# Non Encounter based CCRR Content Bundle - Example - Central Cancer Registry Reporting Content IG v2.0.0-ballot

* [**Table of Contents**](toc.md)
* [**Artifacts Summary**](artifacts.md)
* **Non Encounter based CCRR Content Bundle - Example**

## Example Bundle: Non Encounter based CCRR Content Bundle - Example



## Resource Content

```json
{
  "resourceType" : "Bundle",
  "id" : "ccrr-non-encounter-based-content-bundle-example",
  "meta" : {
    "profile" : [
      "http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/ccrr-content-bundle"
    ]
  },
  "type" : "collection",
  "timestamp" : "2023-04-10T11:15:33-10:00",
  "entry" : [
    {
      "fullUrl" : "http://hl7.org/fhir/us/central-cancer-registry-reporting/Composition/ccrr-composition-non-encounter-content-example",
      "resource" : {
        "resourceType" : "Composition",
        "id" : "ccrr-composition-non-encounter-content-example",
        "meta" : {
          "profile" : [
            "http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/ccrr-composition"
          ]
        },
        "text" : {
          "status" : "extensions",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Composition_ccrr-composition-non-encounter-content-example\"> </a><p><b> Non-encounter Based Example </b></p></div>"
        },
        "identifier" : {
          "value" : "b03eab8c-11e8-4d0c-ad2a-b385395e28cd"
        },
        "status" : "final",
        "type" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "72134-0"
            }
          ]
        },
        "subject" : {
          "reference" : "Patient/example",
          "display" : "Amy Shaw"
        },
        "date" : "2023-04-10T22:13:23Z",
        "author" : [
          {
            "reference" : "Practitioner/1",
            "display" : "Dr. Joseph Nichols"
          }
        ],
        "title" : "Central Cancer Registry Report",
        "section" : [
          {
            "title" : "Primary Cancer Condition Section",
            "code" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "363346000",
                  "display" : "Malignant neoplastic disease (disorder)"
                }
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n<p>Primary Cancer Condition Section</p></div>"
            },
            "entry" : [
              {
                "reference" : "Condition/primary-cancer-condition-breast"
              }
            ]
          },
          {
            "title" : "Medications Administered Section",
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "29549-3",
                  "display" : "Medication administered Narrative"
                }
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n<p>Medications Administered Section</p></div>"
            },
            "entry" : [
              {
                "reference" : "MedicationAdministration/cancer-med-admin-docetaxel-example"
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl" : "http://hl7.org/fhir/us/central-cancer-registry-reporting/Practitioner/1",
      "resource" : {
        "resourceType" : "Practitioner",
        "id" : "1",
        "meta" : {
          "profile" : [
            "http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner|6.1.0"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Practitioner_1\"> </a>\n  <p><b>Profile:</b> <a href=\"https://hl7.org/fhir/us/core/StructureDefinition-us-core-us-core-practitioner.html\">US Core Practitioner</a></p>\n  <p><b>Practitioner:</b> Dr. Joseph Nichols</p>\n  <p><b>Identifier:</b> US NPI: 1122334455</p>\n  <p><b>Address:</b> 1234 Main St., Tulsa, OK 74126, US (work)</p>\n  <p><b>Email:</b> joseph.nichols@example.com</p>\n  <p><b>Phone:</b> 800-277-1993</p>\n  </div>"
        },
        "identifier" : [
          {
            "system" : "http://hl7.org/fhir/sid/us-npi",
            "value" : "1122334455"
          }
        ],
        "name" : [
          {
            "family" : "Nichols",
            "given" : ["Joseph"],
            "prefix" : ["Dr"]
          }
        ],
        "telecom" : [
          {
            "system" : "email",
            "value" : "joseph.nichols@example.com",
            "use" : "work"
          },
          {
            "system" : "phone",
            "value" : "800-277-1993",
            "use" : "work"
          }
        ],
        "address" : [
          {
            "use" : "work",
            "line" : ["1234 Main St."],
            "city" : "Tulsa",
            "state" : "OK",
            "postalCode" : "74126",
            "country" : "US"
          }
        ]
      }
    },
    {
      "fullUrl" : "http://hl7.org/fhir/us/central-cancer-registry-reporting/Condition/primary-cancer-condition-breast",
      "resource" : {
        "resourceType" : "Condition",
        "id" : "primary-cancer-condition-breast",
        "meta" : {
          "profile" : [
            "http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/central-cancer-registry-primary-cancer-condition"
          ]
        },
        "text" : {
          "status" : "extensions",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_primary-cancer-condition-breast\"> </a>\n  <p><b>Profile:</b> <a href=\"StructureDefinition-central-cancer-registry-primary-cancer-condition.html\"> Central Cancer Registry Primary Cancer Condition</a></p>\n  <p><b>Condition:</b> Primary Breast Cancer</p>\n    <p><b>Clinical Status:</b> Active</p>\n  <p><b>Verification Status:</b> Confirmed</p>\n  <p><b>Category:</b> Encounter Diagnosis</p>\n  <p><b>Code:</b> Infiltrating duct carcinoma of breast (SNOMED CT: 408643008)</p>\n  <p><b>Histology/Morphology/Behavior:</b> Infiltrating duct carcinoma (morphologic abnormality) (SNOMED CT: 82711006)</p>\n  <p><b>Body Site:</b> Left breast structure (SNOMED CT: 80248007)</p>\n  <p><b>Laterality:</b> Left (qualifier value) (SNOMED CT: 7771000)</p>\n  <p><b>Subject:</b> <a href=\"Patient-example.html\">Patient-example: Amy Shaw</a></p>\n  <p><b>Asserter:</b> <a href=\"Practitioner-1.html\">Dr. Joseph Nichols</a></p>\n  <p><b>Asserted Date:</b> 2023-03-21</p>\n  <p><b>Stage Summary:</b> American Joint Committee on Cancer stage IIA (qualifier value) (SNOMED CT: 1222766008)</p>\n  <p><b>Evidence Type:</b> Histologic test (procedure) (SNOMED CT: 714797009)</p>\n</div>"
        },
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/condition-assertedDate",
            "valueDateTime" : "2023-03-21"
          },
          {
            "url" : "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-histology-morphology-behavior",
            "valueCodeableConcept" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "82711006",
                  "display" : "Infiltrating duct carcinoma (morphologic abnormality)"
                }
              ]
            }
          },
          {
            "url" : "http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/cancer-status-evidence-type",
            "valueCodeableConcept" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "714797009",
                  "display" : "Histologic test (procedure)"
                }
              ]
            }
          }
        ],
        "clinicalStatus" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
              "code" : "active",
              "display" : "Active"
            }
          ]
        },
        "verificationStatus" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status",
              "code" : "confirmed",
              "display" : "Confirmed"
            }
          ]
        },
        "category" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/condition-category",
                "code" : "encounter-diagnosis",
                "display" : "Encounter Diagnosis"
              }
            ]
          }
        ],
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "408643008",
              "display" : "Infiltrating duct carcinoma of breast (disorder)"
            }
          ]
        },
        "bodySite" : [
          {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-laterality-qualifier",
                "valueCodeableConcept" : {
                  "coding" : [
                    {
                      "system" : "http://snomed.info/sct",
                      "code" : "7771000",
                      "display" : "Left (qualifier value)"
                    }
                  ]
                }
              }
            ],
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "80248007",
                "display" : "Left breast structure (body structure)"
              }
            ]
          }
        ],
        "subject" : {
          "reference" : "Patient/example"
        },
        "asserter" : {
          "reference" : "Practitioner/1"
        },
        "stage" : [
          {
            "summary" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "1222766008",
                  "display" : "American Joint Committee on Cancer stage IIA (qualifier value)"
                }
              ]
            }
          }
        ]
      }
    },
    {
