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  1. FHIR Specification Feedback
  2. FHIR-44928

mCODE STU4 Ballot Variance Request

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    • Icon: Comment Comment
    • Resolution: Considered - No action required
    • Icon: Medium Medium
    • US Core (FHIR)
    • 5.0.1
    • Cross-Group Projects
    • US Core Laboratory Result Observation Profile
      US Core Observation Clinical Result Profile
      US Core Vital Signs Profile
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      Motion to approve variance request with a recommendation to the mCode project to consider moving to US Core 6 now: Brett Marquard / Jason Vogt - 20-1-0

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      Motion to approve variance request with a recommendation to the mCode project to consider moving to US Core 6 now: Brett Marquard / Jason Vogt - 20-1-0

    Description

      mCODE STU4-ballot targets US Core 5.0.01 and contains profiles that do not have appropriate US Core profiles to use as the base. Requesting approval for variance. Details listed in the table below:

       

      mCODE STU4 Profile R4 Base Resource Reason for Variance Previously Approved
      Cancer Disease Status Observation Multiple methods (imaging, pathology, physical exam), so nothing in US Core fits  Yes, FHIR-40383
      Cancer Stage Observation No US Core observation profile fits Yes, FHIR-40383
      Cancer Risk Assessment Observation No US Core observation profile fits No
      Comorbidities Observation No US Core observation profile fits Yes, FHIR-40383
      Deauville Scale Observation No US Core Observation profile fits No
      ECOG Performance Status Observation No US Core Observation profile fits Yes, FHIR-30707
      Karnofsky Performance Status Observation No US Core Observation profile fits Yes, FHIR-30707
      Lansky Play Performance Status Observation No US Core Observation profile fits No
      History of Metastatic Cancer Observation No US Core Observation profile fits Yes, FHIR-41710
      TNM Category Observation No US Core observation profile fits Yes, FHIR-40383
      Tumor Size Observation Multiple methods (imaging, pathology, physical exam), so nothing in US Core fits Yes, FHIR-40383
      Human Specimen Specimen No US Core Specimen Profile in 5.0.1 Yes, FHIR-40383
      Genomic Region Studied Observation Is inherited from the Genomics Reporting IG, which is UV and thus can't also inherit from a US Core profile Yes, FHIR-40383
      Genomics Report Diagnostic Report Is inherited from the Genomics Reporting IG, which is UV and thus can't also inherit from a US Core profile Yes, FHIR-40383
      Genomic Variant Observation Is inherited from the Genomics Reporting IG, which is UV and thus can't also inherit from a US Core profile Yes, FHIR-40383

      The following profiles also do not derive from a US Core profile, because their parent profile is CancerStageGroup or CancerRiskAssessment (listed above):

      When mCODE advances to US Core STU6 as the base, we will re-evaluate which profiles can be based off US Core profiles (e.g., US Core Specimen, US Core Simple Observation).

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            Unassigned Unassigned
            c.potteiger Caroline Potteiger
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              Updated:
              Resolved: