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

: Reporting Bundle - Example - XML Representation

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<Bundle xmlns="http://hl7.org/fhir">
  <id value="reporting-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-reporting-bundle"/>
  </meta>
  <type value="message"/>
  <timestamp value="2020-11-20T11:15:33-10:00"/>
  <entry>
    <fullUrl value="MessageHeader/messageheader-example-reportheader"/>
    <resource>
      <MessageHeader>
        <id value="messageheader-example-reportheader"/>
        <meta>
          <versionId value="1"/>
          <lastUpdated value="2020-11-29T02:03:28.045+00:00"/>
          <profile
                   value="http://hl7.org/fhir/us/medmorph/StructureDefinition/us-ph-messageheader"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml">
            <p>Reporting Data</p> 
          </div>
        </text>
        <extension
                   url="http://hl7.org/fhir/us/medmorph/StructureDefinition/ext-dataEncrypted">
          <valueBoolean value="false"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/us/medmorph/StructureDefinition/ext-messageProcessingCategory">
          <valueCode value="consequence"/>
        </extension>
        <eventCoding>
          <system
                  value="http://hl7.org/fhir/us/medmorph/CodeSystem/us-ph-messageheader-message-types"/>
          <code value="cancer-report-message"/>
        </eventCoding>
        <destination>
          <name value="PHA endpoint"/>
          <endpoint value="http://example.pha.org/fhir"/>
        </destination>
        <sender>
          <reference value="Organization/example-healthcare-org"/>
        </sender>
        <source>
          <name value="Healthcare Organization"/>
          <software value="Backend Service App"/>
          <version value="3.1.45.AABB"/>
          <contact>
            <system value="phone"/>
            <value value="+1 (917) 123 4567"/>
          </contact>
          <endpoint value="http://example.healthcare.org/fhir"/>
        </source>
        <reason>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/medmorph/CodeSystem/us-ph-triggerdefinition-namedevents"/>
            <code value="encounter-close"/>
          </coding>
        </reason>
        <focus>
          <reference value="Bundle/content-bundle-example"/>
        </focus>
      </MessageHeader>
    </resource>
  </entry>
  <entry>
    <fullUrl value="Bundle/content-bundle-example"/>
    <resource>
      <Bundle>
        <id value="content-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-content-bundle"/>
        </meta>
        <type value="collection"/>
        <timestamp value="2020-11-20T11:15:33-10:00"/>
        <entry>
          <fullUrl value="Patient/patient-eve-everywoman"/>
          <resource>
            <Patient>
              <id value="patient-eve-everywoman"/>
              <meta>
                <versionId value="10"/>
                <lastUpdated value="2021-08-17T08:00:32.356+00:00"/>
                <source value="#zjFlzHDvZIYVyMAB"/>
                <profile
                         value="http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/us-ph-patient"/>
                <profile
                         value="http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/cancer-patient"/>
              </meta>
              <text>
                <status value="generated"/>
                <div xmlns="http://www.w3.org/1999/xhtml">
            <div class="hapiHeaderText">Eve L 
                <b>EVERYWOMAN </b>
            </div>
            <table class="hapiPropertyTable">
                <tbody>
                    <tr>
                        <td>Identifier</td>
                        <td>1032702</td>
                    </tr>
                    <tr>
                        <td>Address</td>
                        <td>
                            <span>5101 Peachtree St NE </span>
                            <br/>
                            <span>Atlanta </span>
                            <span>GA </span>
                            <span>US </span>
                        </td>
                    </tr>
                    <tr>
                        <td>Date of birth</td>
                        <td>
                            <span>24 November 1974</span>
                        </td>
                    </tr>
                </tbody>
            </table>
        </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="text">
                  <valueString value="White"/>
                </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="2186-5"/>
                    <display value="Not Hispanic or Latino"/>
                  </valueCoding>
                </extension>
                <extension url="text">
                  <valueString value="Not Hispanic or Latino"/>
                </extension>
              </extension>
              <extension
                         url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex">
                <valueCode value="F"/>
              </extension>
              <extension
                         url="http://hl7.org/fhir/StructureDefinition/patient-genderIdentity">
                <valueCodeableConcept>
                  <coding>
                    <system value="http://hl7.org/fhir/gender-identity"/>
                    <code value="female"/>
                    <display value="female"/>
                  </coding>
                </valueCodeableConcept>
              </extension>
              <extension
                         url="http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/us-ph-tribal-affiliation-extension">
                <extension url="TribeName">
                  <valueCoding>
                    <system
                            value="http://terminology.hl7.org/CodeSystem/v3-TribalEntityUS"/>
                    <code value="91"/>
                    <display
                             value="Fort Mojave Indian Tribe of Arizona, California"/>
                  </valueCoding>
                </extension>
                <extension url="EnrolledTribeMember">
                  <valueBoolean value="true"/>
                </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>
                </type>
