Central Cancer Registry Reporting Content IG
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Central Cancer Registry Reporting Content IG - Downloaded Version 2.0.0-ballot See the Directory of published versions

## : Initial CCRR Content Bundle - Example - TTL Representation

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    @prefix fhir: <http://hl7.org/fhir/> .
    @prefix loinc: <https://loinc.org/rdf/> .
    @prefix owl: <http://www.w3.org/2002/07/owl#> .
    @prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
    @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:id [ fhir:v "ccrr-content-bundle-example"] ; #
      fhir:meta [
        ( fhir:profile [
    fhir:v "http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/ccrr-content-bundle"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/ccrr-content-bundle>     ] )
      ] ; #
      fhir:type [ fhir:v "collection"] ; #
      fhir:timestamp [ fhir:v "2023-04-05T11:15:33-10:00"^^xsd:dateTime] ; #
      fhir:entry ( [
    fhir:fullUrl [
    fhir:v "http://hl7.org/fhir/us/central-cancer-registry-reporting/Composition/ccrr-composition-content-example"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/central-cancer-registry-reporting/Composition/ccrr-composition-content-example>     ] ;
        ( fhir:resource <http://hl7.org/fhir/us/central-cancer-registry-reporting/Composition/ccrr-composition-content-example> )
      ] [
    fhir:fullUrl [
    fhir:v "http://hl7.org/fhir/us/central-cancer-registry-reporting/Practitioner/1"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/central-cancer-registry-reporting/Practitioner/1>     ] ;
        ( fhir:resource <http://hl7.org/fhir/us/central-cancer-registry-reporting/Practitioner/1> )
      ] [
    fhir:fullUrl [
    fhir:v "http://hl7.org/fhir/us/central-cancer-registry-reporting/Observation/cancer-stage-group-example"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/central-cancer-registry-reporting/Observation/cancer-stage-group-example>     ] ;
        ( fhir:resource <http://hl7.org/fhir/us/central-cancer-registry-reporting/Observation/cancer-stage-group-example> )
      ] [
    fhir:fullUrl [
    fhir:v "http://hl7.org/fhir/us/central-cancer-registry-reporting/Observation/tnm-clinical-primary-tumor-category-cT2"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/central-cancer-registry-reporting/Observation/tnm-clinical-primary-tumor-category-cT2>     ] ;
        ( fhir:resource <http://hl7.org/fhir/us/central-cancer-registry-reporting/Observation/tnm-clinical-primary-tumor-category-cT2> )
      ] [
    fhir:fullUrl [
    fhir:v "http://hl7.org/fhir/us/central-cancer-registry-reporting/Observation/tnm-clinical-regional-nodes-category-cN0"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/central-cancer-registry-reporting/Observation/tnm-clinical-regional-nodes-category-cN0>     ] ;
        ( fhir:resource <http://hl7.org/fhir/us/central-cancer-registry-reporting/Observation/tnm-clinical-regional-nodes-category-cN0> )
      ] [
    fhir:fullUrl [
    fhir:v "http://hl7.org/fhir/us/central-cancer-registry-reporting/Observation/tnm-clinical-distant-metastases-category-cM0"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/central-cancer-registry-reporting/Observation/tnm-clinical-distant-metastases-category-cM0>     ] ;
        ( fhir:resource <http://hl7.org/fhir/us/central-cancer-registry-reporting/Observation/tnm-clinical-distant-metastases-category-cM0> )
      ] [
    fhir:fullUrl [
    fhir:v "http://hl7.org/fhir/us/central-cancer-registry-reporting/Condition/problem-list-diabetes"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/central-cancer-registry-reporting/Condition/problem-list-diabetes>     ] ;
        ( fhir:resource <http://hl7.org/fhir/us/central-cancer-registry-reporting/Condition/problem-list-diabetes> )
      ] [
    fhir:fullUrl [
