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
@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-encounter-based-content-bundle-example> a fhir:Bundle ;
fhir:nodeRole fhir:treeRoot ;
fhir:Resource.id [ fhir:value "ccrr-encounter-based-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 "2023-11-08T11:15:33-10:00"^^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/Condition/primary-cancer-condition-breast" ] ;
fhir:Bundle.entry.resource <http://hl7.org/fhir/us/central-cancer-registry-reporting/Condition/primary-cancer-condition-breast>
], [
fhir:index 3 ;
fhir:Bundle.entry.fullUrl [ fhir:value "http://hl7.org/fhir/us/central-cancer-registry-reporting/Procedure/cancer-related-surgical-procedure-lumpectomy" ] ;
fhir:Bundle.entry.resource <http://hl7.org/fhir/us/central-cancer-registry-reporting/Procedure/cancer-related-surgical-procedure-lumpectomy>
], [
fhir:index 4 ;
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> Encounter-based Content Bundle </b></p></div>"
] ;
fhir:Composition.identifier [
fhir:Identifier.value [ fhir:value "b13eab8c-11e8-4d0c-ad2a-b385395e27gh" ]
] ;
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-surgery> ;
fhir:Reference.reference [ fhir:value "Encounter/encounter-cancer-example-surgery" ] ;
fhir:Reference.display [ fhir:value "Encounter Cancer Surgery Example" ]
] ;
fhir:Composition.date [ fhir:value "2023-11-08T22:13:23Z"^^xsd:dateTime] ;
fhir:Composition.author [
fhir:index 0 ;
fhir:link <http://hl7.org/fhir/Organization/example-cancer-org> ;
fhir:Reference.reference [ fhir:value "Organization/example-cancer-org" ] ;
fhir:Reference.display [ fhir:value "Cancer Organization" ]
] ;
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 "Procedures Section" ] ;
fhir:Composition.section.code [
fhir:CodeableConcept.coding [
fhir:index 0 ;
a loinc:47519-4 ;
fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
fhir:Coding.code [ fhir:value "47519-4" ] ;
fhir:Coding.display [ fhir:value "History of Procedures Document" ]
]
] ;
fhir:Composition.section.text [
fhir:Narrative.status [ fhir:value "generated" ] ;
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n<p>Procedures Section</p></div>"
] ;
fhir:Composition.section.entry [
fhir:index 0 ;
fhir:link <http://hl7.org/fhir/Procedure/cancer-related-surgical-procedure-lumpectomy> ;
fhir:Reference.reference [ fhir:value "Procedure/cancer-related-surgical-procedure-lumpectomy" ]
]
] .
<http://hl7.org/fhir/Patient/example> a fhir:Patient .
<http://hl7.org/fhir/Encounter/encounter-cancer-example-surgery> a fhir:Encounter .
<http://hl7.org/fhir/Organization/example-cancer-org> a fhir:Organization .
<http://hl7.org/fhir/Condition/primary-cancer-condition-breast> a fhir:Condition .
<http://hl7.org/fhir/Procedure/cancer-related-surgical-procedure-lumpectomy> a fhir:Procedure .
