CodeX Implementation Guide: ICAREdata v0.1.2

CodeX Implementation Guide: ICAREdata v0.1.2 FHIR Profiles - Local Development build (v0.1.2). See the Directory of published versions

ICAREdata® Structured Phrases to mCODE™ DSTU2 FHIR Mapping Guidance

There are currently two structured phrases, including:

  • Cancer Disease Status, which maps to the mCODE CancerDisease Status profile; and
  • Cancer Treatment Plan Change, which maps to the CarePlanWithReview profile defined in this implementation guide.

The mapping details for each strcutured phrase are provided below, and are aligned with mCODE v0.9.1 (FHIR DSTU2).

Cancer Disease Status

The Cancer Disease Status structured phrase maps to the mCODE CancerDiseaseStatus profile. Mapping details are provided in Table 1 below.

For more information on the CancerDiseaseStatus profile, please consult the mCODE 0.9.1 DSTU2 specification.

Table 1. Mapping of ICAREdata Cancer Disease Status structured phrase to the mCODE CancerDiseaseStatus profile
ICAREdata Cancer Disease Status Phrase mCODE DSTU2 CancerDiseaseStatus Profile Mapping
Phrase Component Phrase Component Value FHIR Profile Element Terminology Binding Notes
Value Set Code Description
Lesion evaluated Primary tumor

modifierExtension.relatedCancerCondition.ValueReference

n/a

This element should reference an resource compliant with the the PrimaryCancerCondition mCODE profile.

Metastatic tumor n/a

This element should reference an resource compliant with the the SecondaryCancerCondition mCODE profile.

Not evaluated dataAbsentReason.valueCodeableconcept Observation Value Absent Reason not-asked Not Asked
Status No evidence of disease valueCodeableConcept ConditionStatusTrendVS 260415000 In full remission (qualifier value). Use this term for expressing NED (no evidence of
disease), condition resolved, or full remission.
Responding 385633008 Improving (qualifier value)
Stable 58158008 Stable (qualifier value)
Progressing 230993007 Worsening (qualifier value)
Reason Imaging extension.obf-evidenceType-extension.valueCodeableConcept CancerDiseaseStatusEvidenceTypeVS 363679005 Imaging (procedure)
Pathology 252416005 Histopathology test (procedure)
Symptoms 711015009 Assessment of symptom control (procedure)
Physical exam 5880005 Physical examination procedure (procedure)
Tumor marker 250724005 Tumor marker measurement (procedure)

Cancer Treatment Plan Change

The ICAREdata Cancer Treatment Plan Change structured phrase maps to the ICAREdata FHIR profile CarePlanWithReview defined in this implementation guide.

The allowable values for the structured phrase include information about whether a treatment change was made, as well as a reason, when a change did take place. In the ICAREdata FHIR profile, this translates into two separate elements: one that captures whether a change took place, and another that holds the reason for the change. Mapping details for this structured phrase are provided in Table 2 below.

Table 2. Mapping of ICAREdata Cancer Treatment Plan Change structured phrase to the ICAREdata TreatmentPlanWithReview profile
ICAREdata Cancer Treatment Plan Change Phrase mCODE DSTU2 CancerDiseaseStatus Profile Mapping
Phrase Value FHIR Profile Element Terminology Binding
Value Set Code Description
No change in treatment plan extension.obf-Review-extension.extension.obf-Changed-extension.valueBoolean = false n/a
yes-disease not responding extension.obf-Review-extension.extension.obf-Changed-extension.valueBoolean = true n/a
extension.obf-Review-extension.extension.obf-ReasonCode-extension.valueCodeableConcept CarePlanChangeReasonVS 266721009 Absent response to treatment (situation)
yes-due to AE/toxicity extension.obf-Review-extension.extension.obf-Changed-extension.valueBoolean = true n/a
extension.obf-Review-extension.extension.obf-ReasonCode-extension.valueCodeableConcept CarePlanChangeReasonVS 281647001 Adverse reaction (disorder)
yes-planned change extension.obf-Review-extension.extension.obf-Changed-extension.valueBoolean = true n/a
extension.obf-Review-extension.extension.obf-ReasonCode-extension.valueCodeableConcept CarePlanChangeReasonVS 405613005 Planned Procedure (situation)
yes-due to patient request extension.obf-Review-extension.extension.obf-Changed-extension.valueBoolean = true n/a
extension.obf-Review-extension.extension.obf-ReasonCode-extension.valueCodeableConcept CarePlanChangeReasonVS 182890002 Patient requests alternative treatment (finding)
yes-due to other extension.obf-Review-extension.extension.obf-Changed-extension.valueBoolean = true n/a
extension.obf-Review-extension.extension.obf-ReasonCode-extension.valueCodeableConcept CarePlanChangeReasonVS 74964007 Other (qualifier value)

 


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