Data Element
Cancer Treatment Evaluation Basis of Disease Status
Description

What measures were used in the determination of the disease status.
The AAPM Operational Ontology for Radiation Oncology ( https://aapmbdsc.azurewebsites.net) noted a Delphi process to identify standard values recommended for classification. These were

Physical exam

PSA

Plain film radiographs

Bone scan

Magnetic Resonance Imaging

Computed Tomograph

Biochemical marker (PSA)

PET-CT (PSMA)

PET-CT (F-18 fluciclovine)

PET-CT (C-11 choline)

In OORO for each instance record of a Cancer Patient Treatment Outcome, multiple values of Evaluation Basis of Disease Status can be selected e.g. PSA, MRI
Submitted By: Charles Mayo / University of Michigan
Data Element Information
Use Case Description(s)
Use Case Description Categorization of disease response to treatment outcome. All instances record the Patient Age and/or the Date at the time of assigning the Patient Treatment Outcome. This information is vital to understanding effectiveness of treatment approaches and for public heath policy guidance
Estimate the breadth of applicability of the use case(s) for this data element All cancer care providers
Healthcare Aims
  • Improving patient experience of care (quality and/or satisfaction)
  • Improving the health of populations
  • Reducing the cost of care
  • Improving provider experience of care
Maturity of Use and Technical Specifications for Data Element
Applicable Standard(s) N/A
Additional Specifications N/A
Current Use In limited use in production environments
Supporting Artifacts Snomed CT SCTID- 716618008; NCI Thesarus NCITC- C18919 ; NCIMT- C1518681}
Extent of exchange N/A
Potential Challenges
Restrictions on Standardization (e.g. proprietary code) No restrictions
Restrictions on Use (e.g. licensing, user fees) None
Privacy and Security Concerns None
Estimate of Overall Burden Minor effort to implement collection with positive impact for providers, referrals, and institutions
ONC Evaluation Details
Each submitted Data Element has been evaluated based on the following criteria. The overall Level classification is a composite of the maturity based on these individual criteria. This information can be used to identify areas that require additional work to raise the overall classification level and consideration for inclusion in future versions of USCDI
Criterion #1
Maturity - Current Standards		 Level 0 - Data element is not represented by a terminology standard or SDO-balloted technical specification or implementation guide.
Criterion #2
Maturity - Current Use 		Level 0 - Data element is captured, stored, or accessed in limited settings such as a pilot or proof of concept demonstration.
Criterion #3
Maturity - Current Exchange		 Level 0 - Data element is electronically exchanged in limited environments, such as connectathons or pilots.
Criterion #4
Use Case(s) - Breadth of Applicability		 Level 0 - Use cases apply to a limited number of care settings or specialties, or data element represents a specialization of other, more general data elements.

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