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  1. FHIR Specification Feedback
  2. FHIR-24532

CancerDiseaseStatus Observation.code is incorrect - MCODE #115

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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
    • Withdrawn
    • Profiles
    • CancerDiseaseStatus
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      This issue was re-voted at the CIC group meeting on 2/27. It was voted (6-0-0 Kramer/Terry) to change the resolution from "Not persuasive" to "Persuasive with Mod".

      The mCODE team will apply for a new LOINC code that more accurately describe the cancer disease status and will add documentation to the current FHIR IG explaining the code mismatch in the Publication Request and mark it for future use. 

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      This issue was re-voted at the CIC group meeting on 2/27. It was voted (6-0-0 Kramer/Terry) to change the resolution from "Not persuasive" to "Persuasive with Mod". The mCODE team will apply for a new LOINC code that more accurately describe the cancer disease status and will add documentation to the current FHIR IG explaining the code mismatch in the Publication Request and mark it for future use. 
    • Mark Kramer/May Terry: 6-0-0
    • Correction
    • Non-substantive

    Description

      Comment:

      LOINC code bound to Observation.code is incorrect. LOINC 88040-1, Response to cancer treatment, is more specific than the profile. This may be the closest matching LOINC code to what's needed but it's different enough that it shouldn't be used here. If the use case for this profile is to record specifically a condition's response to treatment (as is suggested by the LOINC code) then you should consider renaming the profile.

      Summary:

      CancerDiseaseStatus Observation.code is incorrect

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            may_terry May Terry
            smatney Susan Matney (Inactive)
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              Updated:
              Resolved: