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-specification-bundle-example"/>
<meta>
<versionId value="1"/>
<lastUpdated value="2020-11-29T02:03:28.045+00:00"/>
<profile
value="http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/ccrr-specification-bundle"/>
</meta>
<type value="collection"/>
<timestamp value="2020-11-20T11:15:33-10:00"/>
<entry>
<fullUrl
value="http://hl7.org/fhir/us/central-cancer-registry-reporting/ValueSet/cancer-core-reportability-codes-example"/>
<resource>
<ValueSet>
<id value="cancer-core-reportability-codes-example"/>
<text>
<status value="generated"/>
<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>
</text>
<extension
url="http://hl7.org/fhir/StructureDefinition/artifact-author">
<valueContactDetail>
<name value="Example Author"/>
</valueContactDetail>
</extension>
<url
value="http://hl7.org/fhir/us/central-cancer-registry-reporting/ValueSet/cancer-core-reportability-codes-example"/>
<identifier>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:oid:2.16.840.1.113883.4.642.40.40.48.1"/>
</identifier>
<version value="1.0.0"/>
<name value="CancerCoreReportabilityCodes"/>
<title value="Cancer Core Reportability Codes"/>
<status value="active"/>
<experimental value="false"/>
<date value="2021-11-22"/>
<publisher value="HL7 International / Public Health"/>
<contact>
<telecom>
<system value="url"/>
<value value="http://www.hl7.org/Special/committees/pher"/>
</telecom>
</contact>
<description
value="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
value="http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-usage-context-type"/>
<code value="priority"/>
<display value="Priority"/>
</code>
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-usage-context"/>
<code value="triggering"/>
<display value="Triggering"/>
</coding>
</valueCodeableConcept>
</useContext>
<jurisdiction>
<coding>
<system value="urn:iso:std:iso:3166"/>
<code value="US"/>
</coding>
</jurisdiction>
<copyright
value="This value set includes content from:
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.
"/>
<compose>
<include>
<system value="http://snomed.info/sct"/>
<concept>
<code value="281566005"/>
<display value="Abdominothoracic neuroblastoma (disorder)"/>
</concept>
<concept>
<code value="403901001"/>
<display
value="Acantholytic squamous cell carcinoma (disorder)"/>
</concept>
<concept>
<code value="254654004"/>
<display
value="Acantholytic squamous cell carcinoma of skin (disorder)"/>
</concept>
</include>
</compose>
</ValueSet>
</resource>
</entry>
<entry>
<fullUrl
value="http://hl7.org/fhir/us/central-cancer-registry-reporting/PlanDefinition/plandefinition-central-cancer-registry-reporting-example"/>
<resource>
<PlanDefinition>
<id value="plandefinition-central-cancer-registry-reporting-example"/>
<meta>
<versionId value="1"/>
<lastUpdated value="2020-11-29T02:03:28.045+00:00"/>
<profile
value="http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/ccrr-plandefinition"/>
</meta>
<text>
<status value="extensions"/>
<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>
</text>
<url
value="http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/plandefinition-central-cancer-registry-reporting-example"/>
<version value="1.0"/>
<name value="CentralCancerRegistryReportingExample"/>
<title
value="PlanDefinition Central Cancer Registry Reporting Example"/>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/plan-definition-type"/>
<code value="workflow-definition"/>
<display value="Workflow Definition"/>
</coding>
</type>
<status value="draft"/>
<experimental value="true"/>
<date value="2020-11-04T12:32:29.858-05:00"/>
<publisher value="HL7 Public Health Work Group"/>
<description
value="This is the Cancer Registry Reporting Knowledge Artifact"/>
<effectivePeriod>
<start value="2021-11-01"/>
</effectivePeriod>
<relatedArtifact>
<type value="depends-on"/>
<label value="Central Cancer Registry Trigger Codes"/>
<resource
value="http://hl7.org/fhir/us/central-cancer-registry-reporting/ValueSet/cancer-core-reportability-codes|2.0.0"/>
</relatedArtifact>
<action id="start-workflow">
<description
value="This action represents the start of the reporting workflow in response to the encounter-close event"/>
<textEquivalent
value="Start the reporting workflow in response to an encounter-close event"/>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-plandefinition-actions"/>
<code value="initiate-reporting-workflow"/>
</coding>
</code>
<trigger id="encounter-close">
<extension
url="http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-named-eventtype-extension">
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-triggerdefinition-namedevents"/>
<code value="encounter-close"/>
<display value="Indicates the close of an encounter"/>
</coding>
</valueCodeableConcept>
</extension>
<type value="named-event"/>
<name value="encounter-close"/>
</trigger>
<relatedAction>
<actionId value="check-reportable"/>
<relationship value="before-start"/>
<offsetDuration>
<value value="72"/>
<system value="http://unitsofmeasure.org"/>
<code value="h"/>
</offsetDuration>
</relatedAction>
</action>
<action id="check-reportable">
<description
value="This action represents the check for suspected reportability of the cancer data."/>
