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
<PlanDefinition xmlns="http://hl7.org/fhir">
<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"><p><b>PlanDefinition Narrative</b></p></div>
</text>
<extension
url="http://hl7.org/fhir/us/medmorph/StructureDefinition/ext-receiverAddress">
<valueReference>
<reference value="Endpoint/example-ph-endpoint"/>
</valueReference>
</extension>
<extension
url="http://hl7.org/fhir/us/medmorph/StructureDefinition/ext-authorSignature">
<valueSignature>
<type>
<system value="urn:iso-astm:E1762-95:2013"/>
<code value="1.2.840.10065.1.12.1.5"/>
<display value="Verification Signature"/>
</type>
<when value="2020-11-03T22:39:24.000+00:00"/>
<who>
<reference value="Organization/example-pha-org"/>
</who>
<targetFormat value="application/fhir+xml"/>
<sigFormat value="application/signature+xml"/>
<data value="L44u"/>
</valueSignature>
</extension>
<url
value="http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/plandefinition-central-cancer-registry-reporting-example"/>
<version value="0.1.0"/>
<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 International - Public Health Work Group"/>
<contact>
<telecom>
<system value="url"/>
<value value="http://hl7.org/Special/committees/pher"/>
</telecom>
</contact>
<description
value="This is the Healthcare Survey Reporting Knowledge Artifact"/>
<jurisdiction>
<coding>
<system value="urn:iso:std:iso:3166"/>
<code value="US"/>
</coding>
</jurisdiction>
<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"/>
</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/medmorph/CodeSystem/us-ph-plandefinition-actions"/>
<code value="initiate-reporting-workflow"/>
</coding>
</code>
<trigger id="encounter-close">
<extension
url="http://hl7.org/fhir/us/medmorph/StructureDefinition/ext-us-ph-namedEventType">
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/us/medmorph/CodeSystem/us-ph-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/medmorph/CodeSystem/us-ph-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 patients eICR."/>
<textEquivalent value="Check Trigger Codes based on RCTC Value sets."/>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/medmorph/CodeSystem/us-ph-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/us/medmorph/StructureDefinition/us-ph-fhirquerypattern-extension">
<valueString
value="Condition?code=C00.0&patient=Patient/{{context.patientId}}"/>
</extension>
<type value="Condition"/>
<codeFilter>
<path value="code"/>
<valueSet
value="http://hl7.org/fhir/us/medmorph/CodeSystem/us-ph-plandefinition-actions"/>
</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/medmorph/CodeSystem/us-ph-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/medmorph/CodeSystem/us-ph-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/medmorph/CodeSystem/us-ph-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/cancer-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/us-ph-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"/>
</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/medmorph/CodeSystem/us-ph-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/medmorph/CodeSystem/us-ph-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>