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-specification-bundle-example",
"meta" : {
"versionId" : "1",
"lastUpdated" : "2020-11-29T02:03:28.045+00:00",
"profile" : [
🔗 "http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/ccrr-specification-bundle"
]
},
"type" : "collection",
"timestamp" : "2020-11-20T11:15:33-10:00",
"entry" : [
{
"fullUrl" : "http://hl7.org/fhir/us/central-cancer-registry-reporting/ValueSet/cancer-core-reportability-codes-example",
"resource" : {
"resourceType" : "ValueSet",
"id" : "cancer-core-reportability-codes-example",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"ValueSet_cancer-core-reportability-codes-example\"> </a><p class=\"res-header-id\"><b>Generated Narrative: ValueSet cancer-core-reportability-codes-example</b></p><p>This value set includes codes based on the following rules:</p><ul><li>Include these codes as defined in <a href=\"http://www.snomed.org/\"><code>http://snomed.info/sct</code></a><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td></tr><tr><td><a href=\"http://snomed.info/id/281566005\">281566005</a></td><td/></tr><tr><td><a href=\"http://snomed.info/id/403901001\">403901001</a></td><td/></tr><tr><td><a href=\"http://snomed.info/id/254654004\">254654004</a></td><td/></tr></table></li><li>Include these codes as defined in <a><code>http://hl7.org/fhir/sid/icd-10-cm</code></a><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td></tr><tr><td>C00</td><td style=\"color: #cccccc\">Malignant neoplasm of lip</td></tr><tr><td>C00.0</td><td style=\"color: #cccccc\">Malignant neoplasm of external upper lip</td></tr></table></li></ul></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/artifact-author",
"valueContactDetail" : {
"name" : "Example Author"
}
}
],
"url" : "http://hl7.org/fhir/us/central-cancer-registry-reporting/ValueSet/cancer-core-reportability-codes-example",
"identifier" : [
{
"system" : "urn:ietf:rfc:3986",
"value" : "urn:oid:2.16.840.1.113883.4.642.40.40.48.1"
}
],
"version" : "1.0.0",
"name" : "CancerCoreReportabilityCodes",
"title" : "Cancer Core Reportability Codes",
"status" : "active",
"experimental" : false,
"date" : "2021-11-22",
"publisher" : "HL7 International / Public Health",
"contact" : [
{
"telecom" : [
{
"system" : "url",
"value" : "http://www.hl7.org/Special/committees/pher"
}
]
}
],
"description" : "The valueset contains SNOMED-CT and ICD-10-CM codes for Central Cancer Registry Reportability determination. These are just sample codes and the actual value set will be published by the Central Cancer Registry.",
"useContext" : [
{
"code" : {
"system" : "http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-usage-context-type",
"code" : "priority",
"display" : "Priority"
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-usage-context",
"code" : "triggering",
"display" : "Triggering"
}
]
}
}
],
"jurisdiction" : [
{
"coding" : [
{
"system" : "urn:iso:std:iso:3166",
"code" : "US"
}
]
}
],
"copyright" : "This value set includes content from:\n 1. This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement. 2. ICD-9 and ICD-10 are copyrighted by the World Health Organization (WHO) which owns and publishes the classification. See https://www.who.int/classifications/icd/en. WHO has authorized the development of an adaptation of ICD-9 and ICD-10 to ICD-9-CM to ICD-10-CM for use in the United States for U.S. government purposes.\n",
"compose" : {
"include" : [
{
"system" : "http://snomed.info/sct",
"concept" : [
{
"code" : "281566005",
"display" : "Abdominothoracic neuroblastoma (disorder)"
},
{
"code" : "403901001",
"display" : "Acantholytic squamous cell carcinoma (disorder)"
},
{
"code" : "254654004",
"display" : "Acantholytic squamous cell carcinoma of skin (disorder)"
}
]
}
]
}
}
},
{
"fullUrl" : "http://hl7.org/fhir/us/central-cancer-registry-reporting/PlanDefinition/plandefinition-central-cancer-registry-reporting-example",
"resource" : {
"resourceType" : "PlanDefinition",
"id" : "plandefinition-central-cancer-registry-reporting-example",
"meta" : {
"versionId" : "1",
"lastUpdated" : "2020-11-29T02:03:28.045+00:00",
"profile" : [
🔗 "http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/ccrr-plandefinition"
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"PlanDefinition_plandefinition-central-cancer-registry-reporting-example\"> </a><p><b>CCRR PlanDefinition Example</b></p></div>"
},
"url" : "http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/plandefinition-central-cancer-registry-reporting-example",
"version" : "1.0",
"name" : "CentralCancerRegistryReportingExample",
"title" : "PlanDefinition Central Cancer Registry Reporting Example",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/plan-definition-type",
"code" : "workflow-definition",
"display" : "Workflow Definition"
}
]
},
"status" : "draft",
"experimental" : true,
"date" : "2020-11-04T12:32:29.858-05:00",
"publisher" : "HL7 Public Health Work Group",
"description" : "This is the Cancer Registry Reporting Knowledge Artifact",
"effectivePeriod" : {
"start" : "2021-11-01"
},
"relatedArtifact" : [
{
"type" : "depends-on",
"label" : "Central Cancer Registry Trigger Codes",
"resource" : "http://hl7.org/fhir/us/central-cancer-registry-reporting/ValueSet/cancer-core-reportability-codes|2.0.0"
}
],
"action" : [
{
"id" : "start-workflow",
"description" : "This action represents the start of the reporting workflow in response to the encounter-close event",
"textEquivalent" : "Start the reporting workflow in response to an encounter-close event",