<textEquivalent
value="Check Reportability and setup jobs for future reportability checks."/>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-plandefinition-actions"/>
<code value="execute-reporting-workflow"/>
</coding>
</code>
<action id="is-encounter-reportable">
<description
value="This action represents the check for reportability to create the patient's cancer report."/>
<textEquivalent
value="Check Trigger Codes based on RCTC Value sets."/>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-plandefinition-actions"/>
<code value="check-trigger-codes"/>
</coding>
</code>
<condition>
<kind value="applicability"/>
<expression>
<language value="text/fhirpath"/>
<expression value="%conditions.exists()"/>
</expression>
</condition>
<input id="conditions">
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-fhirQueryPattern">
<valueString
value="Condition?patient=Patient/{{context.patientId}}"/>
</extension>
<type value="Condition"/>
<codeFilter>
<path value="code"/>
<valueSet
value="http://hl7.org/fhir/us/central-cancer-registry-reporting/ValueSet/cancer-core-reportability-codes|2.0.0"/>
</codeFilter>
</input>
<relatedAction>
<actionId value="report-cancer-data"/>
<relationship value="before-start"/>
</relatedAction>
</action>
<action id="should-continue-reporting">
<code>
<coding>
<system
value="http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-plandefinition-actions"/>
<code value="evaluate-condition"/>
</coding>
</code>
<condition>
<kind value="applicability"/>
<expression>
<language value="text/fhirpath"/>
<expression
value="%patient.deceased[x] == null && (currentTime - previousReportSubmissionTime) < 7776000"/>
</expression>
</condition>
<relatedAction>
<actionId value="check-reportable"/>
<relationship value="before-start"/>
<offsetDuration>
<value value="6"/>
<system value="http://unitsofmeasure.org"/>
<code value="mo"/>
</offsetDuration>
</relatedAction>
</action>
</action>
<action id="report-cancer-data">
<description
value="This action represents the creation, validation and submission of the cancer report."/>
<textEquivalent
value="Check Reportability and setup jobs for future reportability checks."/>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-plandefinition-actions"/>
<code value="execute-reporting-workflow"/>
</coding>
</code>
<action id="create-cancer-report">
<description
value="This action represents the creation of the cancer report."/>
<textEquivalent value="Central Cancer Registry Report"/>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-plandefinition-actions"/>
<code value="create-report"/>
</coding>
</code>
<input id="patient">
<type value="Patient"/>
<profile
value="http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/central-cancer-registry-reporting-patient"/>
</input>
<input id="condition">
<type value="Condition"/>
<profile
value="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-primary-cancer-condition"/>
</input>
<input id="encounter">
<type value="Encounter"/>
<profile
value="http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/central-cancer-registry-reporting-encounter"/>
</input>
<input id="mr">
<type value="MedicationRequest"/>
<profile
value="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-related-medication-request"/>
</input>
<input id="vitals">
<type value="Observation"/>
<profile
value="http://hl7.org/fhir/StructureDefinition/vitalsigns"/>
</input>
<input id="labs">
<type value="Observation"/>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab|6.1.0"/>
</input>
<output id="cancer-report">
<type value="Bundle"/>
<profile
value="http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/ccrr-reporting-bundle"/>
</output>
<relatedAction>
<actionId value="validate-report"/>
<relationship value="before-start"/>
</relatedAction>
</action>
<action id="validate-cancer-report">
<description
value="This action represents the validation of the cancer report."/>
<textEquivalent value="Validate Report"/>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-plandefinition-actions"/>
<code value="validate-report"/>
</coding>
</code>
<input id="created-cancer-report">
<type value="Bundle"/>
<profile
value="http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/ccrr-reporting-bundle"/>
</input>
<output id="validated-cancer-report">
<type value="Bundle"/>
<profile
value="http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/ccrr-reporting-bundle"/>
</output>
<relatedAction>
<actionId value="submit-report"/>
<relationship value="before-start"/>
</relatedAction>
</action>
<action id="route-and-send-cancer-report">
<description
value="This action represents the routing and sending of the cancer report."/>
<textEquivalent value="Route and send cancer report"/>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-plandefinition-actions"/>
<code value="submit-report"/>
</coding>
</code>
<input id="val-cancer-report">
<type value="Bundle"/>
<profile
value="http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/ccrr-reporting-bundle"/>
</input>
</action>
</action>
</PlanDefinition>
</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 2026-09-01
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