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

: Central Cancer Registry Reporting Content Bundle - Non-encounter Based Content Example - XML Representation

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<Bundle xmlns="http://hl7.org/fhir">
  <id value="ccrr-non-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="2023-04-10T11:15:33-10:00"/>
  <entry>
    <fullUrl
             value="http://hl7.org/fhir/us/central-cancer-registry-reporting/Composition/ccrr-composition-content-example"/>
    <resource>
      <Composition>
        <id value="ccrr-composition-non-encounter-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-non-encounter-content-example"> </a><p><b> Non-encounter Based Example </b></p></div>
        </text>
        <identifier>
          <value value="b03eab8c-11e8-4d0c-ad2a-b385395e28cd"/>
        </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>
        <date value="2023-04-10T22:13:23Z"/>
        <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="Medications Administered Section"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="29549-3"/>
              <display value="Medication administered Narrative"/>
            </coding>
          </code>
          <text>
            <status value="generated"/>
            <div xmlns="http://www.w3.org/1999/xhtml">
<p>Medications Administered Section</p></div>
          </text>
          <entry>🔗 
            <reference
                       value="MedicationAdministration/cancer-med-admin-docetaxel-example"/>
          </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/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>
        </stage>
      </Condition>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://ecr.drajer.com/secure/fhir-r4/fhir/MedicationAdministration/cancer-med-admin-docetaxel-example"/>
    <resource>
      <MedicationAdministration>
        <id value="cancer-med-admin-docetaxel-example"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-related-medication-administration"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="MedicationAdministration_cancer-med-admin-docetaxel-example"> </a><p><b>Profile: </b> <a href="https://hl7.org/fhir/us/mcode/StructureDefinition-mcode-cancer-related-medication-administration.html">mCODE Cancer Related Medication Administration</a></p><p><b>status:</b> completed</p><p><b>category:</b> Outpatient</p><p><b>medication:</b> rxnorm 72962 docetaxel</p><p><b>subject:</b> <a href="Patient-example.html">Patient-example: Amy Shaw</a></p><p><b>start date:</b> 2023-04-10</p><p><b>Performer:</b> Joseph Nichols</p><p><b>reasonReference:</b> Condition-primary-cancer-condition-breast</p><p><b>authoredOn:</b> 2023-04-10</p><p><b>note:</b> Chemotherapy regimen of docetaxel, carboplatin, adriamycin, cyclophosphamide, and paclitaxel administered by continuous infusion. Patient tolerated infusion without side effects.</p><p><b>Route:</b> SNOMED 47625008 Intravenous route (qualifier value)</p></div>
        </text>
        <status value="completed"/>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/medication-admin-category"/>
            <code value="outpatient"/>
          </coding>
        </category>
        <medicationCodeableConcept>
          <coding>
            <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/>
            <code value="72962"/>
            <display value="docetaxel"/>
          </coding>
        </medicationCodeableConcept>
        <subject>🔗 
          <reference value="Patient/example"/>
        </subject>
        <effectiveDateTime value="2023-04-10"/>
        <performer>
          <actor>🔗 
            <reference value="Practitioner/1"/>
          </actor>
        </performer>
        <reasonCode>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="408643008"/>
            <display
                     value="Infiltrating duct carcinoma of breast (disorder)"/>
          </coding>
        </reasonCode>
        <reasonReference>🔗 
          <reference value="Condition/primary-cancer-condition-breast"/>
        </reasonReference>
        <note>
          <authorReference>🔗 
            <reference value="Practitioner/1"/>
          </authorReference>
          <time value="2023-04-10"/>
          <text
                value="docetaxel administered by continuous infusion. Patient tolerated infusion without side effects."/>
        </note>
        <dosage>
          <route>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="47625008"/>
              <display value="Intravenous route (qualifier value)"/>
            </coding>
          </route>
          <dose>
            <value value="60"/>
            <unit value="mg"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="mg"/>
          </dose>
        </dosage>
      </MedicationAdministration>
    </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>