mCode

In this tutorial we will guide you how to setup minimal Common Oncology Data Elements (mCODE) FHIR Implementation Guide.

Setup Aidbox with minimal Common Oncology Data Elements (mCODE) IG version 3.0.0 with prebuilt Aidbox config

To correctly set up Aidbox, we'll utilize the Aidbox configuration projects.

There's an existing guide for this process. Adhere to this guide, but note a variation when you reach the Configure the Aidbox step: instead of using the recommended configuration projects (R4,R4B,R5,etc.) — clone this specific project:

git clone \
  --branch=mcode \
  --depth=1 \
  https://github.com/Aidbox/aidbox-project-template.git \
  aidbox-project && \
  cd aidbox-project && \
  rm -rf .git

The git template project contains minimal Common Oncology Data Elements (mCODE) IG version 3.0.0 FHIR IG preconfigured via .env file.

If you already have a running Aidbox instance, please refer to the following guide:

Upload FHIR Implementation Guide

Validate example resources against minimal Common Oncology Data Elements (mCODE) IG version profiles

Valid Patient resource

yaml

POST /fhir/Patient

resourceType: Patient
meta:
  profile:
  - http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-patient
extension:
- extension:
  - url: ombCategory
    valueCoding:
      system: urn:oid:2.16.840.1.113883.6.238
      code: 2028-9
      display: Asian
  - url: text
    valueString: Asian
  url: http://hl7.org/fhir/us/core/StructureDefinition/us-core-race
- extension:
  - url: ombCategory
    valueCoding:
      system: urn:oid:2.16.840.1.113883.6.238
      code: 2186-5
      display: Not Hispanic or Latino
  - url: text
    valueString: Not Hispanic or Latino
  url: http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity
- url: http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex
  valueCode: M
- url: http://hl7.org/fhir/us/core/StructureDefinition/us-core-sex
  valueCode: '248153007'
identifier:
- use: usual
  type:
    coding:
    - system: http://terminology.hl7.org/CodeSystem/v2-0203
      code: MR
      display: Medical Record Number
    text: Medical Record Number
  system: http://hospital.smarthealthit.org
  value: '1032704'
active: true
name:
- family: Example
  given:
  - Child
telecom:
- system: phone
  value: 555-555-5555
  use: home
gender: male
birthDate: '2016-01-15'
address:
- line:
  - 49 Meadow St
  city: Mounds
  state: OK
  postalCode: '74047'
  country: US

The sample of the Patient resource is invalid because it does not comply with parental us-core-patient profile with the required keys, identifier and gender. It violates the us-core-6 FHIRPath constraint due to the absence of the family and given properties and the data-absent-reason extension in the name property. Additionally, it violates the terminology binding on the ombCategory extension.

Invalid Patient resource

yaml

POST /fhir/Patient

resourceType: Patient
meta:
  profile:
  - http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-patient
extension:
- extension:
  - url: ombCategory
    valueCoding:
      system: urn:oid:2.16.840.1.113883.6.238
      code: some-nonsense
      display: Asian
  - url: text
    valueString: Asian
  url: http://hl7.org/fhir/us/core/StructureDefinition/us-core-race
- extension:
  - url: ombCategory
    valueCoding:
      system: urn:oid:2.16.840.1.113883.6.238
      code: 2186-5
      display: Not Hispanic or Latino
  - url: text
    valueString: Not Hispanic or Latino
  url: http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity
- url: http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex
  valueCode: M
- url: http://hl7.org/fhir/us/core/StructureDefinition/us-core-sex
  valueCode: '248153007'
active: true
name:
- use: official
telecom:
- system: phone
  value: 555-555-5555
  use: home
birthDate: '2016-01-15'
address:
- line:
  - 49 Meadow St
  city: Mounds
  state: OK
  postalCode: '74047'
  country: US