minimal Common Oncology Data Elements (mCODE) Implementation Guide
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minimal Common Oncology Data Elements (mCODE) Implementation Guide, published by HL7 International / Clinical Interoperability Council. This guide is not an authorized publication; it is the continuous build for version 4.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-mCODE-ig/ and changes regularly. See the Directory of published versions

: Histology Morphology Behavior Value Set - JSON Representation

Active as of 2024-04-09 Maturity Level: 4

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{
  "resourceType" : "ValueSet",
  "id" : "mcode-histology-morphology-behavior-vs",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>This value set includes codes based on the following rules:</p><ul><li>Include all codes defined in <a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-icd-o-3.html\"><code>http://terminology.hl7.org/CodeSystem/icd-o-3</code></a></li><li>Include codes from <a href=\"http://www.snomed.org/\"><code>http://snomed.info/sct</code></a> where concept  is-a  367651003 (Malignant Neoplasm (Morphology))</li><li>Include codes from <a href=\"http://www.snomed.org/\"><code>http://snomed.info/sct</code></a> where concept  is-a  399919001 (Carcinoma in situ - category (morphologic abnormality))</li><li>Include codes from <a href=\"http://www.snomed.org/\"><code>http://snomed.info/sct</code></a> where concept  is-a  399983006 (In situ adenomatous neoplasm - category (morphologic abnormality))</li><li>Include these codes as defined in <a href=\"http://www.snomed.org/\"><code>http://snomed.info/sct</code></a><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td></tr><tr><td><a href=\"http://snomed.info/id/399878004\">399878004</a></td><td>Malignant neoplasm with pilar differentiation (morphologic abnormality)</td></tr><tr><td><a href=\"http://snomed.info/id/253035009\">253035009</a></td><td>In situ melanocytic morphology (morphologic abnormality)</td></tr></table></li></ul><p>This value set excludes codes based on the following rules:</p><ul><li>Exclude codes from <a href=\"http://www.snomed.org/\"><code>http://snomed.info/sct</code></a> where concept  is-a  450893003 (Papillary neoplasm, pancreatobiliary-type, with high grade intraepithelial neoplasia (morphologic abnormality))</li><li>Exclude codes from <a href=\"http://www.snomed.org/\"><code>http://snomed.info/sct</code></a> where concept  is-a  128640002 (Prostatic intraepithelial neoplasia, grade III)</li><li>Exclude codes from <a href=\"http://www.snomed.org/\"><code>http://snomed.info/sct</code></a> where concept  is-a  450890000 (Glandular intraepithelial neoplasia, low grade)</li><li>Exclude codes from <a href=\"http://www.snomed.org/\"><code>http://snomed.info/sct</code></a> where concept  is-a  703548001 (Atypical hyperplasia of the endometrium)</li></ul></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger" : 4
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode" : "cic"
    }
  ],
  "url" : "http://hl7.org/fhir/us/mcode/ValueSet/mcode-histology-morphology-behavior-vs",
  "identifier" : [
    {
      "system" : "urn:ietf:rfc:3986",
      "value" : "urn:oid:2.16.840.1.113883.4.642.40.15.48.36"
    }
  ],
  "version" : "4.0.0-ballot",
  "name" : "HistologyMorphologyBehaviorVS",
  "title" : "Histology Morphology Behavior Value Set",
  "status" : "active",
  "experimental" : false,
  "date" : "2024-04-09T21:21:25+00:00",
  "publisher" : "HL7 International / Clinical Interoperability Council",
  "contact" : [
    {
      "name" : "HL7 International / Clinical Interoperability Council",
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/cic"
        },
        {
          "system" : "email",
          "value" : "ciclist@lists.HL7.org"
        }
      ]
    }
  ],
  "description" : "Codes representing the structure, arrangement, and behavioral characteristics of malignant neoplasms, and cancer cells. Inclusion criteria: in situ neoplasms and malignant neoplasms. Exclusion criteria: benign neoplasms and neoplasms of unspecified behavior. Note: ICD-O-3 morphology codes are referenced in the logical definition but not expanded in the value set for intellectual property reasons. For primary cancers, the ICD-O-3 behavior suffix should be /1, /2, or /3. For secondary cancers, the ICD-O-3 behavior suffix should be /6.",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "US",
          "display" : "United States of America"
        }
      ]
    }
  ],
  "copyright" : "This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement",
  "compose" : {
    "include" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/icd-o-3"
      },
      {
        "system" : "http://snomed.info/sct",
        "filter" : [
          {
            "property" : "concept",
            "op" : "is-a",
            "value" : "367651003"
          }
        ]
      },
      {
        "system" : "http://snomed.info/sct",
        "filter" : [
          {
            "property" : "concept",
            "op" : "is-a",
            "value" : "399919001"
          }
        ]
      },
      {
        "system" : "http://snomed.info/sct",
        "filter" : [
          {
            "property" : "concept",
            "op" : "is-a",
            "value" : "399983006"
          }
        ]
      },
      {
        "system" : "http://snomed.info/sct",
        "concept" : [
          {
            "code" : "399878004",
            "display" : "Malignant neoplasm with pilar differentiation (morphologic abnormality)"
          },
          {
            "code" : "253035009",
            "display" : "In situ melanocytic morphology (morphologic abnormality)"
          }
        ]
      }
    ],
    "exclude" : [
      {
        "system" : "http://snomed.info/sct",
        "filter" : [
          {
            "property" : "concept",
            "op" : "is-a",
            "value" : "450893003"
          }
        ]
      },
      {
        "system" : "http://snomed.info/sct",
        "filter" : [
          {
            "property" : "concept",
            "op" : "is-a",
            "value" : "128640002"
          }
        ]
      },
      {
        "system" : "http://snomed.info/sct",
        "filter" : [
          {
            "property" : "concept",
            "op" : "is-a",
            "value" : "450890000"
          }
        ]
      },
      {
        "system" : "http://snomed.info/sct",
        "filter" : [
          {
            "property" : "concept",
            "op" : "is-a",
            "value" : "703548001"
          }
        ]
      }
    ]
  }
}