    fhir:v "http://hl7.org/fhir/us/central-cancer-registry-reporting/Observation/non-smoker"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/central-cancer-registry-reporting/Observation/non-smoker>     ] ;
        ( fhir:resource <http://hl7.org/fhir/us/central-cancer-registry-reporting/Observation/non-smoker> )
      ] [
    fhir:fullUrl [
    fhir:v "http://hl7.org/fhir/us/central-cancer-registry-reporting/Organization/example-cancer-org"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/central-cancer-registry-reporting/Organization/example-cancer-org>     ] ;
        ( fhir:resource <http://hl7.org/fhir/us/central-cancer-registry-reporting/Organization/example-cancer-org> )
      ] ) . #

    <http://hl7.org/fhir/us/central-cancer-registry-reporting/Composition/ccrr-composition-content-example> a fhir:Composition ;
      fhir:id [ fhir:v "ccrr-composition-content-example"] ; #
      fhir:meta [
        ( fhir:profile [
    fhir:v "http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/ccrr-composition"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/ccrr-composition>     ] )
      ] ; #
      fhir:text [
    fhir:status [ fhir:v "extensions" ] ;
    fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Composition_ccrr-composition-content-example\"> </a><p><b> Amy Shaw data for HCS </b></p></div>"^^rdf:XMLLiteral ]
      ] ; #
      fhir:identifier [
    fhir:value [ fhir:v "c03eab8c-11e8-4d0c-ad2a-b385395e29ab" ]
      ] ; #
      fhir:status [ fhir:v "final"] ; #
      fhir:type [
        ( fhir:coding [
    a loinc:72134-0 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>       ] ;
    fhir:code [ fhir:v "72134-0" ]     ] )
      ] ; #
      fhir:subject [
    fhir:l fhir:Patient/example ;
    fhir:reference [ fhir:v "Patient/example" ] ;
    fhir:display [ fhir:v "Amy Shaw" ]
      ] ; #
      fhir:encounter [
    fhir:l fhir:Encounter/encounter-cancer-example ;
    fhir:reference [ fhir:v "Encounter/encounter-cancer-example" ] ;
    fhir:display [ fhir:v "Encounter Cancer Example" ]
      ] ; #
      fhir:date [ fhir:v "2023-04-05T22:13:23Z"^^xsd:dateTime] ; #
      fhir:author ( [
    fhir:l fhir:Practitioner/1 ;
    fhir:reference [ fhir:v "Practitioner/1" ] ;
    fhir:display [ fhir:v "Dr. Joseph Nichols" ]
      ] ) ; #
      fhir:title [ fhir:v "Central Cancer Registry Report"] ; #
      fhir:section ( [
    fhir:title [ fhir:v "Primary Cancer Condition Section" ] ;
    fhir:code [
          ( fhir:coding [
    a sct:363346000 ;
    fhir:system [
    fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
    fhir:l <http://snomed.info/sct>         ] ;
    fhir:code [ fhir:v "363346000" ] ;
    fhir:display [ fhir:v "Malignant neoplastic disease (disorder)" ]       ] )     ] ;
    fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n<p>Primary Cancer Condition Section</p></div>"^^rdf:XMLLiteral ]     ] ;
        ( fhir:entry [
    fhir:l fhir:Condition/primary-cancer-condition-breast ;
    fhir:reference [ fhir:v "Condition/primary-cancer-condition-breast" ]     ] )
      ] [
    fhir:title [ fhir:v "TNM Staging section" ] ;
    fhir:code [
          ( fhir:coding [
    a loinc:21908-9 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>         ] ;
    fhir:code [ fhir:v "21908-9" ] ;
    fhir:display [ fhir:v "Stage group.clinical Cancer" ]       ] )     ] ;
    fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n<p>Cancer Stage Group</p></div>"^^rdf:XMLLiteral ]     ] ;
        ( fhir:entry [
    fhir:l fhir:Observation/cancer-stage-group-example ;
    fhir:reference [ fhir:v "Observation/cancer-stage-group-example" ]     ] [
    fhir:l fhir:Observation/tnm-clinical-regional-nodes-category-cN0 ;
    fhir:reference [ fhir:v "Observation/tnm-clinical-regional-nodes-category-cN0" ]     ] [
    fhir:l fhir:Observation/tnm-clinical-primary-tumor-category-cT2 ;
    fhir:reference [ fhir:v "Observation/tnm-clinical-primary-tumor-category-cT2" ]     ] [
    fhir:l fhir:Observation/tnm-clinical-distant-metastases-category-cM0 ;
    fhir:reference [ fhir:v "Observation/tnm-clinical-distant-metastases-category-cM0" ]     ] )
      ] [
    fhir:title [ fhir:v "Problem Section" ] ;
    fhir:code [
          ( fhir:coding [
    a loinc:11450-4 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>         ] ;
    fhir:code [ fhir:v "11450-4" ] ;
    fhir:display [ fhir:v "Problem list - Reported" ]       ] )     ] ;
    fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n<p>Problem Section</p></div>"^^rdf:XMLLiteral ]     ] ;
        ( fhir:entry [
    fhir:l fhir:Condition/problem-list-diabetes ;
    fhir:reference [ fhir:v "Condition/problem-list-diabetes" ]     ] )
      ] [
    fhir:title [ fhir:v "ODH Section" ] ;
    fhir:code [
          ( fhir:coding [
    a loinc:74165-2 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>         ] ;
    fhir:code [ fhir:v "74165-2" ] ;
    fhir:display [ fhir:v "History of employment status NIOSH" ]       ] )     ] ;
    fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n<p>ODH Usual Work Section</p></div>"^^rdf:XMLLiteral ]     ] ;
        ( fhir:entry [
    fhir:l fhir:Observation/odh-usual-work ;
    fhir:reference [ fhir:v "Observation/odh-usual-work" ]     ] )
      ] [
    fhir:title [ fhir:v "Social History Section" ] ;
    fhir:code [
          ( fhir:coding [
    a loinc:29762-2 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>         ] ;
    fhir:code [ fhir:v "29762-2" ] ;
    fhir:display [ fhir:v "Social history note" ]       ] )     ] ;
    fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n<p>Social History Section</p></div>"^^rdf:XMLLiteral ]     ] ;
        ( fhir:entry [
    fhir:l fhir:Observation/non-smoker ;
    fhir:reference [ fhir:v "Observation/non-smoker" ]     ] )
      ] ) . #

    <http://hl7.org/fhir/us/central-cancer-registry-reporting/Practitioner/1> a fhir:Practitioner ;
      fhir:id [ fhir:v "1"] ; #
      fhir:meta [
        ( fhir:profile [
    fhir:v "http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner|6.1.0"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner?version=6.1.0>     ] )
      ] ; #
      fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div [ fhir:v "<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>"^^rdf:XMLLiteral ]
      ] ; #
      fhir:identifier ( [
    fhir:system [
    fhir:v "http://hl7.org/fhir/sid/us-npi"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/sid/us-npi>     ] ;
    fhir:value [ fhir:v "1122334455" ]
      ] ) ; #
      fhir:name ( [
    fhir:family [ fhir:v "Nichols" ] ;
        ( fhir:given [ fhir:v "Joseph" ] ) ;
        ( fhir:prefix [ fhir:v "Dr" ] )
      ] ) ; #
      fhir:telecom ( [
    fhir:system [ fhir:v "email" ] ;
    fhir:value [ fhir:v "joseph.nichols@example.com" ] ;
    fhir:use [ fhir:v "work" ]
      ] [
    fhir:system [ fhir:v "phone" ] ;
    fhir:value [ fhir:v "800-277-1993" ] ;
    fhir:use [ fhir:v "work" ]
      ] ) ; #
      fhir:address ( [
    fhir:use [ fhir:v "work" ] ;
        ( fhir:line [ fhir:v "1234 Main St." ] ) ;
    fhir:city [ fhir:v "Tulsa" ] ;
    fhir:state [ fhir:v "OK" ] ;
    fhir:postalCode [ fhir:v "74126" ] ;
    fhir:country [ fhir:v "US" ]
      ] ) . #

    <http://hl7.org/fhir/us/central-cancer-registry-reporting/Observation/cancer-stage-group-example> a fhir:Observation ;
      fhir:id [ fhir:v "cancer-stage-group-example"] ; #
      fhir:meta [
        ( fhir:profile [
    fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tnm-stage-group"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tnm-stage-group>     ] )
      ] ; #
      fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_cancer-stage-group-example\"> </a>\n  <p><b>Profile: </b> <a href=\"https://hl7.org/fhir/us/mcode/StructureDefinition-mcode-tnm-stage-group.html\">mCODE TNM Stage Group</a></p>\n   <p><b>Observation:</b> cancer-stage-group-example</p><p><b>status</b>: final</p><p><b>code</b>: Stage group.clinical Cancer LOINC 21908-9</p><p><b>subject</b>: <a href=\"Patient-example.html\">Patient-example: Amy Shaw</a></p>\n  <p><b>focus</b>: <a href=\"Condition-primary-cancer-condition-breast.html\">primary-cancer-condition-breast</a></p><p><b>effective</b>: 2023-03-21</p><p><b>value</b>: American Joint Committee on Cancer stage IIA (qualifier value) SNOMED CT[Intl] 1222766008)</p><p><b>method</b>: American Joint Commission on Cancer, Cancer Staging Manual, 8th edition neoplasm staging system (tumor staging) SNOMED CT[Intl] #897275008</p><p><b>hasMember</b>: </p><ul><li><a href=\"Observation-tnm-clinical-primary-tumor-category-cT2.html\">Observation/tnm-clinical-primary-tumor-category-cT2</a></li><li><a href=\"Observation-tnm-clinical-regional-nodes-category-cN0.html\">Observation/tnm-clinical-regional-nodes-category-cN0</a></li><li><a href=\"Observation-tnm-clinical-distant-metastases-category-cM0.html\">Observation/tnm-clinical-distant-metastases-category-cM0</a></li></ul></div>"^^rdf:XMLLiteral ]
      ] ; #
      fhir:status [ fhir:v "final"] ; #
      fhir:category ( [
        ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/observation-category"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/observation-category>       ] ;
    fhir:code [ fhir:v "imaging" ] ;
    fhir:display [ fhir:v "Imaging" ]     ] )
      ] ) ; #
      fhir:code [
        ( fhir:coding [
    a loinc:21908-9 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>       ] ;
    fhir:code [ fhir:v "21908-9" ] ;
    fhir:display [ fhir:v "Stage group.clinical Cancer" ]     ] )
      ] ; #
      fhir:subject [
    fhir:l fhir:Patient/example ;
    fhir:reference [ fhir:v "Patient/example" ]
      ] ; #
      fhir:focus ( [
    fhir:l fhir:Condition/primary-cancer-condition-breast ;
    fhir:reference [ fhir:v "Condition/primary-cancer-condition-breast" ]
      ] ) ; #
      fhir:effective [
    a fhir:DateTime ;
    fhir:v "2023-03-21"^^xsd:date
      ] ; #
      fhir:performer ( [
    fhir:l fhir:Practitioner/1 ;
    fhir:reference [ fhir:v "Practitioner/1" ] ;
    fhir:display [ fhir:v "Joseph Nichols" ]
      ] ) ; #
      fhir:value [
    a fhir:CodeableConcept ;
        ( fhir:coding [
    a sct:1222766008 ;
    fhir:system [
    fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
    fhir:l <http://snomed.info/sct>       ] ;
    fhir:code [ fhir:v "1222766008" ] ;
    fhir:display [ fhir:v "American Joint Committee on Cancer stage IIA (qualifier value)" ]     ] )
      ] ; #
      fhir:method [
        ( fhir:coding [
    a sct:897275008 ;
    fhir:system [
    fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
    fhir:l <http://snomed.info/sct>       ] ;
    fhir:code [ fhir:v "897275008" ] ;
    fhir:display [ fhir:v "American Joint Committee on Cancer, Cancer Staging Manual, 8th edition tumor staging system" ]     ] )
      ] ; #
      fhir:hasMember ( [
    fhir:l fhir:Observation/tnm-clinical-primary-tumor-category-cT2 ;
    fhir:reference [ fhir:v "Observation/tnm-clinical-primary-tumor-category-cT2" ]
      ] [
    fhir:l fhir:Observation/tnm-clinical-regional-nodes-category-cN0 ;
    fhir:reference [ fhir:v "Observation/tnm-clinical-regional-nodes-category-cN0" ]
      ] [
    fhir:l fhir:Observation/tnm-clinical-distant-metastases-category-cM0 ;
    fhir:reference [ fhir:v "Observation/tnm-clinical-distant-metastases-category-cM0" ]
      ] ) . #

    <http://hl7.org/fhir/us/central-cancer-registry-reporting/Observation/tnm-clinical-primary-tumor-category-cT2> a fhir:Observation ;
      fhir:id [ fhir:v "tnm-clinical-primary-tumor-category-cT2"] ; #
      fhir:meta [
        ( fhir:profile [
    fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tnm-primary-tumor-category"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tnm-primary-tumor-category>     ] )
      ] ; #
      fhir:text [
    fhir:status [ fhir:v "extensions" ] ;
    fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_tnm-clinical-primary-tumor-category-cT2\"> </a>\n  <p><b>Profile:</b> <a href=\"https://hl7.org/fhir/us/mcode/StructureDefinition-mcode-tnm-primary-tumor-category.html\">mCODE TNM Primary Tumor Category</a></p> \n<p><b>Observation:</b> TNM Clinical Primary Tumor Category (cT2)</p>\n    <p><b>Status:</b> final</p>\n  <p><b>Category:</b> Laboratory</p>\n  <p><b>Code:</b> Primary tumor.clinical [Class] Cancer (LOINC: 21905-5)</p>\n  <p><b>Subject:</b> <a href=\"Patient-example.html\">Patient-example: Amy Shaw</a></p>\n  <p><b>Effective Date:</b> 2023-03-21</p>\n  <p><b>Performer:</b> <a href=\"Practitioner-1.html\">Dr. Joseph Nichols (Practitioner/1)</a></p>\n  <p><b>Value:</b> cT2 - 1228929004 (American Joint Committee on Cancer cT2 qualifier)</p>\n  <p><b>Method:</b> American Joint Commission on Cancer, Cancer Staging Manual, 8th edition neoplasm staging system (tumor staging) (SNOMED CT: 897275008)</p>\n  </div>"^^rdf:XMLLiteral ]
      ] ; #
      fhir:status [ fhir:v "final"] ; #
      fhir:category ( [
        ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/observation-category"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/observation-category>       ] ;
    fhir:code [ fhir:v "imaging" ] ;
    fhir:display [ fhir:v "Imaging" ]     ] )
      ] ) ; #
      fhir:code [
        ( fhir:coding [
    a loinc:21905-5 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>       ] ;
    fhir:code [ fhir:v "21905-5" ] ;
    fhir:display [ fhir:v "Primary tumor.clinical [Class] Cancer" ]     ] )
      ] ; #
      fhir:subject [
    fhir:l fhir:Patient/example ;
    fhir:reference [ fhir:v "Patient/example" ]
      ] ; #
      fhir:effective [
    a fhir:DateTime ;
    fhir:v "2023-03-21"^^xsd:date
      ] ; #
      fhir:performer ( [
    fhir:l fhir:Practitioner/1 ;
    fhir:reference [ fhir:v "Practitioner/1" ]
      ] ) ; #
      fhir:value [
    a fhir:CodeableConcept ;
        ( fhir:coding [
    a sct:1228929004 ;
    fhir:system [
    fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
    fhir:l <http://snomed.info/sct>       ] ;
    fhir:code [ fhir:v "1228929004" ] ;
    fhir:display [ fhir:v "American Joint Committee on Cancer cT2 (qualifier value)" ]     ] )
      ] ; #
      fhir:method [
        ( fhir:coding [
    a sct:897275008 ;
    fhir:system [
    fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
    fhir:l <http://snomed.info/sct>       ] ;
    fhir:code [ fhir:v "897275008" ] ;
    fhir:display [ fhir:v "American Joint Committee on Cancer, Cancer Staging Manual, 8th edition tumor staging system" ]     ] )
      ] . #

    <http://hl7.org/fhir/us/central-cancer-registry-reporting/Observation/tnm-clinical-regional-nodes-category-cN0> a fhir:Observation ;
      fhir:id [ fhir:v "tnm-clinical-regional-nodes-category-cN0"] ; #
      fhir:meta [
        ( fhir:profile [
    fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tnm-regional-nodes-category"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tnm-regional-nodes-category>     ] )
      ] ; #
      fhir:text [
    fhir:status [ fhir:v "extensions" ] ;
    fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_tnm-clinical-regional-nodes-category-cN0\"> </a>\n  <p><b>Profile:</b> <a href=\"https://hl7.org/fhir/us/mcode/StructureDefinition-mcode-tnm-regional-nodes-category.html\">mmCODE TNM Regional Nodes Category</a></p>\n <p><b>Observation:</b> TNM Clinical Regional Nodes Category (cN0)</p>\n    <p><b>Status:</b> final</p>\n  <p><b>Category:</b> Laboratory</p>\n  <p><b>Code:</b> Regional lymph nodes.clinical [Class] Cancer (LOINC: 21906-3)</p>\n  <p><b>Subject:</b> <a href=\"Patient-example.html\">Patient-example: Amy Shaw</a></p>\n  <p><b>Effective Date:</b> 2023-03-21</p>\n  <p><b>Performer:</b> <a href=\"Practitioner-1.html\">Dr. Joseph Nichols (Practitioner/1)</a></p>\n  <p><b>Value:</b> cN0 (American Joint Committee on Cancer cN0 qualifier)</p>\n  <p><b>Method:</b> American Joint Commission on Cancer, Cancer Staging Manual, 8th edition neoplasm staging system (tumor staging) (SNOMED CT: 897275008)</p>\n  </div>"^^rdf:XMLLiteral ]
      ] ; #
      fhir:status [ fhir:v "final"] ; #
      fhir:category ( [
        ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/observation-category"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/observation-category>       ] ;
    fhir:code [ fhir:v "imaging" ] ;
    fhir:display [ fhir:v "Imaging" ]     ] )
      ] ) ; #
      fhir:code [
        ( fhir:coding [
    a loinc:21906-3 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>       ] ;
    fhir:code [ fhir:v "21906-3" ] ;
    fhir:display [ fhir:v "Regional lymph nodes.clinical [Class] Cancer" ]     ] )
      ] ; #
      fhir:subject [
    fhir:l fhir:Patient/example ;
    fhir:reference [ fhir:v "Patient/example" ]
      ] ; #
      fhir:effective [
    a fhir:DateTime ;
    fhir:v "2023-03-21"^^xsd:date
      ] ; #
      fhir:performer ( [
    fhir:l fhir:Practitioner/1 ;
    fhir:reference [ fhir:v "Practitioner/1" ]
      ] ) ; #
      fhir:value [
    a fhir:CodeableConcept ;
        ( fhir:coding [
    a sct:1229967007 ;
    fhir:system [
    fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
    fhir:l <http://snomed.info/sct>       ] ;
    fhir:code [ fhir:v "1229967007" ] ;
    fhir:display [ fhir:v "American Joint Committee on Cancer cN0 (qualifier value)" ]     ] )
      ] ; #
      fhir:method [
        ( fhir:coding [
    a sct:897275008 ;
    fhir:system [
    fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
    fhir:l <http://snomed.info/sct>       ] ;
    fhir:code [ fhir:v "897275008" ] ;
    fhir:display [ fhir:v "American Joint Committee on Cancer, Cancer Staging Manual, 8th edition tumor staging system" ]     ] )
      ] . #

    <http://hl7.org/fhir/us/central-cancer-registry-reporting/Observation/tnm-clinical-distant-metastases-category-cM0> a fhir:Observation ;
      fhir:id [ fhir:v "tnm-clinical-distant-metastases-category-cM0"] ; #
      fhir:meta [
        ( fhir:profile [
    fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tnm-distant-metastases-category"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tnm-distant-metastases-category>     ] )
      ] ; #
      fhir:text [
    fhir:status [ fhir:v "extensions" ] ;
    fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_tnm-clinical-distant-metastases-category-cM0\"> </a>\n  <p><b>Profile:</b> <a href=\"https://hl7.org/fhir/us/mcode/StructureDefinition-mcode-tnm-distant-metastases-category.html\">mCODE TNM Distant Metastases Category</a></p>\n  <p><b>Observation:</b> TNM Clinical Distant Metastases Category (cM0)</p>\n    <p><b>Status:</b> final</p>\n  <p><b>Category:</b> Imaging</p>\n  <p><b>Code:</b> cM category (SNOMED CT: 399387003)</p>\n  <p><b>Subject:</b> <a href=\"Patient-example.html\">Patient-example: Amy Shaw</a></p>\n  <p><b>Effective Date:</b> 2023-03-21</p>\n  <p><b>Performer:</b> <a href=\"Practitioner-1.html\">Dr. Joseph Nichols (Practitioner/1)</a></p>\n  <p><b>Value:</b> cM0 - 1229901006 (American Joint Committee on Cancer cM0 qualifier)</p>\n  <p><b>Method:</b> American Joint Commission on Cancer, Cancer Staging Manual, 8th edition neoplasm staging system (tumor staging) (SNOMED CT: 897275008)</p>\n  </div>"^^rdf:XMLLiteral ]
      ] ; #
      fhir:status [ fhir:v "final"] ; #
      fhir:category ( [
        ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/observation-category"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/observation-category>       ] ;
    fhir:code [ fhir:v "imaging" ] ;
    fhir:display [ fhir:v "Imaging" ]     ] )
      ] ) ; #
      fhir:code [
        ( fhir:coding [
    a sct:399387003 ;
    fhir:system [
    fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
    fhir:l <http://snomed.info/sct>       ] ;
    fhir:code [ fhir:v "399387003" ] ;
