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Overview

  • Procedures and medications used to treat a cancer patient, or relevant to that treatment.

Profile: CancerRelatedMedicationStatement

http://hl7.org/fhir/us/mcode/StructureDefinition-mcode-cancer-related-medication-statement.html

  • Base FHIR Resource: MedicationStatement
  • Derived from: MedicationStatement
  • Description: A record of the use of a medication for a condition that is related to a primary or secondary cancer condition.
  • mCODE-specific Attribute Constraints:
    • Medication[x] is restricted to medicationCoedableConcept and is must support
    • Effective[x] is required, must support
    • reasonCode is 0..1
    • Dosage is 0..1
  • mCODE-specific Extensions:
    • mcode-treatment-intent is must support
    • mcode-termination-reason is must support
  • mCODE-specific Slices: none
  • mCODE-specific ValueSets:
    • medicationCoedableConcept is bound to US Core Medication Codes (RXNorm) (extensible)

Other Notes of Interest: 

  • The purpose of mcode-treatment-intent is to signify if the medication is curative or palliative.
  • The purpose of mcode-termination-reason is to signify why the medication was stopped.
  • RxNorm only contains medications that are FDA Approved. There are no RXNorm codes for experimental drugs.

Profile: CancerRelatedSurgicalProcedure

http://hl7.org/fhir/us/mcode/StructureDefinition-mcode-cancer-related-surgical-procedure.html

  • Base FHIR Resource: Procedure
  • Derived from: USCoreProcedureProfile
  • Description: A surgical action addressing a cancer condition.
  • mCODE-specific Attribute Constraints:
    • Category is fixed to SCT#387713003 “Surgical Procedure”
    • Subject reference restricted to (CancerPatient)
    • reasonReference reference restricted to (CancerConditionParent) and is must support
    • partOf reference restricted to (Procedure)
    • recorder reference restricted to (Practitioner|PractitionerRole)
    • Performer.actor reference restricted to (Pracititioner | PractitionerRole | Organization)
    • bodySite is must support
    • reasonCode is must support
  • mCODE-specific Extensions:
    • mcode-treatment-intent is must support
    • mcode-laterality is must support
  • mCODE-specific Slices: none
  • mCODE-specific ValueSets:
    • Code is bound to Cancer Related Surgical Procedure Value Set (extensible)
    • reasonCode is bound to Cancer Disorder Value Set (extensible)

Other Notes of Interest: 

  • The scope of this profile only includes cancer-related procedures by constraining the reasonReference and reasonCode to cancer conditions.
  • The Cancer Related Surgical Procedure Value Set includes selected SNOMED CT codes that may be used in the treatment of cancer tumors.
  • The Cancer Disorder Value Set includes broad cancer-related value set containing both primary and secondary tumor types including both diagnosis and histology/morphology/behavior codes.
  • The purpose of mcode-treatment-intent is to signify if the surgical procedure is curative or palliative.
  • The mcode-laterality extension was added to bodySite to indicate the side of the body location, if needed. See ComorbidCondition – Other Notes of Interest for more details.
  • The partOf, recorder, , subject, recorder, and performer.actor attributes are restricted so references that would not be logical for this profile are not allowed.

Profile: CancerRelatedRadiationProcedure

http://hl7.org/fhir/us/mcode/StructureDefinition-mcode-cancer-related-radiation-procedure.html

  • Base FHIR Resource: Procedure
  • Derived from: USCoreProcedureProfile
  • Description: A radiological treatment addressing a cancer condition.
  • mCODE-specific Attribute Constraints:
    • Category is fixed to SCT#53438000 “Radiation therapy procedure or service”
    • Subject reference restricted to (CancerPatient)
    • reasonReference reference restricted to (Cancer Condition Parent)
    • partOf reference restricted to (Procedure)
    • Recorder reference restricted to (Practitioner | PractitionerRole)
    • Performer.actor reference restricted to (Pracititioner | PractitionerRole | Organization)
    • bodySite is must support
    • focalDevice is zeroed out
  • mCODE-specific Extensions:
    • mcode-treatment-intent is must support
    • mcode-termination-reason
    • mcode-laterality is must support
  • mCODE-specific Slices: none
  • mCODE-specific ValueSets:
    • Code is bound to Radiation Procedure Value Set (extensible)
    • reasonCode is bound to Cancer Disorder Value Set (extensible)
    • bodySite is bound to Radiation Target Body Site Value Set (extensible)

Other Notes of Interest: 

  • The scope of this profile has been narrowed to cancer-related procedures by constraining reasonReference and reasonCode to cancer conditions
  • The Cancer Disorder Value Set includes broad cancer-related value set containing both primary and secondary tumor types including both diagnosis
  • The Radiation Target Body Site Value Set contains codes for body sites that can be targets of radiation therapy. This list is based on STORE 2018.
  • The purpose of mcode-termination-reason is to signify why the radiation procedure was stopped
  • The purpose of mcode-treatment-intent is to signify if the surgical procedure is curative or palliative.
  • The mcode-laterality extension was added to bodySite to indicate the side of the body location, if needed. See ComorbidCondition – Other Notes of Interest for more details.
  • The partOf, recorder, subject, recorder, and performer.actor attributes are restricted so references that would not be logical for this profile are not allowed.
  • focalDevice is zeroed out because including a data element for this attributes would not be logical for this profile.







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