                <system value="http://hospital.smarthealthit.org"/>
                <value value="1032702"/>
              </identifier>
              <active value="true"/>
              <name>
                <family value="Everywoman"/>
                <given value="Eve"/>
                <given value="L"/>
              </name>
              <telecom>
                <system value="phone"/>
                <value value="1-(404)555-1212"/>
                <use value="home"/>
              </telecom>
              <telecom>
                <system value="email"/>
                <value value="eve.everywoman@example.com"/>
              </telecom>
              <gender value="female"/>
              <birthDate value="1974-11-24"/>
              <address>
                <line value="5101 Peachtree St NE"/>
                <city value="Atlanta"/>
                <state value="GA"/>
                <postalCode value="30302"/>
                <country value="US"/>
              </address>
            </Patient>
          </resource>
        </entry>
        <entry>
          <fullUrl value="Encounter/encounter-eve-everywoman-external-encounter"/>
          <resource>
            <Encounter>
              <id value="encounter-eve-everywoman-external-encounter"/>
              <meta>
                <versionId value="4"/>
                <lastUpdated value="2021-07-19T03:02:05.801+00:00"/>
                <source value="#YUwy5zH7WyiblJ5p"/>
                <profile
                         value="http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/us-ph-encounter"/>
              </meta>
              <text>
                <status value="generated"/>
                <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Encounter Example</b></p></div>
              </text>
              <identifier>
                <system value="http://hospital.smarthealthit.org"/>
                <value value="9937012"/>
              </identifier>
              <status value="finished"/>
              <class>
                <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
                <code value="AMB"/>
                <display value="ambulatory"/>
              </class>
              <type>
                <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="308335008"/>
                  <display value="Patient encounter procedure"/>
                </coding>
              </type>
              <subject>
                <reference value="Patient/patient-eve-everywoman"/>
                <display value="Eve Everywoman"/>
              </subject>
            </Encounter>
          </resource>
        </entry>
        <entry>
          <fullUrl value="Condition/primary-cancer-condition-breast"/>
          <resource>
            <Condition>
              <id value="primary-cancer-condition-breast"/>
              <meta>
                <profile
                         value="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-primary-cancer-condition"/>
              </meta>
              <text>
                <status value="extensions"/>
                <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>
              </text>
              <extension
                         url="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-histology-morphology-behavior">
                <valueCodeableConcept>
                  <coding>
                    <system value="http://snomed.info/sct"/>
                    <code value="77284006"/>
                    <display
                             value="Lobular carcinoma in situ (morphologic abnormality)"/>
                  </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="problem-list-item"/>
                </coding>
              </category>
              <code>
                <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="363346000"/>
                  <display value="Malignant neoplastic disease (disorder)"/>
                </coding>
              </code>
              <bodySite>
                <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="80248007"/>
                  <display value="Left breast structure (body structure)"/>
                </coding>
              </bodySite>
              <subject>
                <reference value="Patient/patient-eve-everywoman"/>
              </subject>
              <onsetDateTime value="2019-04-01"/>
              <asserter>
                <reference value="Practitioner/us-core-practitioner-kyle-anydoc"/>
              </asserter>
            </Condition>
          </resource>
        </entry>
        <entry>
          <fullUrl value="Practitioner/us-core-practitioner-kyle-anydoc"/>
          <resource>
            <Practitioner>
              <id value="us-core-practitioner-kyle-anydoc"/>
              <meta>
                <profile
                         value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner"/>
              </meta>
              <text>
                <status value="generated"/>
                <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>
              </text>
              <identifier>
                <system value="http://hl7.org/fhir/sid/us-npi"/>
                <value value="9988776655"/>
              </identifier>
              <name>
                <family value="Anydoc"/>
                <given value="Kyle"/>
                <prefix value="Dr."/>
              </name>
              <address>
                <use value="home"/>
                <line value="567 Healthcare Drive"/>
                <city value="Anytown"/>
                <state value="MA"/>
                <postalCode value="12345"/>
                <country value="US"/>
              </address>
              <gender value="male"/>
              <qualification>
                <code>
                  <coding>
                    <system
                            value="http://terminology.hl7.org/CodeSystem/v2-0360"/>
                    <version value="2.7"/>
                    <code value="MD"/>
                    <display value="Doctor of Medicine"/>
                  </coding>
                </code>
              </qualification>
            </Practitioner>
          </resource>
        </entry>
      </Bundle>
    </resource>
  </entry>
</Bundle>