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  1. FHIR Specification Feedback
  2. FHIR-24468

Which morphologies in scope, out of scope? - MCODE #12

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    • Icon: Change Request Change Request
    • Resolution: Persuasive with Modification
    • Icon: Medium Medium
    • US Minimal Common Oncology Data Elements (mCODE) (FHIR)
    • STU3
    • Clinical Interoperability Council
    • Profiles
    • MorphologyImpPtBldNa
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      This issue falls under a general reconsideration of mCODE lab profiles, where it is proposed to drop the CBC and CMP laboratory profiles. The creation of the mCODE lab profiles was originally intended to accelerate the adoption detailed clinical models for labs in anticipation of CIMI laboratory profiles. It has become clear that if mCODE publishes lab profiles, and CIMI follows with its own lab profiles that are more or less different, mCODE will be guilty of creating a confusing situation with multiple laboratory profiles. Rather than risking that outcome, we propose eliminate this profile. In its place, we will list the LOINC codes of interest to mCODE, instruct implementers for the time being to follow US Core Laboratory Result profiles, and await publication of CIMI lab profiles.

      Proposed resolution: Persuasive with mod (delete profile)

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      This issue falls under a general reconsideration of mCODE lab profiles, where it is proposed to drop the CBC and CMP laboratory profiles. The creation of the mCODE lab profiles was originally intended to accelerate the adoption detailed clinical models for labs in anticipation of CIMI laboratory profiles. It has become clear that if mCODE publishes lab profiles, and CIMI follows with its own lab profiles that are more or less different, mCODE will be guilty of creating a confusing situation with multiple laboratory profiles. Rather than risking that outcome, we propose eliminate this profile. In its place, we will list the LOINC codes of interest to mCODE, instruct implementers for the time being to follow US Core Laboratory Result profiles, and await publication of CIMI lab profiles. Proposed resolution: Persuasive with mod (delete profile)
    • Richard Esmond/Kurt Allen: 10-0-1
    • Clarification
    • Compatible, substantive

    Description

      Comment:

      which morophologies in scope, out of scope? Plt morphologies, RBC morphs, WBC morph, cellular inclusions, etc? This is pretty generic and implementers may include 1 or more or exclude others that are clinically significant without further guidance. What about Nom morphologies that are not narrative?

      Summary:

      Which morphologies in scope, out of scope?

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            may_terry May Terry
            apitkus Andrea Pitkus
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              Updated:
              Resolved: