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This page is part of the US Public Health Profiles Library (v1.0.0: STU 1) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions

: US Public Health Specification Bundle - Cancer Reporting - TTL Representation

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@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 xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:Bundle ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "us-ph-specification-bundle-example"] ; # 
  fhir:meta [
fhir:versionId [ fhir:v "11" ] ;
    ( fhir:profile [
fhir:v "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-specification-bundle"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-specification-bundle>     ] )
  ] ; # 
  fhir:type [ fhir:v "collection"] ; # 
  fhir:timestamp [ fhir:v "2022-11-20T11:15:33-10:00"^^xsd:dateTime] ; # 
  fhir:entry ( [
fhir:fullUrl [ fhir:v "PlanDefinition/plandefinition-cancer-example"^^xsd:anyURI ] ;
    ( fhir:resource <PlanDefinition/plandefinition-cancer-example> )
  ] [
fhir:fullUrl [ fhir:v "ValueSet/valueset-cancer-trigger-codes-example"^^xsd:anyURI ] ;
    ( fhir:resource <ValueSet/valueset-cancer-trigger-codes-example> )
  ] ) . # 

<PlanDefinition/plandefinition-cancer-example> a fhir:PlanDefinition ;
  fhir:id [ fhir:v "plandefinition-cancer-example"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-plandefinition"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-plandefinition>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "extensions" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: PlanDefinition</b><a name=\"plandefinition-cancer-example\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource PlanDefinition &quot;plandefinition-cancer-example&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-us-ph-plandefinition.html\">US Public Health PlanDefinition</a></p></div><p><b>US Public Health Receiver Address Extension</b>: <a href=\"Endpoint-us-ph-endpoint-salem-medical-center.html\">Endpoint/us-ph-endpoint-salem-medical-center</a></p><p><b>US Public Health Async Indicator Extension</b>: true</p><p><b>US Public Health Expected Response Time Extension</b>: 1 min<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code min = 'min')</span></p><p><b>url</b>: <code>http://hl7.org/fhir/us/ph-library/StructureDefinition/plandefinition-cancer-example</code></p><p><b>version</b>: 1.0</p><p><b>name</b>: PlanDefinitionCancerExample</p><p><b>title</b>: PlanDefinition Cancer Reporting Example</p><p><b>type</b>: Workflow Definition <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-plan-definition-type.html\">PlanDefinitionType</a>#workflow-definition)</span></p><p><b>status</b>: draft</p><p><b>experimental</b>: true</p><p><b>date</b>: 2020-11-04 12:32:29-0500</p><p><b>publisher</b>: ph-library</p><p><b>description</b>: This is the Cancer Reporting Knowledge Artifact</p><p><b>effectivePeriod</b>: 2020-11-01 --&gt; (ongoing)</p><h3>RelatedArtifacts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Label</b></td><td><b>Resource</b></td></tr><tr><td style=\"display: none\">*</td><td>depends-on</td><td>Cancer Trigger Codes</td><td><a href=\"Bundle-us-ph-specification-bundle-example.html\">SNOMED Cancer Codes Example</a></td></tr></table><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>initiate-reporting-workflow</blockquote><p><b>description</b>: This action represents the start of a reporting workflow.</p><p><b>textEquivalent</b>: Initiate Reporting Workflow</p><p><b>code</b>: Initiate a reporting workflow <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-us-ph-codesystem-plandefinition-actions.html\">US Public Health CodeSystem - PlanDefinition Actions</a>#initiate-reporting-workflow)</span></p><h3>Triggers</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Extension</b></td><td><b>Type</b></td><td><b>Name</b></td></tr><tr><td style=\"display: none\">*</td><td/><td>named-event</td><td>encounter-close</td></tr></table><h3>RelatedActions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>ActionId</b></td><td><b>Relationship</b></td><td><b>Offset[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>check-trigger-codes</td><td>before-start</td><td>1 min<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code min = 'min')</span></td></tr></table></blockquote><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>check-trigger-codes</blockquote><p><b>description</b>: This action represents the execution of the checking trigger codes in the  workflow.</p><p><b>textEquivalent</b>: Check Trigger Codes</p><blockquote><p><b>action</b></p><p><b>code</b>: Evaluate candidate patient's data against trigger codes to determine reportability <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-us-ph-codesystem-plandefinition-actions.html\">US Public Health CodeSystem - PlanDefinition Actions</a>#check-trigger-codes)</span></p><blockquote><p><b>condition</b></p></blockquote><blockquote><p><b>relatedAction</b></p></blockquote></blockquote></blockquote><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>create-report</blockquote><p><b>description</b>: This action represents the creation of a cancer report.</p><p><b>textEquivalent</b>: Create Report</p><p><b>code</b>: Create a Report containing Patient's data for patients who passed the check-reportability test <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-us-ph-codesystem-plandefinition-actions.html\">US Public Health CodeSystem - PlanDefinition Actions</a>#create-report)</span></p></blockquote></div>"
  ] ; # 
  fhir:extension ( [
fhir:url [ fhir:v "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-receiver-address-extension"^^xsd:anyURI ] ;
fhir:value [
a fhir:Reference ;
fhir:reference [ fhir:v "Endpoint/us-ph-endpoint-salem-medical-center" ]     ]
  ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-async-indicator-extension"^^xsd:anyURI ] ;
fhir:value [ fhir:v "true"^^xsd:boolean ]
  ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-expected-response-time-extension"^^xsd:anyURI ] ;
fhir:value [
a fhir:Duration ;
fhir:value [ fhir:v "1"^^xsd:decimal ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "min" ]     ]
  ] ) ; # 
  fhir:url [ fhir:v "http://hl7.org/fhir/us/ph-library/StructureDefinition/plandefinition-cancer-example"^^xsd:anyURI] ; # 
  fhir:version [ fhir:v "1.0"] ; # 
  fhir:name [ fhir:v "PlanDefinitionCancerExample"] ; # 
  fhir:title [ fhir:v "PlanDefinition Cancer Reporting Example"] ; # 
  fhir:type [
    ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/plan-definition-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "workflow-definition" ] ;
fhir:display [ fhir:v "Workflow Definition" ]     ] )
  ] ; # 
  fhir:status [ fhir:v "draft"] ; # 
  fhir:experimental [ fhir:v "true"^^xsd:boolean] ; # 
  fhir:date [ fhir:v "2020-11-04T12:32:29.858-05:00"^^xsd:dateTime] ; # 
  fhir:publisher [ fhir:v "ph-library"] ; # 
  fhir:description [ fhir:v "This is the Cancer Reporting Knowledge Artifact"] ; # 
  fhir:effectivePeriod [
fhir:start [ fhir:v "2020-11-01"^^xsd:date ]
  ] ; # 
  fhir:relatedArtifact ( [
fhir:type [ fhir:v "depends-on" ] ;
fhir:label [ fhir:v "Cancer Trigger Codes" ] ;
fhir:resource [
fhir:v "http://hl7.org/fhir/us/ph-library/ValueSet/valueset-cancer-trigger-codes-example"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/ph-library/ValueSet/valueset-cancer-trigger-codes-example>     ]
  ] ) ; # 
  fhir:action ( [
fhir:id [ fhir:v "initiate-reporting-workflow" ] ;
fhir:description [ fhir:v "This action represents the start of a reporting workflow." ] ;
fhir:textEquivalent [ fhir:v "Initiate Reporting Workflow" ] ;
    ( fhir:code [
      ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-plandefinition-actions"^^xsd:anyURI ] ;
fhir:code [ fhir:v "initiate-reporting-workflow" ]       ] )     ] ) ;
    ( fhir:trigger [
      ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-named-eventtype-extension"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
          ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-triggerdefinition-namedevents"^^xsd:anyURI ] ;
fhir:code [ fhir:v "encounter-close" ] ;
fhir:display [ fhir:v "Indicates the close of an encounter" ]           ] )         ]       ] ) ;
fhir:type [ fhir:v "named-event" ] ;
fhir:name [ fhir:v "encounter-close" ]     ] ) ;
    ( fhir:relatedAction [
fhir:actionId [ fhir:v "check-trigger-codes" ] ;
fhir:relationship [ fhir:v "before-start" ] ;
fhir:offset [
a fhir:Duration ;
fhir:value [ fhir:v "1"^^xsd:decimal ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "min" ]       ]     ] )
  ] [
fhir:id [ fhir:v "check-trigger-codes" ] ;
fhir:description [ fhir:v "This action represents the execution of the checking trigger codes in the  workflow." ] ;
fhir:textEquivalent [ fhir:v "Check Trigger Codes" ] ;
    ( fhir:action [
      ( fhir:code [
        ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-plandefinition-actions"^^xsd:anyURI ] ;
fhir:code [ fhir:v "check-trigger-codes" ]         ] )       ] ) ;
      ( fhir:condition [
fhir:kind [ fhir:v "applicability" ] ;
fhir:expression [
fhir:language [ fhir:v "text/fhirpath" ] ;
fhir:expression [ fhir:v "Condition.code.memberof(http://hl7.org/fhir/us/ph-library/ValueSet/valueset-cancer-trigger-codes-example)" ]         ]       ] ) ;
      ( fhir:relatedAction [
fhir:actionId [ fhir:v "create-report" ] ;
fhir:relationship [ fhir:v "before-start" ]       ] )     ] )
  ] [
fhir:id [ fhir:v "create-report" ] ;
fhir:description [ fhir:v "This action represents the creation of a cancer report." ] ;
fhir:textEquivalent [ fhir:v "Create Report" ] ;
    ( fhir:code [
      ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-plandefinition-actions"^^xsd:anyURI ] ;
fhir:code [ fhir:v "create-report" ]       ] )     ] )
  ] ) . # 

<ValueSet/valueset-cancer-trigger-codes-example> a fhir:ValueSet ;
  fhir:id [ fhir:v "valueset-cancer-trigger-codes-example"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-valueset"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-valueset>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "extensions" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: ValueSet</b><a name=\"valueset-cancer-trigger-codes-example\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource ValueSet &quot;valueset-cancer-trigger-codes-example&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-us-ph-valueset.html\">US Public Health ValueSet</a></p></div><p><b>steward</b>: CSTE Steward: </p><p><b>author</b>: CSTE Author: </p><p><b>url</b>: <code>http://hl7.org/fhir/us/ph-library/ValueSet/valueset-cancer-trigger-codes-example</code></p><p><b>version</b>: 3.0.0</p><p><b>name</b>: SNOMEDCancerCodesExample</p><p><b>title</b>: SNOMED Cancer Codes Example</p><p><b>status</b>: draft</p><p><b>experimental</b>: true</p><p><b>date</b>: 2018-08-01</p><p><b>publisher</b>: HL7 Public Health Work Group (http://www.hl7.org/Special/committees/pher/index.cfm)</p><p><b>contact</b>: HL7 International - Public Health: <a href=\"http://www.hl7.org/Special/committees/pher\">http://www.hl7.org/Special/committees/pher</a></p><p><b>description</b>: This example set of values contains diagnoses or problems that represent that the patient may have a potentially reportable condition regardless of the clinical presentation of the condition</p><h3>UseContexts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td><td><b>Value[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>Priority (Details: http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-usage-context-type code priority = 'Priority', stated as 'Priority')</td><td>Routine <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-us-ph-codesystem-usage-context.html\">US Public Health CodeSystem - Usage Context</a>#routine)</span></td></tr><tr><td style=\"display: none\">*</td><td>Program (Details: http://terminology.hl7.org/CodeSystem/usage-context-type code program = 'Program', stated as 'null')</td><td>ValueSet is to be used in the context of public health reporting use cases. <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-us-ph-codesystem-valueset-use-context.html\">US Public Health CodeSystem for ValueSet Use Context</a>#ph-reporting)</span></td></tr></table><p><b>jurisdiction</b>: United States of America <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-ISO3166Part1.html\">ISO 3166-1 Codes for the representation of names of countries and their subdivisions — Part 1: Country code</a>#US)</span></p><p><b>copyright</b>: This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement</p><blockquote><p><b>compose</b></p><blockquote><p><b>include</b></p><p><b>system</b>: <a href=\"http://hl7.org/fhir/R4/codesystem-snomedct.html\">SNOMED CT (all versions)</a></p><h3>Concepts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td><td><b>Display</b></td></tr><tr><td style=\"display: none\">*</td><td>281566005</td><td>Abdominothoracic neuroblastoma</td></tr></table></blockquote></blockquote></div>"
  ] ; # 
  fhir:extension ( [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/valueset-steward"^^xsd:anyURI ] ;
fhir:value [
a fhir:ContactDetail ;
fhir:name [ fhir:v "CSTE Steward" ]     ]
  ] [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/valueset-author"^^xsd:anyURI ] ;
fhir:value [
a fhir:ContactDetail ;
fhir:name [ fhir:v "CSTE Author" ]     ]
  ] ) ; # 
  fhir:url [ fhir:v "http://hl7.org/fhir/us/ph-library/ValueSet/valueset-cancer-trigger-codes-example"^^xsd:anyURI] ; # 
  fhir:version [ fhir:v "3.0.0"] ; # 
  fhir:name [ fhir:v "SNOMEDCancerCodesExample"] ; # 
  fhir:title [ fhir:v "SNOMED Cancer Codes Example"] ; # 
  fhir:status [ fhir:v "draft"] ; # 
  fhir:experimental [ fhir:v "true"^^xsd:boolean] ; # 
  fhir:date [ fhir:v "2018-08-01"^^xsd:date] ; # 
  fhir:publisher [ fhir:v "HL7 Public Health Work Group (http://www.hl7.org/Special/committees/pher/index.cfm)"] ; # 
  fhir:contact ( [
fhir:name [ fhir:v "HL7 International - Public Health" ] ;
    ( fhir:telecom [
fhir:system [ fhir:v "url" ] ;
fhir:value [ fhir:v "http://www.hl7.org/Special/committees/pher" ]     ] )
  ] ) ; # 
  fhir:description [ fhir:v "This example set of values contains diagnoses or problems that represent that the patient may have a potentially reportable condition regardless of the clinical presentation of the condition"] ; # 
  fhir:useContext ( [
fhir:code [
fhir:system [ fhir:v "http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-usage-context-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "priority" ] ;
fhir:display [ fhir:v "Priority" ]     ] ;
fhir:value [
a fhir:CodeableConcept ;
      ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-usage-context"^^xsd:anyURI ] ;
fhir:code [ fhir:v "routine" ] ;
fhir:display [ fhir:v "Routine" ]       ] )     ]
  ] [
fhir:code [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/usage-context-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "program" ]     ] ;
fhir:value [
a fhir:CodeableConcept ;
      ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-valueset-use-context"^^xsd:anyURI ] ;
fhir:code [ fhir:v "ph-reporting" ] ;
fhir:display [ fhir:v "ValueSet is to be used in the context of public health reporting use cases." ]       ] )     ]
  ] ) ; # 
  fhir:jurisdiction ( [
    ( fhir:coding [
fhir:system [ fhir:v "urn:iso:std:iso:3166"^^xsd:anyURI ] ;
fhir:code [ fhir:v "US" ] ;
fhir:display [ fhir:v "United States of America" ]     ] ) ;
fhir:text [ fhir:v "United States of America" ]
  ] ) ; # 
  fhir:copyright [ fhir:v "This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement"] ; # 
  fhir:compose [
    ( fhir:include [
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
      ( fhir:concept [
fhir:code [ fhir:v "281566005" ] ;
fhir:display [ fhir:v "Abdominothoracic neuroblastoma" ]       ] )     ] )
  ] . #