"code" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-plandefinition-actions",
"code" : "initiate-reporting-workflow"
}
]
}
],
"trigger" : [
{
"id" : "encounter-close",
"extension" : [
{
"url" : "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-named-eventtype-extension",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-triggerdefinition-namedevents",
"code" : "encounter-close",
"display" : "Indicates the close of an encounter"
}
]
}
}
],
"type" : "named-event",
"name" : "encounter-close"
}
],
"relatedAction" : [
{
"actionId" : "check-reportable",
"relationship" : "before-start",
"offsetDuration" : {
"value" : 72,
"system" : "http://unitsofmeasure.org",
"code" : "h"
}
}
]
},
{
"id" : "check-reportable",
"description" : "This action represents the check for suspected reportability of the cancer data.",
"textEquivalent" : "Check Reportability and setup jobs for future reportability checks.",
"code" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-plandefinition-actions",
"code" : "execute-reporting-workflow"
}
]
}
],
"action" : [
{
"id" : "is-encounter-reportable",
"description" : "This action represents the check for reportability to create the patient's cancer report.",
"textEquivalent" : "Check Trigger Codes based on RCTC Value sets.",
"code" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-plandefinition-actions",
"code" : "check-trigger-codes"
}
]
}
],
"condition" : [
{
"kind" : "applicability",
"expression" : {
"language" : "text/fhirpath",
"expression" : "%conditions.exists()"
}
}
],
"input" : [
{
"id" : "conditions",
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-fhirQueryPattern",
"valueString" : "Condition?patient=Patient/{{context.patientId}}"
}
],
"type" : "Condition",
"codeFilter" : [
{
"path" : "code",
"valueSet" : "http://hl7.org/fhir/us/central-cancer-registry-reporting/ValueSet/cancer-core-reportability-codes|2.0.0"
}
]
}
],
"relatedAction" : [
{
"actionId" : "report-cancer-data",
"relationship" : "before-start"
}
]
},
{
"id" : "should-continue-reporting",
"code" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-plandefinition-actions",
"code" : "evaluate-condition"
}
]
}
],
"condition" : [
{
"kind" : "applicability",
"expression" : {
"language" : "text/fhirpath",
"expression" : "%patient.deceased[x] == null && (currentTime - previousReportSubmissionTime) < 7776000"
}
}
],
"relatedAction" : [
{
"actionId" : "check-reportable",
"relationship" : "before-start",
"offsetDuration" : {
"value" : 6,
"system" : "http://unitsofmeasure.org",
"code" : "mo"
}
}
]
}
]
},
{
"id" : "report-cancer-data",
"description" : "This action represents the creation, validation and submission of the cancer report.",
"textEquivalent" : "Check Reportability and setup jobs for future reportability checks.",
"code" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-plandefinition-actions",
"code" : "execute-reporting-workflow"
}
]
}
],
"action" : [
{
"id" : "create-cancer-report",
"description" : "This action represents the creation of the cancer report.",
"textEquivalent" : "Central Cancer Registry Report",
"code" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-plandefinition-actions",
"code" : "create-report"
}
]
}
],
"input" : [
{
"id" : "patient",
"type" : "Patient",
"profile" : [
🔗 "http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/central-cancer-registry-reporting-patient"
]
},
{
"id" : "condition",
"type" : "Condition",
"profile" : [
🔗 "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-primary-cancer-condition"
]
},
{
"id" : "encounter",
"type" : "Encounter",
"profile" : [
🔗 "http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/central-cancer-registry-reporting-encounter"
]
},
{
"id" : "mr",
"type" : "MedicationRequest",
"profile" : [
🔗 "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-related-medication-request"
]
},
{
"id" : "vitals",
"type" : "Observation",
"profile" : [
🔗 "http://hl7.org/fhir/StructureDefinition/vitalsigns"
]
},
{
"id" : "labs",
"type" : "Observation",
"profile" : [
🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab|6.1.0"
]
}
],
"output" : [
{
"id" : "cancer-report",
"type" : "Bundle",
"profile" : [
🔗 "http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/ccrr-reporting-bundle"
]
}
],
"relatedAction" : [
{
"actionId" : "validate-report",
"relationship" : "before-start"
}
]
},
{
"id" : "validate-cancer-report",
"description" : "This action represents the validation of the cancer report.",
"textEquivalent" : "Validate Report",
"code" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-plandefinition-actions",
"code" : "validate-report"
}
]
}
],
"input" : [
{
"id" : "created-cancer-report",
"type" : "Bundle",
"profile" : [
🔗 "http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/ccrr-reporting-bundle"
]
}
],
"output" : [
{
"id" : "validated-cancer-report",
"type" : "Bundle",
"profile" : [
🔗 "http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/ccrr-reporting-bundle"
]
}
],
"relatedAction" : [
{
"actionId" : "submit-report",
"relationship" : "before-start"
}
]
},
{
"id" : "route-and-send-cancer-report",
"description" : "This action represents the routing and sending of the cancer report.",
"textEquivalent" : "Route and send cancer report",
"code" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-plandefinition-actions",
"code" : "submit-report"
}
]
}
],
"input" : [
{
"id" : "val-cancer-report",
"type" : "Bundle",
"profile" : [
🔗 "http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/ccrr-reporting-bundle"
]
}
]
}
]
}
]
}
}
]
}