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 is not an authorized publication; it is the continuous build for version 3.0.0). 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

ValueSet: Radiotherapy Treatment Location Qualifier Value Set

Official URL: http://hl7.org/fhir/us/mcode/ValueSet/mcode-radiotherapy-treatment-location-qualifier-vs Version: 3.0.0
Draft as of 2023-10-25 Maturity Level: 3 Computable Name: RadiotherapyTreatmentLocationQualifierVS

Copyright/Legal: 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

Various modifiers that can be applied to body locations where radiotherapy treatments can be directed.

References

Background

The codes and qualifiers for Radiotherapy Treatment Locations correspond to body structures defined in AAPM Task Group 263 Final Report, but are drawn from SNOMED CT (SCT).

Usage

To prevent a combinatorial explosion of codes, and to describe each treatment location uniquely, these qualifiers are used in conjunction with codes taken from the Radiotherapy Treatment Location Value Set, to specify a body location. For example, to specify the lower lobe of right lung, the code for lobe of lung structure (SCT#31094006) would be qualified with the codes lower (SCT#261122009) and right (SCT#24028007).

The content of this value set and the associated Radiotherapy Treatment Location Value Set supports expression of all of the anatomical concepts in the American Association of Physicists in Medicine (AAPM) Task Group 263 report on Standardizing Nomenclatures in Radiation Oncology. The mapping from AAPM TG263 concepts to SNOMED CT codes and qualifiers can be found in this spreadsheet, as well as in this concept map.

Logical Definition (CLD)

This value set includes codes based on the following rules:

This value set excludes codes based on the following rules:

 

Expansion

This value set contains 51 concepts

Expansion based on:

CodeSystemDisplayInactive
  258400004http://snomed.info/sctLymph node level I
  258401000http://snomed.info/sctLymph node level II
  258402007http://snomed.info/sctLymph node level III
  258403002http://snomed.info/sctLymph node level IV
  258404008http://snomed.info/sctLymph node level V
  258405009http://snomed.info/sctLymph node level VI
  395168005http://snomed.info/sctLymph node level VII (qualifier value)
  1162613003http://snomed.info/sctLymph node level Xb
  1162614009http://snomed.info/sctLymph node level X (qualifier value)
  1162615005http://snomed.info/sctLymph node level Xa
  1162616006http://snomed.info/sctLymph node level Ia (qualifier value)
  1162617002http://snomed.info/sctLymph node level Ib (qualifier value)
  1162618007http://snomed.info/sctLymph node level VIII (qualifier value)
  1162619004http://snomed.info/sctLymph node level IX
  1162620005http://snomed.info/sctLymph node level IVa (qualifier value)
  1162621009http://snomed.info/sctLymph node level IVb
  1162622002http://snomed.info/sctLymph node level Va (qualifier value)
  1162623007http://snomed.info/sctLymph node level Vb
  1162624001http://snomed.info/sctLymph node level Vc (qualifier value)
  1162625000http://snomed.info/sctLymph node level VIa
  1162626004http://snomed.info/sctLymph node level VIb (qualifier value)
  1162627008http://snomed.info/sctLymph node level VIIb
  1162628003http://snomed.info/sctLymph node level VIIa (qualifier value)
  1284814003http://snomed.info/sctLymph node level IIa (qualifier value)
  1284815002http://snomed.info/sctLymph node level IIb (qualifier value)
  51440002http://snomed.info/sctRight and left (qualifier value)
  399488007http://snomed.info/sctMidline (qualifier value)
  24028007http://snomed.info/sctRight (qualifier value)
  7771000http://snomed.info/sctLeft (qualifier value)
  277733009http://snomed.info/sctLevel 1 (qualifier value)
  277734003http://snomed.info/sctLevel 2 (qualifier value)
  277735002http://snomed.info/sctLevel 3 (qualifier value)
  261089000http://snomed.info/sctInferior (qualifier value)
  264217000http://snomed.info/sctSuperior (qualifier value)
  261183002http://snomed.info/sctUpper (qualifier value)
  261122009http://snomed.info/sctLower (qualifier value)
  260528009http://snomed.info/sctMiddle (qualifier value)
  46053002http://snomed.info/sctDistal (qualifier value)
  40415009http://snomed.info/sctProximal (qualifier value)
  255204007http://snomed.info/sctMultiple (qualifier value)
  255503000http://snomed.info/sctEntire (qualifier value)
  255609007http://snomed.info/sctPartial (qualifier value)
  14414005http://snomed.info/sctPeripheral (qualifier value)
  26216008http://snomed.info/sctCentral (qualifier value)
  260235002http://snomed.info/sctCore (qualifier value)inactive
  410679008http://snomed.info/sctSurface (qualifier value)
  260521003http://snomed.info/sctInternal (qualifier value)
  261074009http://snomed.info/sctExternal (qualifier value)
  260548002http://snomed.info/sctOral (qualifier value)inactive
  18769003http://snomed.info/sctJuxta-posed (qualifier value)
  1217011006http://snomed.info/sctNon-adjacent (qualifier value)

Explanation of the columns that may appear on this page:

Level A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies
System The source of the definition of the code (when the value set draws in codes defined elsewhere)
Code The code (used as the code in the resource instance)
Display The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application
Definition An explanation of the meaning of the concept
Comments Additional notes about how to use the code