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