{"id":23659,"date":"2025-01-08T14:48:15","date_gmt":"2025-01-08T19:48:15","guid":{"rendered":"https:\/\/healthit-gov.go-vip.net\/buzz-blog\/?p=23659"},"modified":"2026-01-17T21:35:18","modified_gmt":"2026-01-17T21:35:18","slug":"advancing-cancer-care-through-fhir-based-reporting-updates-from-uscdi-cancer","status":"publish","type":"post","link":"https:\/\/healthit.gov\/blog\/interoperability\/advancing-cancer-care-through-fhir-based-reporting-updates-from-uscdi-cancer\/","title":{"rendered":"Advancing Cancer Care through FHIR-Based Reporting: Updates from USCDI+ Cancer"},"content":{"rendered":"\n<p>Recognizing the importance of seamless data exchange in oncology, <a href=\"https:\/\/www.whitehouse.gov\/ostp\/news-updates\/2024\/03\/05\/improving-cancer-care-through-better-electronic-health-records-voluntary-commitments-and-call-to-action\/\">six health IT vendors<\/a> have committed to supporting USCDI+ Cancer data elements (two more organizations pledged to promote cancer-related activities in their work), marking a significant step toward a more interoperable and standardized healthcare system. The White House announced these activities in March, 2024 to improve cancer care through enhanced utilization of EHR data, highlighting ASTP\u2019s efforts around the United States Core Data for Interoperability (USCDI), <a href=\"https:\/\/healthit.gov\/standards-and-technology\/uscdi-plus\/\">USCDI+<\/a> Cancer program, and the Centers for Medicare &amp; Medicaid Services (CMS) <a href=\"https:\/\/www.cms.gov\/priorities\/innovation\/innovation-models\/enhancing-oncology-model\">Enhancing Oncology Model<\/a> (EOM). The goal of this work is to standardize essential cancer-related clinical data elements within EHRs to improve interoperability, care delivery, and outcomes.<\/p>\n\n\n\n<p>The USCDI+ Cancer team initially focused on the <a href=\"https:\/\/uscdiplus.healthit.gov\/uscdiplus?id=uscdi_record&amp;table=x_g_sshh_uscdi_sub_domain&amp;sys_id=027c5a2747fdc250e3e27e0f826d43e9&amp;view=sp\">EOM Use Case<\/a> to demonstrate the ability to exchange cancer data leveraging established Fast Healthcare Interoperability Resources\u00ae (FHIR\u00ae) application programming interface (API) based standards. Numerous groups from across government, industry, and care providers\u2014including ASTP, CMS, and the HL7\u00ae minimal Clinical Oncology Data Elements (mCODE) group\u2014came together to rapidly develop an <a href=\"https:\/\/packages.fhir.org\/guide\/enhancing-oncology-model?version=1.0.1\">Implementation Guide<\/a> to support FHIR-based clinical and sociodemographic data submissions for EOM\u2019s Performance Period 1 (PP1) in preparation for the reporting submission period ending October 31, 2024. For PP1, providers had the option of submitting <a href=\"https:\/\/www.cms.gov\/priorities\/innovation\/media\/document\/eom-clinical-data-elements-guide\">required data elements<\/a> via \u201clow tech\u201d or \u201chigh tech\u201d methods. The \u201clow tech\u201d method reflects a more traditional chart abstraction-based reporting process, while the \u201chigh tech\u201d method reflects automated submission via FHIR API. Two of the committed vendors successfully transmitted data on behalf a subset of their EOM-enrolled providers to CMS via FHIR API using mCODE and aligning with USCDI+ Cancer data elements. Early feedback from PP1 indicates continued expansion of providers leveraging the \u201chigh tech\u201d method and vendors submitting via FHIR-based exchange for Performance Period 2.&nbsp;<\/p>\n\n\n\n<p>This work highlights the critical importance of interagency and cross-sector collaboration when attempting to address the complexities of data standards and interoperability. The successful implementation of FHIR-based reporting for cancer data in EOM brings us closer to a more cohesive and effective healthcare system for cancer patients. Continued partnerships and commitment from all partners are essential as we strive to improve outcomes and deliver high-quality, patient-centered cancer care nationwide.&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Recognizing the importance of seamless data exchange in oncology, six health IT vendors have committed [&hellip;]<\/p>\n","protected":false},"author":619,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_selected_menu":"","_show_breadcrumbs":"true","_blog_show_featured_image":false,"footnotes":""},"categories":[27,37],"archived-category":[],"featured":[],"topics":[463,418,461],"class_list":["post-23659","post","type-post","status-publish","format-standard","hentry","category-health-it","category-interoperability","topics-fhir","topics-interoperability","topics-uscdi-plus"],"acf":{"blog_authors":[{"blog_author_profiles":"198616"},{"blog_author_profiles":"198772"},{"blog_author_profiles":"198732"},{"blog_author_profiles":"198773"}],"hp_news_hide":false},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v24.3 (Yoast SEO v24.8.1) - 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