    fhir:display [ fhir:v "cM category" ]     ] )
      ] ; #
      fhir:subject [
    fhir:l fhir:Patient/example ;
    fhir:reference [ fhir:v "Patient/example" ]
      ] ; #
      fhir:effective [
    a fhir:DateTime ;
    fhir:v "2023-03-21"^^xsd:date
      ] ; #
      fhir:performer ( [
    fhir:l fhir:Practitioner/1 ;
    fhir:reference [ fhir:v "Practitioner/1" ]
      ] ) ; #
      fhir:value [
    a fhir:CodeableConcept ;
        ( fhir:coding [
    a sct:1229901006 ;
    fhir:system [
    fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
    fhir:l <http://snomed.info/sct>       ] ;
    fhir:code [ fhir:v "1229901006" ] ;
    fhir:display [ fhir:v "American Joint Committee on Cancer cM0 (qualifier value)" ]     ] )
      ] ; #
      fhir:method [
        ( fhir:coding [
    a sct:897275008 ;
    fhir:system [
    fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
    fhir:l <http://snomed.info/sct>       ] ;
    fhir:code [ fhir:v "897275008" ] ;
    fhir:display [ fhir:v "American Joint Committee on Cancer, Cancer Staging Manual, 8th edition tumor staging system" ]     ] )
      ] . #

    <http://hl7.org/fhir/us/central-cancer-registry-reporting/Condition/problem-list-diabetes> a fhir:Condition ;
      fhir:id [ fhir:v "problem-list-diabetes"] ; #
      fhir:meta [
        ( fhir:profile [
    fhir:v "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns|6.1.0"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns?version=6.1.0>     ] )
      ] ; #
      fhir:text [
    fhir:status [ fhir:v "extensions" ] ;
    fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_problem-list-diabetes\"> </a>\n  <p><b>Profile:</b> <a href=\"https://hl7.org/fhir/us/core/StructureDefinition-us-core-condition-problems-health-concerns.html\">US Core Condition Problems and Health Concerns</a></p>\n <p><b>Condition:</b> Type 2 diabetes mellitus</p>\n    <p><b>Clinical Status:</b> Active</p>\n  <p><b>Verification Status:</b> Confirmed</p>\n  <p><b>Category:</b> Problem List Item</p>\n  <p><b>Code:</b> ICD-10 E11 — Type 2 diabetes mellitus</p>\n  <p><b>Subject:</b> <a href=\"Patient-example.html\">Amy V. Shaw</a></p>\n  <p><b>Recorded Date:</b> 2016-08-10</p>\n</div>"^^rdf:XMLLiteral ]
      ] ; #
      fhir:extension ( [
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/condition-assertedDate"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/condition-assertedDate>     ] ;
    fhir:value [
    a fhir:DateTime ;
    fhir:v "2016-08-10"^^xsd:date     ]
      ] ) ; #
      fhir:clinicalStatus [
        ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/condition-clinical"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/condition-clinical>       ] ;
    fhir:code [ fhir:v "active" ] ;
    fhir:display [ fhir:v "Active" ]     ] ) ;
    fhir:text [ fhir:v "Active" ]
      ] ; #
      fhir:verificationStatus [
        ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/condition-ver-status"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/condition-ver-status>       ] ;
    fhir:code [ fhir:v "confirmed" ] ;
    fhir:display [ fhir:v "Confirmed" ]     ] ) ;
    fhir:text [ fhir:v "Confirmed" ]
      ] ; #
      fhir:category ( [
        ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/condition-category"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/condition-category>       ] ;
    fhir:code [ fhir:v "problem-list-item" ] ;
    fhir:display [ fhir:v "Problem List Item" ]     ] ) ;
    fhir:text [ fhir:v "Problem List Item" ]
      ] ) ; #
      fhir:code [
        ( fhir:coding [
    fhir:system [
    fhir:v "http://hl7.org/fhir/sid/icd-10"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/sid/icd-10>       ] ;
    fhir:code [ fhir:v "E11" ] ;
    fhir:display [ fhir:v "Type 2 diabetes mellitus" ]     ] ) ;
    fhir:text [ fhir:v "Type 2 diabetes mellitus" ]
      ] ; #
      fhir:subject [
    fhir:l fhir:Patient/example ;
    fhir:reference [ fhir:v "Patient/example" ] ;
