n <p><b>Profile: </b> <a href=\"StructureDefinition-central-cancer-registry-reporting-encounter.html\"> Central Cancer Registry Reporting Encounter</a></p><p><b>Encounter:</b> Surgery-Lumpectomy</p>\n <p><b>Identifier:</b> 9937013</p>\n <p><b>Status:</b> finished</p>\n <p><b>Class:</b> Ambulatory (AMB)</p>\n <p><b>Type:</b> Encounter for problem (procedure) [SNOMED CT: 185347001]</p>\n <p><b>Patient:</b> <a href=\"Patient-example.html\">Patient-example: Amy Shaw</a></p>\n <p><b>Period:</b> November 8, 2024</p>\n <p><b>Reason for Encounter:</b> <a href=\"Procedure-cancer-related-surgical-procedure-lumpectomy.html\"> Surgical Procedure - Lumpectomy</a></p>\n <p><b>Associated 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" : "9937013"
}
],
"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"
},
"period" : {
"start" : "2023-11-08T17:00:14-05:00",
"end" : "2023-11-08T20:00:14-05:00"
},
"reasonReference" : [
{
🔗 "reference" : "Procedure/cancer-related-surgical-procedure-lumpectomy"
}
],
"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/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 2025-11-07
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