Conclusions and working assumptions that will guide treatment of the patient, and recommendations for future treatment.

Data Element

Treatment Change
Description

Treatment Change documents the reason for changes to the plan of treatment plan. The options for this data element are, for example: no change (continue treatment), planned change, no response to treatment, adverse reaction, patient request for alternative treatment. The first option (no change in treatment plan) can document a review of the treatment plan that did not require in a change of treatment.

Comment

This data element has…

This data element has support from the HL7® FHIR® CodeX™ Accelerator community. CodeX supported FHIR data standards for cancer, genomics and cardiovascular health have a rapidly growing footprint of traction and adoption. The CodeX community is rapidly growing its membership, with invested Member leaders driving implementation-focused use case pilots forward.

This data element is important to the CodeX “ICAREdata” Use Case: EHR Endpoints for Cancer Clinical Trials: https://confluence.hl7.org/display/COD/EHR+Endpoints+for+Cancer+Clinical+Trials

This use case aims to capture high quality clinical treatment data in electronic health records (EHRs) to enable oncology research. There are 5 key partners, including government, research, and industry, involved in the use case. This prospective use case pilot is currently active at 7 health sites as part of 11 clinical trials.

The ”Treatment Change” data element aligns in FHIR with the draft CodeX Implementation Guide: ICAREdata: http://build.fhir.org/ig/standardhealth/fsh-icare/

CodeX Overview for USCDI v5 Inputs: https://confluence.hl7.org/display/COD/USCDI%3A+Comments+from+CodeX+Community?preview=/184913335/184927637/2023_09%20CodeX%20Overview%20for%20USCDIv5.pdf

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