    fhir:display [ fhir:v "Amy V. Shaw" ]
      ] ; #
      fhir:recordedDate [ fhir:v "2016-08-10T07:15:07-08:00"^^xsd:dateTime] . #

    <http://hl7.org/fhir/us/central-cancer-registry-reporting/Observation/non-smoker> a fhir:Observation ;
      fhir:id [ fhir:v "non-smoker"] ; #
      fhir:meta [
        ( fhir:profile [
    fhir:v "http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus|6.1.0"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus?version=6.1.0>     ] )
      ] ; #
      fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_non-smoker\"> </a>\n  <p><b>Profile:</b> <a href=\"https://hl7.org/fhir/us/core/StructureDefinition-us-core-smokingstatus.html\">US Core Smoking Status</a></p>\n <p><b>category</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/observation-category social-history}\">Social History</span></p><p><b>code</b>: <span title=\"Codes: {http://loinc.org 72166-2}\">Tobacco smoking status</span></p><p><b>subject</b>: <a href=\"Patient-example.html\">Amy V. Shaw</a></p>\n <p><b>issued</b>: 2023-03-21 </p><p><b>value</b>: <span title=\"Codes: {http://snomed.info/sct 266919005}\">Never smoked tobacco (finding)</span></p></div>"^^rdf:XMLLiteral ]
      ] ; #
      fhir:status [ fhir:v "final"] ; #
      fhir:category ( [
        ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/observation-category"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/observation-category>       ] ;
    fhir:code [ fhir:v "social-history" ] ;
    fhir:display [ fhir:v "Social History" ]     ] ) ;
    fhir:text [ fhir:v "Social History" ]
      ] ) ; #
      fhir:code [
        ( fhir:coding [
    a loinc:72166-2 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>       ] ;
    fhir:code [ fhir:v "72166-2" ] ;
    fhir:display [ fhir:v "Tobacco smoking status" ]     ] ) ;
    fhir:text [ fhir:v "Tobacco smoking status" ]
      ] ; #
      fhir:subject [
    fhir:l fhir:Patient/example ;
    fhir:reference [ fhir:v "Patient/example" ]
      ] ; #
      fhir:effective [
    a fhir:DateTime ;
    fhir:v "2023-03-21"^^xsd:date
      ] ; #
      fhir:issued [ fhir:v "2023-03-21T05:27:04Z"^^xsd:dateTime] ; #
      fhir:performer ( [
    fhir:l fhir:Practitioner/1 ;
    fhir:reference [ fhir:v "Practitioner/1" ]
      ] ) ; #
      fhir:value [
    a fhir:CodeableConcept ;
        ( fhir:coding [
    a sct:266919005 ;
    fhir:system [
    fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
    fhir:l <http://snomed.info/sct>       ] ;
    fhir:code [ fhir:v "266919005" ]     ] ) ;
    fhir:text [ fhir:v "Never smoked tobacco (finding)" ]
      ] . #

    <http://hl7.org/fhir/us/central-cancer-registry-reporting/Organization/example-cancer-org> a fhir:Organization ;
      fhir:id [ fhir:v "example-cancer-org"] ; #
      fhir:meta [
        ( fhir:profile [
    fhir:v "http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/central-cancer-registry-reporting-organization"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/central-cancer-registry-reporting-organization>     ] )
      ] ; #
      fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div [ fhir:v "<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>"^^rdf:XMLLiteral ]
      ] ; #
      fhir:identifier ( [
    fhir:system [
    fhir:v "http://hl7.org/fhir/sid/us-npi"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/sid/us-npi>     ] ;
    fhir:value [ fhir:v "1063494177" ]
      ] ) ; #
      fhir:active [ fhir:v true] ; #
      fhir:name [ fhir:v "Cancer Organization"] ; #
      fhir:telecom ( [
    fhir:system [ fhir:v "phone" ] ;
    fhir:value [ fhir:v "(917)932-2000" ] ;
    fhir:use [ fhir:v "work" ]
      ] ) ; #
      fhir:address ( [
    fhir:text [ fhir:v "1234 Main Street, Tulsa OK 74126" ] ;
        ( fhir:line [ fhir:v "1234 Main Street" ] ) ;
    fhir:city [ fhir:v "Tulsa" ] ;
    fhir:state [ fhir:v "OK" ] ;
    fhir:postalCode [ fhir:v "74126" ]
      ] ) . #