{
"description": "This implementation guide provides HL7 FHIR resources to define standards for cancer pathology information exchange from a hospital or facility-based laboratory information system (LIS) to a hospital or facility-based electronic health record (EHR) system. This publication provides the data model, defined data items and their corresponding code and value sets specific to a cancer pathology synoptic report. This guide contains a library of FHIR profiles to create a cancer pathology message bundle and is compliant with FHIR Release 4.",
"_filename": "ig-r4.json",
"package_name": "hl7.fhir.us.cancer-reporting",
"definition": {
"page": {
"page": [ {
"title": "Background",
"nameUrl": "background.html",
"generation": "markdown"
}, {
"title": "Specification",
"nameUrl": "specification.html",
"generation": "markdown"
}, {
"title": "Downloads",
"nameUrl": "downloads.html",
"generation": "markdown"
} ],
"title": "Home Page",
"nameUrl": "index.html",
"generation": "markdown"
},
"grouping": [ {
"id": "new-group1",
"name": "Profiles"
}, {
"id": "new-group2",
"name": "Terminology"
}, {
"id": "new-group3",
"name": "Examples"
} ],
"resource": [ {
"name": "US Pathology Bundle",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:resource"
} ],
"reference": {
"display": "US Pathology Bundle",
"reference": "StructureDefinition/us-pathology-bundle"
},
"groupingId": "new-group1",
"description": "Message Bundle profile representing HL7 Version 2.5.1 (V2.5.1) Messaging standard segment information as defined in NAACCR volume 5, version 5",
"exampleBoolean": false
}, {
"name": "US Pathology MessageHeader",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:resource"
} ],
"reference": {
"display": "MessageHeader",
"reference": "StructureDefinition/us-pathology-message-header"
},
"groupingId": "new-group1",
"description": "MessageHeader profile representing MSH segment (V2.5.1) information as defined in NAACCR volume 5, version 5",
"exampleBoolean": false
}, {
"name": "US Pathology Diagnostic Report",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:resource"
} ],
"reference": {
"display": "Pathology Diagnostic Report",
"reference": "StructureDefinition/us-pathology-diagnostic-report"
},
"groupingId": "new-group1",
"description": "DiagnosticReport profile representing OBR/OBX (V2.5.1) segment information as defined in NAACCR volume 5, version 5",
"exampleBoolean": false
}, {
"name": "US Pathology Specimen",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:resource"
} ],
"reference": {
"display": "Pathology Specimen",
"reference": "StructureDefinition/us-pathology-specimen"
},
"groupingId": "new-group1",
"description": "Specimen profile representing SPM segment (V2.5.1) information as defined in NAACCR volume 5, version 5",
"exampleBoolean": false
}, {
"name": "US Pathology Next of Kin",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:resource"
} ],
"reference": {
"display": "Next of Kin to Related Person profile",
"reference": "StructureDefinition/us-pathology-next-of-kin"
},
"groupingId": "new-group1",
"description": "RelatedPerson profile representing NK1 segment (V2.5.1) information as defined in NAACCR volume 5, version 5",
"exampleBoolean": false
}, {
"name": "US Pathology Related Practitioner Roles",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:resource"
} ],
"reference": {
"display": "Pathology Related Practitioner Roles",
"reference": "StructureDefinition/us-pathology-related-practitioner-role"
},
"groupingId": "new-group1",
"description": "PractitionerRole profile representing PV1 and OBR segment information (V2.5.1) as defined in NAACCR volume 5, version 5",
"exampleBoolean": false
}, {
"name": "US Pathology Provider Types ValueSet",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ValueSet"
} ],
"reference": {
"display": "Pathology Provider Types",
"reference": "ValueSet/us-pathology-provider-types"
},
"groupingId": "new-group2",
"description": "Pathology-related Provider types",
"exampleBoolean": false
}, {
"name": "US Pathology Provider Types CodeSystem",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "CodeSystem"
} ],
"reference": {
"display": "US Pathology Provider Types",
"reference": "CodeSystem/us-pathology-provider-types"
},
"groupingId": "new-group2",
"description": "Additional concepts needed (not already defined in http://terminology.hl7.org/CodeSystem/v3-ParticipationType)",
"exampleBoolean": false
}, {
"name": "Pathology Bundle (example)",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Bundle"
} ],
"reference": {
"display": "Pathology message bundle",
"reference": "Bundle/cancer-us-pathology-message-bundle"
},
"groupingId": "new-group3",
"description": "Example of a message bundle from a pathology environment into an EHR",
"exampleCanonical": "http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-bundle"
}, {
"name": "MessageHeader (example)",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "MessageHeader"
} ],
"reference": {
"display": "MessageHeader (example)",
"reference": "MessageHeader/pathology-message-header"
},
"groupingId": "new-group3",
"description": "Example of a MessageHeader from a pathology environment into an EHR",
"exampleCanonical": "http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-message-header"
}, {
"name": "Encounter (example)",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Encounter"
} ],
"reference": {
"reference": "Encounter/pathology-encounter"
},
"groupingId": "new-group3",
"description": "Example of a clinical Encounter for which pathological analyses were performed and associated Observations were generated.",
"exampleCanonical": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter"
}, {
"name": "Patient (example)",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Patient"
} ],
"reference": {
"reference": "Patient/JoelAlexPatient"
},
"groupingId": "new-group3",
"description": "US Core Patient example",
"exampleCanonical": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"
}, {
"name": "Pathology Adrenal DiagnosticReport (example)",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "DiagnosticReport"
} ],
"reference": {
"reference": "DiagnosticReport/pathology-diagnostic-report"
},
"groupingId": "new-group3",
"description": "Example of a DiagnosticReport containing information regarding pathological testing and resulting observations",
"exampleCanonical": "http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-diagnostic-report"
}, {
"name": "Adrenal Specimen (example)",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Specimen"
} ],
"reference": {
"reference": "Specimen/adrenal-example"
},
"groupingId": "new-group3",
"description": "Example of an Adrenal specimen",
"exampleCanonical": "http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-specimen"
}, {
"name": "Principal Pathology Lab",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Organization"
} ],
"reference": {
"display": "Principal Pathology Lab Name",
"reference": "Organization/principal-pathology-lab"
},
"groupingId": "new-group3",
"description": "Example of a US Core Organization representing the principal pathology testing Lab organization.",
"exampleCanonical": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization"
}, {
"name": "Redwood Women's Center, P.C.",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Organization"
} ],
"reference": {
"display": "Redwood Women's Center, P.C.",
"reference": "Organization/Redwood-Womens-Center-PC"
},
"groupingId": "new-group3",
"description": "Example of US Core Organization representing the clinical system which ordered the pathology testing and will receive the completed tests/observations.",
"exampleCanonical": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization"
}, {
"name": "Next-of-Kin RelatedPerson (example)",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "RelatedPerson"
} ],
"reference": {
"display": "Next-of-Kin RelatedPerson (example)",
"reference": "RelatedPerson/pathology-next-of-kin"
},
"groupingId": "new-group3",
"description": "This example shows Next of Kin information in a RelatedPerson resource.",
"exampleCanonical": "http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-next-of-kin"
}, {
"name": "Pathologist Practitioner (example)",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Practitioner"
} ],
"reference": {
"display": "Pathologist Practitioner (example)",
"reference": "Practitioner/pathologist-example"
},
"groupingId": "new-group3",
"description": "US Core Practitioner Pathologist example",
"exampleCanonical": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner"
}, {
"name": "Pathologist PractitionerRole (example)",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "PractitionerRole"
} ],
"reference": {
"display": "Pathologist PractitionerRole (example)",
"reference": "PractitionerRole/pathologist-example"
},
"groupingId": "new-group3",
"description": "US Core PractitionerRole example for a Pathologist",
"exampleCanonical": "http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-related-practitioner-role"
}, {
"name": "Oncologist Practitioner (example)",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Practitioner"
} ],
"reference": {
"display": "Oncologist Practitioner (example)",
"reference": "Practitioner/oncologist-example"
},
"groupingId": "new-group3",
"description": "US Core Practitioner Oncologist example",
"exampleCanonical": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner"
}, {
"name": "Oncologist PractitionerRole (example)",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "PractitionerRole"
} ],
"reference": {
"display": "Oncologist PractitionerRole (example)",
"reference": "PractitionerRole/oncologist-example"
},
"groupingId": "new-group3",
"description": "US Core PractitionerRole example for an Oncologist",
"exampleCanonical": "http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-related-practitioner-role"
}, {
"name": "Adrenal Gland (example)",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
} ],
"reference": {
"reference": "Observation/2118.100004300-us"
},
"groupingId": "new-group3",
"description": "SDC on FHIR Observation (general)",
"exampleBoolean": true
}, {
"name": "Procedure: Adrenalectomy, total (example)",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
} ],
"reference": {
"reference": "Observation/42554.100004300-us"
},
"groupingId": "new-group3",
"description": "SDC on FHIR Observation (general)",
"exampleBoolean": true
}, {
"name": "Specimen Laterality: Bilateral (example)",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
} ],
"reference": {
"reference": "Observation/52756.100004300-us"
},
"groupingId": "new-group3",
"description": "SDC on FHIR Observation (general)",
"exampleBoolean": true
}, {
"name": "Histologic Type: Adrenal cortical carcinoma (example)",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
} ],
"reference": {
"reference": "Observation/59852.100004300-us"
},
"groupingId": "new-group3",
"description": "SDC on FHIR Observation (general)",
"exampleBoolean": true
}, {
"name": "Tumor Weight: Specify Weight (g) (example)",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
} ],
"reference": {
"reference": "Observation/40496.100004300-us"
},
"groupingId": "new-group3",
"description": "SDC on FHIR Observation (general)",
"exampleBoolean": true
}, {
"name": "Tumor Size: Greatest dimension in Centimeters (cm) (example)",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
} ],
"reference": {
"reference": "Observation/2129.100004300-us"
},
"groupingId": "new-group3",
"description": "SDC on FHIR Observation (general)",
"exampleBoolean": true
}, {
"name": "Histologic Grade: High grade (example)",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
} ],
"reference": {
"reference": "Observation/49275.100004300-us"
},
"groupingId": "new-group3",
"description": "SDC on FHIR Observation (general)",
"exampleBoolean": true
}, {
"name": "Regional Lymph Nodes: None Submitted (example)",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
} ],
"reference": {
"reference": "Observation/1867.100004300-us"
},
"groupingId": "new-group3",
"description": "SDC on FHIR Observation (general)",
"exampleBoolean": true
}, {
"name": "Tumor Extension: Tumor invasion (example)",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
} ],
"reference": {
"reference": "Observation/51265.100004300-us"
},
"groupingId": "new-group3",
"description": "SDC on FHIR Observation (general)",
"exampleBoolean": true
}, {
"name": "Tumor Extension-2: Tumor invasion-2 (example)",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
} ],
"reference": {
"reference": "Observation/53526.100004300-us"
},
"groupingId": "new-group3",
"description": "SDC on FHIR Observation (general)",
"exampleBoolean": true
}, {
"name": "TNM Descriptors: m (multiple primary tumors) (example)",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
} ],
"reference": {
"reference": "Observation/20880.100004300-us"
},
"groupingId": "new-group3",
"description": "SDC on FHIR Observation (general)",
"exampleBoolean": true
}, {
"name": "Primary Tumor (pT): pTX: primary tumor cannot be assessed (example)",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
} ],
"reference": {
"reference": "Observation/2137.100004300-us"
},
"groupingId": "new-group3",
"description": "SDC on FHIR Observation (general)",
"exampleBoolean": true
}, {
"name": "Regional Lymph Nodes (pN): pN0: No regional lymph node metastasis (example)",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
} ],
"reference": {
"reference": "Observation/2143.100004300-us"
},
"groupingId": "new-group3",
"description": "SDC on FHIR Observation (general)",
"exampleBoolean": true
}, {
"name": "Distant Metastasis (pM): Not applicable- pM cannot be determined from the submitted specimen(s) (example)",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
} ],
"reference": {
"reference": "Observation/2149.100004300-us"
},
"groupingId": "new-group3",
"description": "SDC on FHIR Observation (general)",
"exampleBoolean": true
} ],
"parameter": [ {
"code": "path-expansion-params",
"value": "resources/parameters/exp-params-cancer.xml"
}, {
"code": "copyrightyear",
"value": "2020+"
}, {
"code": "releaselabel",
"value": "STU 1 Ballot"
}, {
"code": "path-resource",
"value": "input/capabilities"
}, {
"code": "path-resource",
"value": "input/examples"
}, {
"code": "path-resource",
"value": "input/extensions"
}, {
"code": "path-resource",
"value": "input/models"
}, {
"code": "path-resource",
"value": "input/operations"
}, {
"code": "path-resource",
"value": "input/profiles"
}, {
"code": "path-resource",
"value": "input/resources"
}, {
"code": "path-resource",
"value": "input/vocabulary"
}, {
"code": "path-resource",
"value": "input/maps"
}, {
"code": "path-resource",
"value": "input/testing"
}, {
"code": "path-resource",
"value": "input/history"
}, {
"code": "path-resource",
"value": "fsh-generated/resources"
}, {
"code": "path-pages",
"value": "template/config"
}, {
"code": "path-pages",
"value": "input/images"
}, {
"code": "path-liquid",
"value": "template/liquid"
}, {
"code": "path-liquid",
"value": "input/liquid"
}, {
"code": "path-qa",
"value": "temp/qa"
}, {
"code": "path-temp",
"value": "temp/pages"
}, {
"code": "path-output",
"value": "output"
}, {
"code": "path-tx-cache",
"value": "input-cache/txcache"
}, {
"code": "path-suppressed-warnings",
"value": "input/ignoreWarnings.txt"
}, {
"code": "path-history",
"value": "http://hl7.org/fhir/us/cancer-reporting/history.html"
}, {
"code": "template-html",
"value": "template-page.html"
}, {
"code": "template-md",
"value": "template-page-md.html"
}, {
"code": "apply-contact",
"value": "true"
}, {
"code": "apply-context",
"value": "true"
}, {
"code": "apply-copyright",
"value": "true"
}, {
"code": "apply-jurisdiction",
"value": "true"
}, {
"code": "apply-license",
"value": "true"
}, {
"code": "apply-publisher",
"value": "true"
}, {
"code": "apply-version",
"value": "true"
}, {
"code": "active-tables",
"value": "true"
} ]
},
"date": "2021-08-12T15:45:55+00:00",
"meta": {
"source": "#jiAcjsDvdyXYSqA4",
"versionId": "580",
"lastUpdated": "2021-08-06T14:03:44.592+00:00"
},
"publisher": "HL7 International - Orders and Observations",
"fhirVersion": [ "4.0.1" ],
"license": "CC0-1.0",
"jurisdiction": [ {
"text": "United States of America",
"coding": [ {
"code": "US",
"system": "urn:iso:std:iso:3166",
"display": "United States of America"
} ]
} ],
"dependsOn": [ {
"id": "hl7fhiruscore",
"uri": "http://hl7.org/fhir/us/core/ImplementationGuide/hl7.fhir.us.core#4.0.0",
"version": "4.0.0",
"packageId": "hl7.fhir.us.core"
}, {
"id": "medmorph",
"uri": "http://hl7.org/fhir/us/medmorph/ImplementationGuide/hl7.fhir.us.medmorph#0.1.0",
"version": "0.1.0",
"packageId": "hl7.fhir.us.medmorph"
} ],
"name": "USCancerPathologyData",
"type": null,
"experimental": null,
"resourceType": "ImplementationGuide",
"title": "Cancer Pathology Data Sharing",
"package_version": "0.1.0",
"status": "draft",
"id": "995416b3-8283-41ca-8eb7-e66d112c2a92",
"kind": null,
"url": "http://hl7.org/fhir/us/cancer-reporting/ImplementationGuide/hl7.fhir.us.cancer-reporting",
"version": "0.1.0",
"packageId": "hl7.fhir.us.cancer-reporting",
"contact": [ {
"name": "HL7 International - Orders and Observations",
"telecom": [ {
"value": "http://www.hl7.org/Special/committees/orders",
"system": "url"
} ]
} ]
}