Modeling Clinical and Pathologic Staging Groups as Observations - MCODE #100

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    • Type: Change Request
    • Resolution: Considered - No action required
    • Priority: Medium
    • US Minimal Common Oncology Data Elements (mCODE) (FHIR)
    • STU3
    • Clinical Interoperability Council
    • (NA)
    • Landing Page - Discl
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      This comment is related to GF#23820, which posed the question whether staging might be better represented using DiagnosticReport, rather than Observation. We appreciate the input from CDC and concur with the rationale offered here to not change to DiagnosticReport.

      Suggested Resolution: No Change

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      This comment is related to GF#23820, which posed the question whether staging might be better represented using DiagnosticReport, rather than Observation. We appreciate the input from CDC and concur with the rationale offered here to not change to DiagnosticReport. Suggested Resolution: No Change
    • MayTerry/Richard Esmond: 14-0-0
    • Clarification

      Existing Wording: "The authors are considering whether it might be more accurate to represent Clinical and Pathologic Staging Groups as DiagnosticReports, rather than Observations. Feedback is welcome."

      Comment:

      While we recognize that the DiagnosticReports modeling might be the more technically accurate representation, we feel Staging is best represented as Observations rather than DiagnosticReports for the initial implementation.

      -The observation model aligns with the HL7 CDA® R2 IG: Reporting to Public Health Cancer Registries from Ambulatory Healthcare Providers, R1, DSTU Release 1.1 - US Realm that is already used by vendors transmitting cancer reports to state cancer registries.

      -The Observations model can be incorporated into the DiagnosticReports Model without much revision.

      -The DiagnosticReports Model is more complex/heavy

      Summary:

      Modeling Clinical and Pathologic Staging Groups as Observations

            Assignee:
            May Terry
            Reporter:
            wendyblumenthal
            Watchers:
            3 Start watching this issue

              Created:
              Updated:
              Resolved: