Central Cancer Registry Reporting Content IG
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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

: NEB.1: Non-Encounter-based CCRR Content Bundle - Example - TTL Representation

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@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-non-encounter-based-content-bundle-example> a fhir:Bundle ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "ccrr-non-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 "2023-04-10T11:15:33-10:00"^^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-non-encounter-content-example" ] ;
     fhir:Bundle.entry.resource <http://hl7.org/fhir/us/central-cancer-registry-reporting/Composition/ccrr-composition-non-encounter-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/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-non-encounter-content-example> a fhir:Composition ;
  fhir:Resource.id [ fhir:value "ccrr-composition-non-encounter-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-non-encounter-content-example\"> </a><p><b> Non-encounter Based Example </b></p></div>"
  ] ;
  fhir:Composition.identifier [
     fhir:Identifier.value [ fhir:value "b03eab8c-11e8-4d0c-ad2a-b385395e28cd" ]
  ] ;
  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.date [ fhir:value "2023-04-10T22:13:23Z"^^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 "Cancer Radio Therapy Course Summary section" ] ;
     fhir:Composition.section.code [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         a sct:1217123003 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "1217123003" ] ;
         fhir:Coding.display [ fhir:value "Radiotherapy course of treatment" ]
       ]
     ] ;
     fhir:Composition.section.text [
       fhir:Narrative.status [ fhir:value "generated" ] ;
       fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n<p>Cancer Radio Therapy Course Summary section</p></div>"
     ] ;
     fhir:Composition.section.entry [
       fhir:index 0 ;
       fhir:link <http://hl7.org/fhir/Procedure/radiotherapy-example> ;
       fhir:Reference.reference [ fhir:value "Procedure/radiotherapy-example" ]
     ]
  ] .

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

<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/Procedure/radiotherapy-example> 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)" ]
       ]
     ]
  ] .

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