<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/Condition/primary-cancer-condition-breast> a fhir:Condition ;
fhir:Resource.id [ fhir:value "primary-cancer-condition-breast"] ;
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/central-cancer-registry-primary-cancer-condition" ;
fhir:index 0 ;
fhir:link <http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/central-cancer-registry-primary-cancer-condition>
]
] ;
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "extensions" ] ;
fhir:Narrative.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>"
] ;
fhir:DomainResource.extension [
fhir:index 0 ;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/condition-assertedDate" ] ;
fhir:Extension.valueDateTime [ fhir:value "2023-03-21"^^xsd:date ]
], [
fhir:index 1 ;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-histology-morphology-behavior" ] ;
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0 ;
a sct:82711006 ;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
fhir:Coding.code [ fhir:value "82711006" ] ;
fhir:Coding.display [ fhir:value "Infiltrating duct carcinoma (morphologic abnormality)" ]
]
]
], [
fhir:index 2 ;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/cancer-status-evidence-type" ] ;
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0 ;
a sct:714797009 ;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
fhir:Coding.code [ fhir:value "714797009" ] ;
fhir:Coding.display [ fhir:value "Histologic test (procedure)" ]
]
]
] ;
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: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: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 "encounter-diagnosis" ] ;
fhir:Coding.display [ fhir:value "Encounter Diagnosis" ]
]
] ;
fhir:Condition.code [
fhir:CodeableConcept.coding [
fhir:index 0 ;
a sct:408643008 ;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
fhir:Coding.code [ fhir:value "408643008" ] ;
fhir:Coding.display [ fhir:value "Infiltrating duct carcinoma of breast (disorder)" ]
]
] ;
fhir:Condition.bodySite [
fhir:index 0 ;
fhir:Element.extension [
fhir:index 0 ;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-laterality-qualifier" ] ;
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0 ;
a sct:7771000 ;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
fhir:Coding.code [ fhir:value "7771000" ] ;
fhir:Coding.display [ fhir:value "Left (qualifier value)" ]
]
]
] ;
fhir:CodeableConcept.coding [
fhir:index 0 ;
a sct:80248007 ;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
fhir:Coding.code [ fhir:value "80248007" ] ;
fhir:Coding.display [ fhir:value "Left breast structure (body structure)" ]
]
] ;
fhir:Condition.subject [
fhir:link <http://hl7.org/fhir/Patient/example> ;
fhir:Reference.reference [ fhir:value "Patient/example" ]
] ;
fhir:Condition.asserter [
fhir:link <http://hl7.org/fhir/Practitioner/1> ;
fhir:Reference.reference [ fhir:value "Practitioner/1" ]
] ;
fhir:Condition.stage [
fhir:index 0 ;
fhir:Condition.stage.summary [
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:Condition.stage.assessment [
fhir:index 0 ;
fhir:link <http://hl7.org/fhir/Observation/cancer-stage-group-example> ;
fhir:Reference.reference [ fhir:value "Observation/cancer-stage-group-example" ]
]
] .
<http://hl7.org/fhir/Practitioner/1> a fhir:Practitioner .
<http://hl7.org/fhir/Observation/cancer-stage-group-example> a fhir:Observation .
<http://hl7.org/fhir/us/central-cancer-registry-reporting/Procedure/cancer-related-surgical-procedure-lumpectomy> a fhir:Procedure ;
fhir:Resource.id [ fhir:value "cancer-related-surgical-procedure-lumpectomy"] ;
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure|6.1.0" ;
fhir:index 0 ;
fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure|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=\"Procedure_cancer-related-surgical-procedure-lumpectomy\"> </a>\n <p><b>Profile:</b> <a href=\"https://hl7.org/fhir/us/core/StructureDefinition-us-core-procedure.html\">US Core Procedure</a></p>\n <p><b>Procedure:</b> Cancer-related-surgical-procedure-lumpectomy</p><p><b>status</b>: Completed</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 735085002}\">Lumpectomy of left breast (procedure)</span></p><p><b>subject</b>: <a href=\"Patient-example.html\">Amy V. Shaw</a></p><p><b>performed</b>: 2023-11-08</p><p><b>reasonReference</b>: <a href=\"Condition-primary-cancer-condition-breast.html\">Condition Infiltrating duct carcinoma of breast (disorder)</a></p><p><b>bodySite</b>: <span title=\"Codes:{http://snomed.info/sct 80248007}\">Left breast structure (body structure)</span></p></div>"
] ;
fhir:Procedure.status [ fhir:value "completed"] ;
fhir:Procedure.code [
fhir:CodeableConcept.coding [
fhir:index 0 ;
a sct:735085002 ;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
fhir:Coding.code [ fhir:value "735085002" ] ;
fhir:Coding.display [ fhir:value "Lumpectomy of left breast (procedure)" ]
]
] ;
fhir:Procedure.subject [
fhir:link <http://hl7.org/fhir/Patient/example> ;
fhir:Reference.reference [ fhir:value "Patient/example" ]
] ;
fhir:Procedure.performedDateTime [ fhir:value "2023-11-08"^^xsd:date] ;
fhir:Procedure.reasonReference [
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:Procedure.bodySite [
fhir:index 0 ;
fhir:CodeableConcept.coding [
fhir:index 0 ;
a sct:80248007 ;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
fhir:Coding.code [ fhir:value "80248007" ] ;
fhir:Coding.display [ fhir:value "Left breast structure (body structure)" ]
]
] .
<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-encounter-based-content-bundle-example.ttl> a owl:Ontology ;
owl:imports fhir:fhir.ttl ;
owl:versionIRI <http://build.fhir.org/Bundle/ccrr-encounter-based-content-bundle-example.ttl> .
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 2026-08-28
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