This dashboard provides a consolidated, internal view of progress across all active CodeX Use Cases. It is updated by the CodeX PMO Team monthly using information from Use Case status reports and serves as the primary tool for the PMO, Steering Committee, and Operating Committee to monitor progress, identify risks, and support decision-making.

Each Use Case is listed by its current stage in the CodeX Methodology, with key updates on milestones, next steps, and risks. 


DomainUse Case NameStageProgress SummaryKey Milestones Achieved (this period)Next Steps (next period)Champion(s)Use Case CoordinatorHL7 WG(s)Estimated Timeline to Complete StageLast Updated
OncologyPrior Authorization in Medical OncologyPlanning
  • se Case Plan finalized by clinical and technical stakeholders
  • Governance approval is underway and is the key remaining step to move to Execution
  • Presented to OpCo on May 27
  • Published Oncologist Listening Sessions article 
  • Finalized Use Case Plan 
  • Established 5-member Clinical Advisory Board 
  • Reached out to HL7 WGs to share project and determine sponsorship
  • Present to SteerCo on June 10 
  • Seek approval to move to Execution 
  • Attend Clinical Decision Support and Financial Planning HL7 WGs meetings
  • Post MOPA Project Proposal due on June 1
To be definedNoneQ2 2026

 

Cardiovascular HealthHypertension ManagementExecution
  • Execution is progressing with implementation planning underway 
  • Omron has committed to support CardX SMBP IG work with El Rio 
  • Technical team identified for IG, Omron, and Epic integration planning
  • Secured Omron leadership support
  • Identified El Rio Public Health Department as implementation partner
  • Identified technical team for integration planning.
  • Kick off Omron, El Rio, and CardX technical integration planning
  • Continue HTN IG Reference Guide development
  • Re-introduce Omron to CodeX for membership
  • Resume HTN Management leadership meetings.
CICQ2 2026

Cardiac Implantable Electronic Device - Alert ManagementExecution
  • Execution is progressing
  • Clinical scenarios and IG build are advancing
  • Pilot site discussions are underway
  • Advanced manufacturer alert planning
  • BMP team began developing clinical scenarios
  • Continued IG build using IDCO terminology.
  • Presented CIED progress at the World Forum meeting at HRS
  • Finalize clinical scenarios for alert phase
  • Continue pilot site discussions and planning

Dr. John Windle & James Tcheng 

CIC2027

mCARDDiscovery
  • Discovery is well advanced 
  • Initial terminology mapping, business proposal, and planning activities are underway 
  • Retreat outputs have been converted into action items and work assignments
  • Mapped first 5 terms 
  • Drafted mCARD business proposal 
  • Completed mCARD retreat at UNMC 
  • Defined action items for metadata, technical mapping, gap analysis, project planning, and HL7 proposal development
  • Schedule bi-weekly mCARD technical meetings 
  • Schedule mCARD leadership meetings 
  • Send final business case to potential community members
CICQ2 2026

GenomicsData ExchangeExecution
  • Pilot 1 is complete and provided a strong foundation
  • The use case is shifting from technical validation to real-world application
  • Leadership alignment is needed before advancing the next pilot
  • Completed Pilot 1 with successful biomarker data ingestion
  • Validated lab-to-EHR data flow
  • Identified real-world implementation gaps 
  • Aligned on separating standards/ modeling work from focused pilot work 
  • Reintroduced the Champion role and clarified expectations.
  • Define next pilot focus and success criteria 
  • Refresh Confluence page and centralize files 
  • Continue biomarker list refinement
  • Explore updated naming, positioning, and messaging
  • Hold technical work until scope is confirmed

Srikar Chamala 

James Chen

Clinical GenomicsQ4 2026

Pathogen GenomicsExecution
  • Execution has started, but leadership restructuring is underway 
  • Editorial Board work is progressing
  • DAM development requires a pathogen genomics SME
  • Continued bi-weekly Editorial Board meetings
  • Assigned writing/resource roles by section
  • Confirmed Arthur as Editorial Group lead
  • Advanced stakeholder needs assessment planning, with SFU leading ethics approval
  • Approved revised UCC co-lead structure
  • Recruit pathogen genomics SME co-lead
  • Confirm project coordinator role and operating model
  • Resume stakeholder survey development after leadership structure is finalized
  • Identify SME to lead pathogen genomics DAM content and decisions
None

Interim UCCs: Bret Heale / WilliamHsiao / Emma Griffith  

Clinical Genomics2027

Molecular Tumor BoardExecution
  • Execution has started following completion of Planning 
  • Key technical workstreams have been defined 
  • Leadership structure needs to be confirmed to support execution
  • Completed Planning Phase activities
  • Refined key technical subtasks, including data element dictionary and variant annotation representation
  • Advanced use case into Execution
  • Confirm Execution Phase workplan 
  • Confirm leadership and coordination roles
  • Begin advancing defined technical workstreams
None

Interim: AkashRampersad 

Clinical Genomics2027

Pharmacovigilance and Risk AvoidanceExecution
  • Execution is advancing from planning into pilot work 
  • Pilot roles, participation model, and stakeholder expectations are being clarified
  • Specialty pharmacy input is critical to pilot design and scaling
  • Held strategy calls on specialty pharmacy workflows and pilot learnings 
  • Confirmed involvement across key pilot roles, including health systems, REMS administrators, specialty pharmacies, intermediaries, and standards partners. 
  • Defined separate tracks for pilot participants and long-term strategy advisors 
  • Confirmed approach to start with a small synthetic pilot before moving to real-world pilot testing
  • Finalize pilot participant list and commitments
  • Schedule formal pilot kickoff and meeting cadence
  • Share role-based guidance for pilot participants
  • Continue outreach to specialty pharmacies, distribution, and PBM stakeholders
  • Select initial pilot medication(s).
NoneClinical GenomicsQ4 2026


Paused or Completed Use Cases


On Hold

Oncology Clinical Pathways 

Enable clinicians to use an oncology clinical pathway applications that accurately navigates to recommended treatments using mCODE-based data from the EHR.



Cancer Registry Reporting

Enable reporting of mCODE-based cancer data from health center EHRs to a state and a private registry that are aggregating data for different reasons, substantially reducing duplication and burden while increasing reporting speed and accuracy.

 



Completed

GenomeX - FHIR Genomics Operations

Genomic Operations 'wrap' a genomic repository, hiding its complexity, allowing the associated APIs to ease the development and utilization of data for many types of applications. The operation (API) can “pull” data with specific genomic information for a patient or population. 




 



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