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Welcome to the Lung-CCG wiki!

This project is aimed at aligning the Lung Cancer Diagnosis Computable Care Guideline (CCG) with minimal Common Oconology Data Elements (mCODE).

This project makes use of IHE Structured Data Capture, Computable Care Guidelines, mCODE, and standard terminology to create a set of reusable FHIR PlanDefinitions and ActivityDefinitions to provide decision support on next best steps. Each step is driven by a form of some kind (in this case IHE Structured Data Capture) parsed into FHIR Observations that are used to trigger steps within the CCG. mCODE and necessary standard terminology are used to define what data is required to move to the next step in the Care Guideline defined by the PlandDefinitions.

Goals of this work include:

• Use of mCODE as a minimum data set for the Lung Cancer Diagnosis CCG and possibly other future Cancer related CCGs
• Internationalization of mCODE and possible alignment with the International Patient Summary (IPS)
• Use of FHIR Shorthand (FSH) for creation of PlanDefinition and Activity Definition Instances

Information on the Lung CCG can be found here: Lung CCG Simplifier Site

Lung CCG Implementation Guide

For Details on the Gemini Project Computable Care Guidelines please see the following links:

• CCG Explainer Video
• FHIR Clinical Guidelines
• IHE Computable Care Guidelines

CCGs is a Gemini Project. For more information see: Project Gemini (HL7 & IHE Collaboration)

Details on mCODE and CodeX can be found below:

• mCODE Implementation Guide
• Common oncology data elements eXtensions

Other helpful links:

• FHIR Shorthand
• Ontario Health (Cancer Care Ontario) Lung Disease Pathway Map
• Lung Diagnosis Pathway used in this sample
• American College of Radiologists Lung RADS