Details
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Comment
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Resolution: Considered - No action required
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Medium
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US Core (FHIR)
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5.0.1
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Cross-Group Projects
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US Core Laboratory Result Observation Profile
US Core Observation Clinical Result Profile
US Core Vital Signs Profile -
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 |
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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):
- ALL Risk Assessment
- CLL Binet Stage
- CLL Rai Stage
- Gynecologic Tumor FIGO Stage
- Lymphoma Stage
- Melanoma Breslow Depth Stage
- Melanoma Clark Level
- Myeloma ISS Stage
- Myeloma RISS Stage
- Neuroblastoma INRGSS Stage
- Neuroblastoma INSS Stage
- Prostate Gleason Grade Group
- Rhabdomyosarcoma Clinical Group Stage
- Rhabdomyosarcoma Risk Assessment
- TNM Distant Metastases Category
- TNM Primary Tumor Category
- TNM Regional Nodes Category
- TNM Stage Group
- Wilms Tumor Stage
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).
Attachments
Issue Links
- relates to
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FHIR-30707 Deviation Request for mCODE STU 2 (May 2021 Ballot)
- Resolved - No Change
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FHIR-40383 Variances for mCODE STU3 Observations + Specimen
- Resolved - No Change
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FHIR-41710 mCODE STU3 Observation Variance for HistoryOfMetastaticCancer
- Resolved - No Change