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Packagehl7.fhir.us.central-cancer-registry-reporting
Resource TypeBundle
IdBundle-ccrr-specification-bundle-example.json
FHIR VersionR4

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Source1

{
  "resourceType": "Bundle",
  "id": "ccrr-specification-bundle-example",
  "meta": {
    "versionId": "1",
    "lastUpdated": "2020-11-29T02:03:28.045+00:00",
    "profile": [
      "http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/ccrr-specification-bundle"
    ]
  },
  "type": "collection",
  "timestamp": "2020-11-20T11:15:33-10:00",
  "entry": [
    {
      "fullUrl": "http://hl7.org/fhir/us/central-cancer-registry-reporting/ValueSet/cancer-core-reportability-codes-example",
      "resource": {
        "resourceType": "ValueSet",
        "id": "cancer-core-reportability-codes-example",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"ValueSet_cancer-core-reportability-codes-example\"> </a><p class=\"res-header-id\"><b>Generated Narrative: ValueSet cancer-core-reportability-codes-example</b></p><p>This value set includes codes based on the following rules:</p><ul><li>Include these codes as defined in <a href=\"http://www.snomed.org/\"><code>http://snomed.info/sct</code></a><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td></tr><tr><td><a href=\"http://snomed.info/id/281566005\">281566005</a></td><td/></tr><tr><td><a href=\"http://snomed.info/id/403901001\">403901001</a></td><td/></tr><tr><td><a href=\"http://snomed.info/id/254654004\">254654004</a></td><td/></tr></table></li><li>Include these codes as defined in <a><code>http://hl7.org/fhir/sid/icd-10-cm</code></a><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td></tr><tr><td>C00</td><td style=\"color: #cccccc\">Malignant neoplasm of lip</td></tr><tr><td>C00.0</td><td style=\"color: #cccccc\">Malignant neoplasm of external upper lip</td></tr></table></li></ul></div>"
        },
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/artifact-author",
            "valueContactDetail": {
              "name": "Example Author"
            }
          }
        ],
        "url": "http://hl7.org/fhir/us/central-cancer-registry-reporting/ValueSet/cancer-core-reportability-codes-example",
        "identifier": [
          {
            "system": "urn:ietf:rfc:3986",
            "value": "urn:oid:2.16.840.1.113883.4.642.40.40.48.1"
          }
        ],
        "version": "1.0.0",
        "name": "CancerCoreReportabilityCodes",
        "title": "Cancer Core Reportability Codes",
        "status": "active",
        "experimental": false,
        "date": "2021-11-22",
        "publisher": "HL7 International / Public Health",
        "contact": [
          {
            "telecom": [
              {
                "system": "url",
                "value": "http://www.hl7.org/Special/committees/pher"
              }
            ]
          }
        ],
        "description": "The valueset contains SNOMED-CT and ICD-10-CM codes for Central Cancer Registry Reportability determination. These are just sample codes and the actual value set will be    published by the Central Cancer Registry.",
        "useContext": [
          {
            "code": {
              "system": "http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-usage-context-type",
              "code": "priority",
              "display": "Priority"
            },
            "valueCodeableConcept": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-usage-context",
                  "code": "triggering",
                  "display": "Triggering"
                }
              ]
            }
          }
        ],
        "jurisdiction": [
          {
            "coding": [
              {
                "system": "urn:iso:std:iso:3166",
                "code": "US"
              }
            ]
          }
        ],
        "copyright": "This value set includes content from:\n  1. 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.  2. ICD-9 and ICD-10 are copyrighted by the World Health Organization (WHO) which owns and publishes the classification. See https://www.who.int/classifications/icd/en. WHO has authorized the development of an adaptation of ICD-9 and ICD-10 to ICD-9-CM to ICD-10-CM for use in the United States for U.S. government purposes.\n",
        "compose": {
          "include": [
            {
              "system": "http://snomed.info/sct",
              "concept": [
                {
                  "code": "281566005",
                  "display": "Abdominothoracic neuroblastoma (disorder)"
                },
                {
                  "code": "403901001",
                  "display": "Acantholytic squamous cell carcinoma (disorder)"
                },
                {
                  "code": "254654004",
                  "display": "Acantholytic squamous cell carcinoma of skin (disorder)"
                }
              ]
            }
          ]
        }
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/central-cancer-registry-reporting/PlanDefinition/plandefinition-central-cancer-registry-reporting-example",
      "resource": {
        "resourceType": "PlanDefinition",
        "id": "plandefinition-central-cancer-registry-reporting-example",
        "meta": {
          "versionId": "1",
          "lastUpdated": "2020-11-29T02:03:28.045+00:00",
          "profile": [
            "http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/ccrr-plandefinition"
          ]
        },
        "text": {
          "status": "extensions",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"PlanDefinition_plandefinition-central-cancer-registry-reporting-example\"> </a><p><b>CCRR PlanDefinition Example</b></p></div>"
        },
        "url": "http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/plandefinition-central-cancer-registry-reporting-example",
        "version": "1.0",
        "name": "CentralCancerRegistryReportingExample",
        "title": "PlanDefinition Central Cancer Registry Reporting Example",
        "type": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/plan-definition-type",
              "code": "workflow-definition",
              "display": "Workflow Definition"
            }
          ]
        },
        "status": "draft",
        "experimental": true,
        "date": "2020-11-04T12:32:29.858-05:00",
        "publisher": "HL7 Public Health Work Group",
        "description": "This is the Cancer Registry Reporting Knowledge Artifact",
        "effectivePeriod": {
          "start": "2021-11-01"
        },
        "relatedArtifact": [
          {
            "type": "depends-on",
            "label": "Central Cancer Registry Trigger Codes",
            "resource": "http://hl7.org/fhir/us/central-cancer-registry-reporting/ValueSet/cancer-core-reportability-codes|2.0.0"
          }
        ],
        "action": [
          {
            "id": "start-workflow",
            "description": "This action represents the start of the reporting workflow in response to the encounter-close event",
            "textEquivalent": "Start the reporting workflow in response to an encounter-close event",
            "code": [
              {
                "coding": [
                  {
                    "system": "http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-plandefinition-actions",
                    "code": "initiate-reporting-workflow"
                  }
                ]
              }
            ],
            "trigger": [
              {
                "id": "encounter-close",
                "extension": [
                  {
                    "url": "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-named-eventtype-extension",
                    "valueCodeableConcept": {
                      "coding": [
                        {
                          "system": "http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-triggerdefinition-namedevents",
                          "code": "encounter-close",
                          "display": "Indicates the close of an encounter"
                        }
                      ]
                    }
                  }
                ],
                "type": "named-event",
                "name": "encounter-close"
              }
            ],
            "relatedAction": [
              {
                "actionId": "check-reportable",
                "relationship": "before-start",
                "offsetDuration": {
                  "value": 72,
                  "system": "http://unitsofmeasure.org",
                  "code": "h"
                }
              }
            ]
          },
          {
            "id": "check-reportable",
            "description": "This action represents the check for suspected reportability of the cancer data.",
            "textEquivalent": "Check Reportability and setup jobs for future reportability checks.",
            "code": [
              {
                "coding": [
                  {
                    "system": "http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-plandefinition-actions",
                    "code": "execute-reporting-workflow"
                  }
                ]
              }
            ],
            "action": [
              {
                "id": "is-encounter-reportable",
                "description": "This action represents the check for reportability to create the patient's cancer report.",
                "textEquivalent": "Check Trigger Codes based on RCTC Value sets.",
                "code": [
                  {
                    "coding": [
                      {
                        "system": "http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-plandefinition-actions",
                        "code": "check-trigger-codes"
                      }
                    ]
                  }
                ],
                "condition": [
                  {
                    "kind": "applicability",
                    "expression": {
                      "language": "text/fhirpath",
                      "expression": "%conditions.exists()"
                    }
                  }
                ],
                "input": [
                  {
                    "id": "conditions",
                    "extension": [
                      {
                        "url": "http://hl7.org/fhir/StructureDefinition/cqf-fhirQueryPattern",
                        "valueString": "Condition?patient=Patient/{{context.patientId}}"
                      }
                    ],
                    "type": "Condition",
                    "codeFilter": [
                      {
                        "path": "code",
                        "valueSet": "http://hl7.org/fhir/us/central-cancer-registry-reporting/ValueSet/cancer-core-reportability-codes|2.0.0"
                      }
                    ]
                  }
                ],
                "relatedAction": [
                  {
                    "actionId": "report-cancer-data",
                    "relationship": "before-start"
                  }
                ]
              },
              {
                "id": "should-continue-reporting",
                "code": [
                  {
                    "coding": [
                      {
                        "system": "http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-plandefinition-actions",
                        "code": "evaluate-condition"
                      }
                    ]
                  }
                ],
                "condition": [
                  {
                    "kind": "applicability",
                    "expression": {
                      "language": "text/fhirpath",
                      "expression": "%patient.deceased[x] == null && (currentTime - previousReportSubmissionTime) < 7776000"
                    }
                  }
                ],
                "relatedAction": [
                  {
                    "actionId": "check-reportable",
                    "relationship": "before-start",
                    "offsetDuration": {
                      "value": 6,
                      "system": "http://unitsofmeasure.org",
                      "code": "mo"
                    }
                  }
                ]
              }
            ]
          },
          {
            "id": "report-cancer-data",
            "description": "This action represents the creation, validation and submission of the cancer report.",
            "textEquivalent": "Check Reportability and setup jobs for future reportability checks.",
            "code": [
              {
                "coding": [
                  {
                    "system": "http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-plandefinition-actions",
                    "code": "execute-reporting-workflow"
                  }
                ]
              }
            ],
            "action": [
              {
                "id": "create-cancer-report",
                "description": "This action represents the creation of the cancer report.",
                "textEquivalent": "Central Cancer Registry Report",
                "code": [
                  {
                    "coding": [
                      {
                        "system": "http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-plandefinition-actions",
                        "code": "create-report"
                      }
                    ]
                  }
                ],
                "input": [
                  {
                    "id": "patient",
                    "type": "Patient",
                    "profile": [
                      "http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/central-cancer-registry-reporting-patient"
                    ]
                  },
                  {
                    "id": "condition",
                    "type": "Condition",
                    "profile": [
                      "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-primary-cancer-condition"
                    ]
                  },
                  {
                    "id": "encounter",
                    "type": "Encounter",
                    "profile": [
                      "http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/central-cancer-registry-reporting-encounter"
                    ]
                  },
                  {
                    "id": "mr",
                    "type": "MedicationRequest",
                    "profile": [
                      "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-related-medication-request"
                    ]
                  },
                  {
                    "id": "vitals",
                    "type": "Observation",
                    "profile": [
                      "http://hl7.org/fhir/StructureDefinition/vitalsigns"
                    ]
                  },
                  {
                    "id": "labs",
                    "type": "Observation",
                    "profile": [
                      "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab|6.1.0"
                    ]
                  }
                ],
                "output": [
                  {
                    "id": "cancer-report",
                    "type": "Bundle",
                    "profile": [
                      "http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/ccrr-reporting-bundle"
                    ]
                  }
                ],
                "relatedAction": [
                  {
                    "actionId": "validate-report",
                    "relationship": "before-start"
                  }
                ]
              },
              {
                "id": "validate-cancer-report",
                "description": "This action represents the validation of the cancer report.",
                "textEquivalent": "Validate Report",
                "code": [
                  {
                    "coding": [
                      {
                        "system": "http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-plandefinition-actions",
                        "code": "validate-report"
                      }
                    ]
                  }
                ],
                "input": [
                  {
                    "id": "created-cancer-report",
                    "type": "Bundle",
                    "profile": [
                      "http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/ccrr-reporting-bundle"
                    ]
                  }
                ],
                "output": [
                  {
                    "id": "validated-cancer-report",
                    "type": "Bundle",
                    "profile": [
                      "http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/ccrr-reporting-bundle"
                    ]
                  }
                ],
                "relatedAction": [
                  {
                    "actionId": "submit-report",
                    "relationship": "before-start"
                  }
                ]
              },
              {
                "id": "route-and-send-cancer-report",
                "description": "This action represents the routing and sending of the cancer report.",
                "textEquivalent": "Route and send cancer report",
                "code": [
                  {
                    "coding": [
                      {
                        "system": "http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-plandefinition-actions",
                        "code": "submit-report"
                      }
                    ]
                  }
                ],
                "input": [
                  {
                    "id": "val-cancer-report",
                    "type": "Bundle",
                    "profile": [
                      "http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/ccrr-reporting-bundle"
                    ]
                  }
                ]
              }
            ]
          }
        ]
      }
    }
  ]
}