      "fullUrl" : "http://hl7.org/fhir/us/central-cancer-registry-reporting/MedicationAdministration/cancer-med-admin-docetaxel-example",
      "resource" : {
        "resourceType" : "MedicationAdministration",
        "id" : "cancer-med-admin-docetaxel-example",
        "meta" : {
          "profile" : [
            "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-related-medication-administration"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationAdministration_cancer-med-admin-docetaxel-example\"> </a><p><b>Profile: </b> <a href=\"https://hl7.org/fhir/us/mcode/StructureDefinition-mcode-cancer-related-medication-administration.html\">mCODE Cancer Related Medication Administration</a></p><p><b>status:</b> completed</p><p><b>category:</b> Outpatient</p><p><b>medication:</b> rxnorm 72962 docetaxel</p><p><b>subject:</b> <a href=\"Patient-example.html\">Patient-example: Amy Shaw</a></p><p><b>start date:</b> 2023-04-10</p><p><b>Performer:</b> Joseph Nichols</p><p><b>reasonReference:</b> Condition-primary-cancer-condition-breast</p><p><b>authoredOn:</b> 2023-04-10</p><p><b>note:</b> Chemotherapy regimen of docetaxel, carboplatin, adriamycin, cyclophosphamide, and paclitaxel administered by continuous infusion. Patient tolerated infusion without side effects.</p><p><b>Route:</b> SNOMED 47625008 Intravenous route (qualifier value)</p></div>"
        },
        "status" : "completed",
        "category" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/medication-admin-category",
              "code" : "outpatient"
            }
          ]
        },
        "medicationCodeableConcept" : {
          "coding" : [
            {
              "system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
              "code" : "72962",
              "display" : "docetaxel"
            }
          ]
        },
        "subject" : {
          "reference" : "Patient/example"
        },
        "effectiveDateTime" : "2023-04-10",
        "performer" : [
          {
            "actor" : {
              "reference" : "Practitioner/1"
            }
          }
        ],
        "reasonCode" : [
          {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "408643008",
                "display" : "Infiltrating duct carcinoma of breast (disorder)"
              }
            ]
          }
        ],
        "note" : [
          {
            "authorReference" : {
              "reference" : "Practitioner/1"
            },
            "time" : "2023-04-10",
            "text" : "docetaxel administered by continuous infusion. Patient tolerated infusion without side effects."
          }
        ],
        "dosage" : {
          "route" : {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "47625008",
                "display" : "Intravenous route (qualifier value)"
              }
            ]
          },
          "dose" : {
            "value" : 60,
            "unit" : "mg",
            "system" : "http://unitsofmeasure.org",
            "code" : "mg"
          }
        }
      }
    },
    {
      "fullUrl" : "http://hl7.org/fhir/us/central-cancer-registry-reporting/Organization/example-cancer-org",
      "resource" : {
        "resourceType" : "Organization",
        "id" : "example-cancer-org",
        "meta" : {
          "profile" : [
            "http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/central-cancer-registry-reporting-organization"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_example-cancer-org\"> </a>\n  <p><b>Profile: </b> <a href=\"StructureDefinition-central-cancer-registry-reporting-organization.html\"> Central Cancer Registry Reporting Organization</a></p>\n  <p><b>Organization:</b> Cancer Organization</p>\n    <p><b>Status:</b> Active</p>\n  <p><b>Identifier (NPI):</b> 1063494177</p>\n   <p><b>Address:</b> 1234 Main Street, Tulsa, OK 74126</p>\n  <p><b>Phone:</b> (917)932-2000</p>\n </div>"
        },
        "identifier" : [
          {
            "system" : "http://hl7.org/fhir/sid/us-npi",
            "value" : "1063494177"
          }
        ],
        "active" : true,
        "name" : "Cancer Organization",
        "telecom" : [
          {
            "system" : "phone",
            "value" : "(917)932-2000",
            "use" : "work"
          }
        ],
        "address" : [
          {
            "text" : "1234 Main Street, Tulsa OK 74126",
            "line" : ["1234 Main Street"],
            "city" : "Tulsa",
            "state" : "OK",
            "postalCode" : "74126"
          }
        ]
      }
    }
  ]
}

```
