HL7 FHIR Implementation Guide: minimal Common Oncology Data Elements (mCODE) Release 1 - US Realm | STU Ballot 1

This page is part of the HL7 FHIR Implementation Guide: minimal Common Oncology Data Elements (mCODE) Release 1 - US Realm | STU1 (v0.9.1: STU 1 Ballot 1) based on FHIR R4. The current version which supercedes this version is 2.0.0. For a full list of available versions, see the Directory of published versions

mCODE FHIR Examples

This section provides some examples how mCODE elements may be represented in a FHIR instance which conforms to this implementation guide.

Patient: mCODEPatientExample01 shows patient demographics like name, address, race, and ethnicity.
Primary Cancer Condition: mCODEPrimaryCancerConditionExample01 shows an example for a patient diagnosed with non-small cell lung cancer (NSCLC) adenocarcinoma.
Clinical Staging Classification: mCODETNMClinicalStageGroupExample01, mCODETNMClinicalPrimaryTumorCategoryExample01, mCODETNMClinicalRegionalNodesCategoryExample01 and mCODETNMClinicalDistantMetastasesCategoryExample01 specify the clinical T, N, and M categories for mCODEPrimaryCancerConditionExample01.
Pathologic Staging Classification: mCODETNMPathologicStageGroupExample01, mCODETNMPathologicPrimaryTumorCategoryExample01, mCODETNMPathologicRegionalNodesCategoryExample01 and mCODETNMPathologicDistantMetastasesCategoryExample01 specify the pathologic T, N, and M categories for mCODEPrimaryCancerConditionExample01.
Tumor Marker: mCODETumorMarkerTestExample01 shows a simple example of an EGFR tumor marker status as positive.
Genomics Report: mCODEGenomicsReportExample01 shows a very small subset elements found in a genomics report which include the test service and test name.
Genetic Mutation Test Result: mCODEGeneticVariantTestedExample01 extends the contents of the Genomic Report example showing whether a test for a specific mutation for STK-11 was detected.
Genetic Variant Found: mCODEGeneticVariantFoundExample01 also extends the contents of the Genomics Report by showing the results of a variant found for a specific gene, STK-11. The variant found profile differs from the mutation test result in that there was no preconceived test for a specific variant ahead of time. Rather, it is the result of any variants found for a given DNA region.

Additional Notes

The narrative rendering of the FHIR examples may not exactly match the wording or order of the structured portion of the FHIR examples. This is on purpose since it is allowed for an implementation to present the data in a way that is understandable to the end user so long as the meaning and context of the structured and coded content is preserved.
The narrative rendering might also contain data not explicitly appearing in the structured section of the FHIR example. In this case, rather than including contained resources, our example assumes this content is generated implicitly by the backend application retrieving and parsing data from the FHIR references included in the structured section of the example. For example, in mCODEGenomicsReportExample01, the narrative section contains information about the genetic mutation tested and variant found, however the coded section just includes the external references to each.
The FHIR examples conform to the HL7 FHIR Argonaut IG where applicable and is subject to change with subsequent releases.
Proprietary content like AJCC staging categories may appear in some of these examples solely for the purposes of illustration only. It is expected that all implementers will adhere to licensing requirements as appropriate.