This project will enable low-burden, standardized, automated reporting of cancer data from cancer centers and other providers who diagnose or treat cancer, to registries, leveraging the mCODE oncology data standard with additional strategically selected, registry-specific data element extensions. This solution will meet the needs of a wide variety of registries, including those focused on standards of care, public health, clinical trials, post-market surveillance, quality reporting, comparative effectiveness, and other critical areas.

The effort will be informed by a stakeholder workgroup that collaborates on multiple phases of work, resulting in a standardized and scalable low-burden approach for registry reporting of mCODE and extended elements via FHIR. The first phase of work focuses on a proof of concept, where a subset of current mCODE-compliant data elements will be sent via FHIR to both a private and state registry, demonstrating that mCODE data can be implemented in a registry-agnostic process. The second and longer phase of work will expand the set of reportable data elements to include the full mCODE set, along with extensions to mCODE in specific areas of interest for private, state, and other registry types. Phase two will also add the capability to “trigger” data elements communicated to state registries, based on and leveraging the reference architecture in development by the Making EHR Data More Available for Research and Public Health (MedMorph) project, supporting timely and low-burden reporting that will benefit data managers and patients alike. The end result will be full mCODE support with extended elements implemented in a registry-agnostic format, including added capabilities such as mCODE extraction and triggering for data reporting. A third phase of work will expand on this progress, adding health systems and all registry types to continue piloting, standardizing, and scaling this solution.