<status value="draft" /> <fhirVersion value="4.0.1" /> <mapping> <identity value="rim" /> <uri value="http://hl7.org/v3" /> <name value="RIM Mapping" /> </mapping> <mapping> <identity value="cda" /> <uri value="http://hl7.org/v3/cda" /> <name value="CDA (R2)" /> </mapping> <mapping> <identity value="w5" /> <uri value="http://hl7.org/fhir/fivews" /> <name value="FiveWs Pattern Mapping" /> </mapping> <mapping> <identity value="v2" /> <uri value="http://hl7.org/v2" /> <name value="HL7 v2 Mapping" /> </mapping> <mapping> <identity value="loinc" /> <uri value="http://loinc.org" /> <name value="LOINC code for the element" /> </mapping> <kind value="resource" /> <abstract value="false" /> <type value="Patient" /> <baseDefinition value="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-patient" /> <derivation value="constraint" /> <differential> <element id="Patient.extension:race"> <path value="Patient.extension" /> <sliceName value="race" /> </element> <element id="Patient.extension:race.extension"> <path value="Patient.extension.extension" /> <min value="1" /> </element> <element id="Patient.extension:ethnicity"> <path value="Patient.extension" /> <sliceName value="ethnicity" /> </element> <element id="Patient.extension:ethnicity.extension"> <path value="Patient.extension.extension" /> <min value="1" /> </element> <element id="Patient.identifier"> <path value="Patient.identifier" /> <slicing> <discriminator> <type value="value" /> <path value="system" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="Patient.identifier:CmsMBI"> <path value="Patient.identifier" /> <sliceName value="CmsMBI" /> <min value="1" /> <max value="1" /> </element> <element id="Patient.identifier:CmsMBI.system"> <path value="Patient.identifier.system" /> <patternUri value="http://hl7.org/fhir/sid/us-mbi" /> </element> </differential> </StructureDefinition>

The EOM Cancer Patient profile is the only profile in the EOM Implementation Guide (IG) that is not directly referencing the corresponding mCODE STU 3 profile. The main update made to this profile is the requirement to include the Medicare Beneficiary Identifier (MBI). The MBI is the required identifier for EOM. The following data elements are required to be submitted using the EOM Cancer Patient Profile to successfully meet Performance Period (PP) 1 Clinical Data Element (CDE) requirements:

Medicare Beneficiary Identifier (MBI): cmsMBI
First Name: patient.name.given
Last Name: patient.name.family
Date of Birth: patient.birthDate
- NOTE: The date should be in the format YYYY-MM-DD.
Beneficiary Sex: patient.gender
Date Patient Died: deceasedDateTime
- NOTE: If the patient is deceased, the date should be shared in the format YYYY-MM-DD. If only a portion of the date is known, what is known should be shared. If the patient is not deceased, this data element should be left blank.

All EOM required data elements except for deceasedDateTime will be provided as part of the Episode-based Attribution list (or "prefill data") shared with FHIR data submitters via the Parameters Resource. The data received can be shared back in the EOM Cancer Patient Profile.

If an EOM participant is submitting CDE data via FHIR, the requirements for the Sociodemographic Data Element (SDE) PP1 data submission can also be met by submitting the following additional data elements using the EOM Cancer Patient Profile and one additional Observation:

Beneficiary Race: Patient.extension:race
Beneficiary Ethnicity: Patient.extension:ethnicity
Sex Assigned at Birth: Patient.extension:birthsex
Gender Identity: Patient.extension:genderIdentity
Preferred Language: Patient.communication.language

To submit Sexual Orientation, which is also required as part of the PPI SDE data collection, use the US Core Observation Sexual Orientation Profile, and the associated value set.

For more information about EOM SDE requirements, see the EOM Sociodemographic Data Elements Guide v2.2 (June 4, 2024)