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  1. FHIR Specification Feedback
  2. FHIR-45392

Cancer Related Surgical Procedure should be expanded to include Diagnostic Procedures

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    • Icon: Change Request Change Request
    • Resolution: Not Persuasive with Modification
    • Icon: Medium Medium
    • US Minimal Common Oncology Data Elements (mCODE) (FHIR)
    • 4.0.0-ballot
    • Clinical Interoperability Council
    • STU
    • Cancer-Related Surgical Procedure Profile
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      This profile has a maturity level of 3 and changing the profile name and scope would be a breaking change and hardship on implementers. We will add narrative to further emphasize that if a procedure is done that is not part of the CancerRelatedSurgicalProcedureVS, the US Core Procedure profile should be used.

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      This profile has a maturity level of 3 and changing the profile name and scope would be a breaking change and hardship on implementers. We will add narrative to further emphasize that if a procedure is done that is not part of the CancerRelatedSurgicalProcedureVS, the US Core Procedure profile should be used.
    • Jim McClay / Bruce Bray : 5-0-0
    • Clarification
    • Non-substantive

      The profile name of "Cancer-related surgical procedure" is too narrow. It should include diagnostic procedures (e.g.: fine needle aspiration (FNA) biopsies) if it is in scope to exchange data that supports diagnosis, treatment, and monitoring.

      The profile supports this notion by including "diagnostic intent" as one of the concepts in the [Procedure Intent Value Set|https://build.fhir.org/ig/HL7/fhir-mCODE-ig/ValueSet-mcode-procedure-intent-vs.html|https://build.fhir.org/ig/HL7/fhir-mCODE-ig/ValueSet-mcode-procedure-intent-vs.html],]. Moreover, there are some terms in the value set (e.g.: screening - procedure intent) which are not really performed surgically.

      Rather than keep this narrow scope for the profile name, it would be more inclusive to rename this profile instead to "Cancer-related Procedure".

            Unassigned Unassigned
            may_terry May Terry
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