Central Cancer Registry Reporting Content IG
0.1.0 - STU 1 Ballot
Central Cancer Registry Reporting Content IG
0.1.0 - STU 1 Ballot
This page is part of the Making EHR Data MOre available for Research and Public Health (MedMorph) Central Cancer Registry Reporting Content IG (v0.1.0: STU 1 Ballot 1) based on FHIR R4. . For a full list of available versions, see the Directory of published versions 
@prefix fhir: <http://hl7.org/fhir/> .
@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 -------------------------------------------------------------------
a fhir:Bundle;
fhir:nodeRole fhir:treeRoot;
fhir:Resource.id [ fhir:value "reporting-bundle-example"];
fhir:Resource.meta [
fhir:Meta.versionId [ fhir:value "1" ];
fhir:Meta.lastUpdated [ fhir:value "2020-11-29T02:03:28.045+00:00"^^xsd:dateTime ];
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/ccrr-reporting-bundle";
fhir:index 0;
fhir:link <http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/ccrr-reporting-bundle> ]
];
fhir:Bundle.type [ fhir:value "message"];
fhir:Bundle.timestamp [ fhir:value "2020-11-20T11:15:33-10:00"^^xsd:dateTime];
fhir:Bundle.entry [
fhir:index 0;
fhir:Bundle.entry.fullUrl [ fhir:value "MessageHeader/messageheader-example-reportheader" ];
fhir:Bundle.entry.resource <MessageHeader/messageheader-example-reportheader>
], [
fhir:index 1;
fhir:Bundle.entry.fullUrl [ fhir:value "Bundle/content-bundle-example" ];
fhir:Bundle.entry.resource <Bundle/content-bundle-example>
].
<MessageHeader/messageheader-example-reportheader> a fhir:MessageHeader;
fhir:Resource.id [ fhir:value "messageheader-example-reportheader"];
fhir:Resource.meta [
fhir:Meta.versionId [ fhir:value "1" ];
fhir:Meta.lastUpdated [ fhir:value "2020-11-29T02:03:28.045+00:00"^^xsd:dateTime ];
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/us/medmorph/StructureDefinition/us-ph-messageheader";
fhir:index 0;
fhir:link <http://hl7.org/fhir/us/medmorph/StructureDefinition/us-ph-messageheader> ]
];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <p>Reporting Data</p> \n </div>"
];
fhir:DomainResource.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/medmorph/StructureDefinition/ext-dataEncrypted" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ]
], [
fhir:index 1;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/medmorph/StructureDefinition/ext-messageProcessingCategory" ];
fhir:Extension.valueCode [ fhir:value "consequence" ]
];
fhir:MessageHeader.eventCoding [
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/medmorph/CodeSystem/us-ph-messageheader-message-types" ];
fhir:Coding.code [ fhir:value "cancer-report-message" ]
];
fhir:MessageHeader.destination [
fhir:index 0;
fhir:MessageHeader.destination.name [ fhir:value "PHA endpoint" ];
fhir:MessageHeader.destination.endpoint [ fhir:value "http://example.pha.org/fhir" ]
];
fhir:MessageHeader.sender [
fhir:Reference.reference [ fhir:value "Organization/example-healthcare-org" ]
];
fhir:MessageHeader.source [
fhir:MessageHeader.source.name [ fhir:value "Healthcare Organization" ];
fhir:MessageHeader.source.software [ fhir:value "Backend Service App" ];
fhir:MessageHeader.source.version [ fhir:value "3.1.45.AABB" ];
fhir:MessageHeader.source.contact [
fhir:ContactPoint.system [ fhir:value "phone" ];
fhir:ContactPoint.value [ fhir:value "+1 (917) 123 4567" ] ];
fhir:MessageHeader.source.endpoint [ fhir:value "http://example.healthcare.org/fhir" ]
];
fhir:MessageHeader.reason [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/medmorph/CodeSystem/us-ph-triggerdefinition-namedevents" ];
fhir:Coding.code [ fhir:value "encounter-close" ] ]
];
fhir:MessageHeader.focus [
fhir:index 0;
fhir:Reference.reference [ fhir:value "Bundle/content-bundle-example" ]
].
<Bundle/content-bundle-example> a fhir:Bundle;
fhir:Resource.id [ fhir:value "content-bundle-example"];
fhir:Resource.meta [
fhir:Meta.versionId [ fhir:value "1" ];
fhir:Meta.lastUpdated [ fhir:value "2020-11-29T02:03:28.045+00:00"^^xsd:dateTime ];
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 "2020-11-20T11:15:33-10:00"^^xsd:dateTime];
fhir:Bundle.entry [
fhir:index 0;
fhir:Bundle.entry.fullUrl [ fhir:value "Patient/patient-eve-everywoman" ];
fhir:Bundle.entry.resource <Patient/patient-eve-everywoman>
], [
fhir:index 1;
fhir:Bundle.entry.fullUrl [ fhir:value "Encounter/encounter-eve-everywoman-external-encounter" ];
fhir:Bundle.entry.resource <Encounter/encounter-eve-everywoman-external-encounter>
], [
fhir:index 2;
fhir:Bundle.entry.fullUrl [ fhir:value "Condition/primary-cancer-condition-breast" ];
fhir:Bundle.entry.resource <Condition/primary-cancer-condition-breast>
], [
fhir:index 3;
fhir:Bundle.entry.fullUrl [ fhir:value "Practitioner/us-core-practitioner-kyle-anydoc" ];
fhir:Bundle.entry.resource <Practitioner/us-core-practitioner-kyle-anydoc>
].
<Patient/patient-eve-everywoman> a fhir:Patient;
fhir:Resource.id [ fhir:value "patient-eve-everywoman"];
fhir:Resource.meta [
fhir:Meta.versionId [ fhir:value "10" ];
fhir:Meta.lastUpdated [ fhir:value "2021-08-17T08:00:32.356+00:00"^^xsd:dateTime ];
fhir:Meta.source [ fhir:value "#zjFlzHDvZIYVyMAB" ];
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/us-ph-patient";
fhir:index 0;
fhir:link <http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/us-ph-patient> ], [
fhir:value "http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/cancer-patient";
fhir:index 1;
fhir:link <http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/cancer-patient> ]
];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <div class=\"hapiHeaderText\">Eve L \n <b>EVERYWOMAN </b>\n </div>\n <table class=\"hapiPropertyTable\">\n <tbody>\n <tr>\n <td>Identifier</td>\n <td>1032702</td>\n </tr>\n <tr>\n <td>Address</td>\n <td>\n <span>5101 Peachtree St NE </span>\n <br/>\n <span>Atlanta </span>\n <span>GA </span>\n <span>US </span>\n </td>\n </tr>\n <tr>\n <td>Date of birth</td>\n <td>\n <span>24 November 1974</span>\n </td>\n </tr>\n </tbody>\n </table>\n </div>"
];
fhir:DomainResource.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race" ];
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "ombCategory" ];
fhir:Extension.valueCoding [
fhir:Coding.system [ fhir:value "urn:oid:2.16.840.1.113883.6.238" ];
fhir:Coding.code [ fhir:value "2106-3" ];
fhir:Coding.display [ fhir:value "White" ] ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "text" ];
fhir:Extension.valueString [ fhir:value "White" ] ]
], [
fhir:index 1;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity" ];
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "ombCategory" ];
fhir:Extension.valueCoding [
fhir:Coding.system [ fhir:value "urn:oid:2.16.840.1.113883.6.238" ];
fhir:Coding.code [ fhir:value "2186-5" ];
fhir:Coding.display [ fhir:value "Not Hispanic or Latino" ] ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "text" ];
fhir:Extension.valueString [ fhir:value "Not Hispanic or Latino" ] ]
], [
fhir:index 2;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex" ];
fhir:Extension.valueCode [ fhir:value "F" ]
], [
fhir:index 3;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/patient-genderIdentity" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/gender-identity" ];
fhir:Coding.code [ fhir:value "female" ];
fhir:Coding.display [ fhir:value "female" ] ] ]
], [
fhir:index 4;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/us-ph-tribal-affiliation-extension" ];
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "TribeName" ];
fhir:Extension.valueCoding [
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-TribalEntityUS" ];
fhir:Coding.code [ fhir:value "91" ];
fhir:Coding.display [ fhir:value "Fort Mojave Indian Tribe of Arizona, California" ] ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "EnrolledTribeMember" ];
fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ]
];
fhir:Patient.identifier [
fhir:index 0;
fhir:Identifier.use [ fhir:value "usual" ];
fhir:Identifier.type [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0203" ];
fhir:Coding.code [ fhir:value "MR" ];
fhir:Coding.display [ fhir:value "Medical Record Number" ] ] ];
fhir:Identifier.system [ fhir:value "http://hospital.smarthealthit.org" ];
fhir:Identifier.value [ fhir:value "1032702" ]
];
fhir:Patient.active [ fhir:value "true"^^xsd:boolean];
fhir:Patient.name [
fhir:index 0;
fhir:HumanName.family [ fhir:value "Everywoman" ];
fhir:HumanName.given [
fhir:value "Eve";
fhir:index 0 ], [
fhir:value "L";
fhir:index 1 ]
];
fhir:Patient.telecom [
fhir:index 0;
fhir:ContactPoint.system [ fhir:value "phone" ];
fhir:ContactPoint.value [ fhir:value "1-(404)555-1212" ];
fhir:ContactPoint.use [ fhir:value "home" ]
], [
fhir:index 1;
fhir:ContactPoint.system [ fhir:value "email" ];
fhir:ContactPoint.value [ fhir:value "eve.everywoman@example.com" ]
];
fhir:Patient.gender [ fhir:value "female"];
fhir:Patient.birthDate [ fhir:value "1974-11-24"^^xsd:date];
fhir:Patient.address [
fhir:index 0;
fhir:Address.line [
fhir:value "5101 Peachtree St NE";
fhir:index 0 ];
fhir:Address.city [ fhir:value "Atlanta" ];
fhir:Address.state [ fhir:value "GA" ];
fhir:Address.postalCode [ fhir:value "30302" ];
fhir:Address.country [ fhir:value "US" ]
].
<Encounter/encounter-eve-everywoman-external-encounter> a fhir:Encounter;
fhir:Resource.id [ fhir:value "encounter-eve-everywoman-external-encounter"];
fhir:Resource.meta [
fhir:Meta.versionId [ fhir:value "4" ];
fhir:Meta.lastUpdated [ fhir:value "2021-07-19T03:02:05.801+00:00"^^xsd:dateTime ];
fhir:Meta.source [ fhir:value "#YUwy5zH7WyiblJ5p" ];
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/us-ph-encounter";
fhir:index 0;
fhir:link <http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/us-ph-encounter> ]
];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Encounter Example</b></p></div>"
];
fhir:Encounter.identifier [
fhir:index 0;
fhir:Identifier.system [ fhir:value "http://hospital.smarthealthit.org" ];
fhir:Identifier.value [ fhir:value "9937012" ]
];
fhir:Encounter.status [ fhir:value "finished"];
fhir:Encounter.class [
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ActCode" ];
fhir:Coding.code [ fhir:value "AMB" ];
fhir:Coding.display [ fhir:value "ambulatory" ]
];
fhir:Encounter.type [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:308335008;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "308335008" ];
fhir:Coding.display [ fhir:value "Patient encounter procedure" ] ]
];
fhir:Encounter.subject [
fhir:Reference.reference [ fhir:value "Patient/patient-eve-everywoman" ];
fhir:Reference.display [ fhir:value "Eve Everywoman" ]
].
<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/mcode/StructureDefinition/mcode-primary-cancer-condition";
fhir:index 0;
fhir:link <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-primary-cancer-condition> ]
];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "extensions" ];
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>Histology-Morphology-Behavior</b>: <span title=\"Codes: {http://snomed.info/sct 77284006}\">Lobular carcinoma in situ (morphologic abnormality)</span></p><p><b>clinicalStatus</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/condition-clinical active}\">Active</span></p><p><b>verificationStatus</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/condition-ver-status confirmed}\">Confirmed</span></p><p><b>category</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/condition-category problem-list-item}\">Problem List Item</span></p><p><b>code</b>: <span title=\"Codes: {http://snomed.info/sct 363346000}\">Malignant neoplastic disease (disorder)</span></p><p><b>bodySite</b>: <span title=\"Codes: {http://snomed.info/sct 80248007}\">Left breast structure (body structure)</span></p><p><b>subject</b>: <a>Generated Summary: Medical Record Number: m456 (USUAL); Eve A. Anyperson ; gender: female;</a></p><p><b>onset</b>: 2019-04-01</p><p><b>asserter</b>: <a>Generated Summary: id: 9988776655; Kyle Anydoc ; gender: male</a></p><h3>Stages</h3><table class=\"grid\"><tr><td>-</td><td><b>Summary</b></td><td><b>Assessment</b></td></tr><tr><td>*</td><td><span title=\"Codes: {http://cancerstaging.org 3C}\">IIIC</span></td><td><a>Generated Summary: <span title=\"Codes: {http://loinc.org 21908-9}\">Stage group.clinical Cancer</span>; effective: 2019-04-01; <span title=\"Codes: {http://cancerstaging.org 3C}\">IIIC</span>; <span title=\"Codes: {http://snomed.info/sct 897275008}\">American Joint Commission on Cancer, Cancer Staging Manual, 8th edition neoplasm staging system (tumor staging)</span></a></td></tr></table></div>"
];
fhir:DomainResource.extension [
fhir:index 0;
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:77284006;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "77284006" ];
fhir:Coding.display [ fhir:value "Lobular carcinoma in situ (morphologic abnormality)" ] ] ]
];
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 "problem-list-item" ] ]
];
fhir:Condition.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:Condition.bodySite [
fhir:index 0;
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:Reference.reference [ fhir:value "Patient/patient-eve-everywoman" ]
];
fhir:Condition.onsetDateTime [ fhir:value "2019-04-01"^^xsd:date];
fhir:Condition.asserter [
fhir:Reference.reference [ fhir:value "Practitioner/us-core-practitioner-kyle-anydoc" ]
].
<Practitioner/us-core-practitioner-kyle-anydoc> a fhir:Practitioner;
fhir:Resource.id [ fhir:value "us-core-practitioner-kyle-anydoc"];
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner";
fhir:index 0;
fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner> ]
];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>identifier</b>: id: 9988776655</p><p><b>name</b>: Kyle Anydoc </p><p><b>address</b>: 567 Healthcare Drive Anytown MA 12345 US (HOME)</p><p><b>gender</b>: male</p><h3>Qualifications</h3><table class=\"grid\"><tr><td>-</td><td><b>Code</b></td></tr><tr><td>*</td><td><span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v2-0360 MD}\">Doctor of Medicine</span></td></tr></table></div>"
];
fhir:Practitioner.identifier [
fhir:index 0;
fhir:Identifier.system [ fhir:value "http://hl7.org/fhir/sid/us-npi" ];
fhir:Identifier.value [ fhir:value "9988776655" ]
];
fhir:Practitioner.name [
fhir:index 0;
fhir:HumanName.family [ fhir:value "Anydoc" ];
fhir:HumanName.given [
fhir:value "Kyle";
fhir:index 0 ];
fhir:HumanName.prefix [
fhir:value "Dr.";
fhir:index 0 ]
];
fhir:Practitioner.address [
fhir:index 0;
fhir:Address.use [ fhir:value "home" ];
fhir:Address.line [
fhir:value "567 Healthcare Drive";
fhir:index 0 ];
fhir:Address.city [ fhir:value "Anytown" ];
fhir:Address.state [ fhir:value "MA" ];
fhir:Address.postalCode [ fhir:value "12345" ];
fhir:Address.country [ fhir:value "US" ]
];
fhir:Practitioner.gender [ fhir:value "male"];
fhir:Practitioner.qualification [
fhir:index 0;
fhir:Practitioner.qualification.code [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0360" ];
fhir:Coding.version [ fhir:value "2.7" ];
fhir:Coding.code [ fhir:value "MD" ];
fhir:Coding.display [ fhir:value "Doctor of Medicine" ] ] ]
].
# - ontology header ------------------------------------------------------------
a owl:Ontology;
owl:imports fhir:fhir.ttl.
IG © 2019+ HL7 International - Public Health Work Group. Package hl7.fhir.us.central-cancer-registry-reporting#0.1.0 based on FHIR 4.0.1. Generated 2021-12-09
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