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 2.1.0). 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: TNM Regional Nodes Category Value Set

Official URL: http://hl7.org/fhir/us/mcode/ValueSet/mcode-tnm-regional-nodes-category-vs Version: 2.1.0
Active as of 2023-01-13 Maturity Level: 4 Computable Name: TNMRegionalNodesCategoryVS

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

Result values for N category. This value set contains SNOMED-CT equivalents of AJCC codes for the N category, according to TNM staging rules.

References

Usage

In AJCC terminology, examples of N categories include ‘ycN0’, for post-therapy clinical staging indicating no evidence of lymph node involvement, and ‘pN1’, indicating regional lymph node involvement to a small extent, with specific thresholds for the lymph node groups and number of lymph nodes involved. Other N categories refer to increasing lymph node involvement. Please note allowable N categories may vary between clinical, pathologic, and other classifications, and the N category prefix must align with Observation.code. The full set of allowable clinical, pathologic, and other (recurrence/retreatment/autopsy) N categories, along with current descriptions, can be accessed through the AJCC Staging Manual and any applicable updates and corrections, as well as the AJCC API.

Logical Definition (CLD)

This value set includes codes based on the following rules:

  • Include codes from http://snomed.info/sct where concept is-a 1222588006 (American Joint Committee on Cancer clinical N category allowable value (qualifier value))
  • Include codes from http://snomed.info/sct where concept is-a 1222590007 (American Joint Committee on Cancer pathological N category allowable value (qualifier value))
  • Include codes from http://snomed.info/sct where concept is-a 1222596001 (American Joint Committee on Cancer ypN category allowable value (qualifier value))

 

Expansion

This value set contains 62 concepts

Expansion based on SNOMED CT International edition 31-Jul 2022

CodeSystemDisplay
  1222588006http://snomed.info/sctAmerican Joint Committee on Cancer clinical N category allowable value (qualifier value)
  1229966003http://snomed.info/sctcNX
  1229967007http://snomed.info/sctAmerican Joint Committee on Cancer cN0
  1229968002http://snomed.info/sctAmerican Joint Committee on Cancer cN0a (qualifier value)
  1229969005http://snomed.info/sctcN0b
  1229971005http://snomed.info/sctAmerican Joint Committee on Cancer cN0(i+)
  1229973008http://snomed.info/sctcN1
  1229974002http://snomed.info/sctcN1mi
  1229975001http://snomed.info/sctAmerican Joint Committee on Cancer cN1a (qualifier value)
  1229976000http://snomed.info/sctAmerican Joint Committee on Cancer cN1b
  1229977009http://snomed.info/sctcN1c
  1229978004http://snomed.info/sctcN2
  1229980005http://snomed.info/sctAmerican Joint Committee on Cancer cN2mi
  1229981009http://snomed.info/sctAmerican Joint Committee on Cancer cN2a
  1229982002http://snomed.info/sctcN2b
  1229983007http://snomed.info/sctAmerican Joint Committee on Cancer cN2c
  1229984001http://snomed.info/sctcN3
  1229985000http://snomed.info/sctcN3a
  1229986004http://snomed.info/sctAmerican Joint Committee on Cancer cN3b
  1229987008http://snomed.info/sctcN3c
  1222590007http://snomed.info/sctAmerican Joint Committee on Cancer pathological N category allowable value (qualifier value)
  1229945006http://snomed.info/sctAmerican Joint Committee on Cancer pNX (qualifier value)
  1229947003http://snomed.info/sctAmerican Joint Committee on Cancer pN0
  1229948008http://snomed.info/sctAmerican Joint Committee on Cancer pN0a
  1229949000http://snomed.info/sctAmerican Joint Committee on Cancer pN0(i+)
  1229950000http://snomed.info/sctAmerican Joint Committee on Cancer pN0(mol+) (qualifier value)
  1229951001http://snomed.info/sctAmerican Joint Committee on Cancer pN1
  1229952008http://snomed.info/sctAmerican Joint Committee on Cancer pN1mi (qualifier value)
  1229953003http://snomed.info/sctAmerican Joint Committee on Cancer pN1a(sn) (qualifier value)
  1229954009http://snomed.info/sctAmerican Joint Committee on Cancer pN1a (qualifier value)
  1229955005http://snomed.info/sctAmerican Joint Committee on Cancer pN1b
  1229956006http://snomed.info/sctAmerican Joint Committee on Cancer pN1c
  1229957002http://snomed.info/sctAmerican Joint Committee on Cancer pN2
  1229958007http://snomed.info/sctpN2mi
  1229959004http://snomed.info/sctpN2a
  1229960009http://snomed.info/sctAmerican Joint Committee on Cancer pN2b (qualifier value)
  1229961008http://snomed.info/sctAmerican Joint Committee on Cancer pN2c
  1229962001http://snomed.info/sctAmerican Joint Committee on Cancer pN3
  1229963006http://snomed.info/sctAmerican Joint Committee on Cancer pN3a (qualifier value)
  1229964000http://snomed.info/sctAmerican Joint Committee on Cancer pN3b (qualifier value)
  1229965004http://snomed.info/sctAmerican Joint Committee on Cancer pN3c
  1222596001http://snomed.info/sctAmerican Joint Committee on Cancer ypN category allowable value (qualifier value)
  1229877005http://snomed.info/sctypNX
  1229878000http://snomed.info/sctAmerican Joint Committee on Cancer ypN0 (qualifier value)
  1229879008http://snomed.info/sctypN0a
  1229880006http://snomed.info/sctAmerican Joint Committee on Cancer ypN0(mol+) (qualifier value)
  1229881005http://snomed.info/sctAmerican Joint Committee on Cancer ypN0(i+) (qualifier value)
  1229884002http://snomed.info/sctypN1
  1229885001http://snomed.info/sctAmerican Joint Committee on Cancer ypN1mi (qualifier value)
  1229886000http://snomed.info/sctAmerican Joint Committee on Cancer ypN2mi
  1229887009http://snomed.info/sctypN1a
  1229888004http://snomed.info/sctAmerican Joint Committee on Cancer ypN1a(sn)
  1229889007http://snomed.info/sctAmerican Joint Committee on Cancer ypN1b
  1229890003http://snomed.info/sctypN1c
  1229892006http://snomed.info/sctypN2
  1229893001http://snomed.info/sctAmerican Joint Committee on Cancer ypN2a
  1229894007http://snomed.info/sctypN2c
  1229896009http://snomed.info/sctypN2b
  1229897000http://snomed.info/sctAmerican Joint Committee on Cancer ypN3 (qualifier value)
  1229898005http://snomed.info/sctypN3a
  1229899002http://snomed.info/sctAmerican Joint Committee on Cancer ypN3b (qualifier value)
  1229900007http://snomed.info/sctAmerican Joint Committee on Cancer ypN3c (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