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  1. FHIR Specification Feedback
  2. FHIR-24476

Onco-core-VariantTested-extension is the same as onco-core-GeneticVariantFound - MCODE #29

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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
    • GeneticVariantTested
    • Hide

      In discussion with Bret and Nephi, per discussion with Lloyd, it should be possible for a given Observation-based profile to not have a derived-from relationship with Observation-based profiles but ensuring that created instances will validate with the dependent profiles (i.e.: "just have the right element stuff").

      This will allow GeneticVariantTested and GeneticVariantFound to be compatible with the CG IG ObsVariant without deriving from it, as long as the FHIR instances created from the mCODE profiles validate against CG ObsVariant profile.

      If accepted, mCODE would need to create a conformance statement that specifies that it validates against the CG IG.

      Proposed Resolution: Persuasive with Mod

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      In discussion with Bret and Nephi, per discussion with Lloyd, it should be possible for a given Observation-based profile to not have a derived-from relationship with Observation-based profiles but ensuring that created instances will validate with the dependent profiles (i.e.: "just have the right element stuff"). This will allow GeneticVariantTested and GeneticVariantFound to be compatible with the CG IG ObsVariant without deriving from it, as long as the FHIR instances created from the mCODE profiles validate against CG ObsVariant profile. If accepted, mCODE would need to create a conformance statement that specifies that it validates against the CG IG. Proposed Resolution: Persuasive with Mod
    • Richard Esmond/Kurt Allen: 10-0-1
    • Enhancement
    • Compatible, substantive

    Description

      Comment:

      (some of the sub-extensions are a component in the CG IG as commented elsewhere)

      The onco-core-VariantTested-extension extension can be represented as http://hl7.org/fhir/us/mcode/2019SEP/StructureDefinition-onco-core-GeneticVariantFound. Recommend including an element with required cardinality that required a related observation to http://hl7.org/fhir/us/mcode/2019SEP/StructureDefinition-onco-core-GeneticVariantFound, in http://hl7.org/fhir/us/mcode/2019SEP/StructureDefinition-onco-core-GeneticVariantTested. This would be cleaner from a data retrieval perspective and a better model. Implementation is just as easy as the extension model, if not easier.

      Summary:

      Onco-core-VariantTested-extension is the same as onco-core-GeneticVariantFound

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            may_terry May Terry
            bheale Bret Heale
            Bret Heale
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              Created:
              Updated:
              Resolved: