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

ValueSet: Cancer Stage Type Value Set

Official URL: http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-stage-type-vs Version: 4.0.0-ballot
Active as of 2024-04-09 Maturity Level: 4 Computable Name: CancerStageTypeVS
Other Identifiers: OID:2.16.840.1.113883.4.642.40.15.48.19

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

Codes that identify the kind of stage reported in an Observation, necessary to correctly interpret the value associated with a staging Observation. In terms of the SNOMED CT hierarchy, these codes represent observable entities. If the staging system used to determine the stage is not implicit in this code, the staging system must be separately recorded in Observation.method. More specific staging profiles, if available, should be consulted before determining the correct code.

References

Changes since version true:

Logical Definition (CLD)

This value set includes codes based on the following rules:

  • Include these codes as defined in http://snomed.info/sct
    CodeDisplay
    399566009Tumor-node-metastasis (TNM) category (observable entity)
    78873005T category (observable entity)
    277206009N category (observable entity)
    277208005M category (observable entity)
    399703000Integrated TNM category (observable entity)
    399437009Integrated M category (observable entity)
    399458003Integrated N category (observable entity)
    399556001Integrated T category (observable entity)
    106248000TNM classification of malignant tumor before any treatment (observable entity)
    399387003cM category (observable entity)
    399534004cN category (observable entity)
    399504009cT category (observable entity)
    106249008TNM classification of malignant tumor after operation (observable entity)
    371497001pM category (observable entity)
    371494008pN category (observable entity)
    384625004pT category (observable entity)
    399390009Tumor-node-metastasis (TNM) stage grouping (observable entity)
    399537006Clinical TNM stage grouping (observable entity)
    399588009Pathologic TNM stage grouping (observable entity)
    385361009International Federation of Gynecology and Obstetrics stage for gynecological malignancy (observable entity)
    385363007International Federation of Gynecology and Obstetrics ovarian tumor stage (observable entity)
    385365000International Federation of Gynecology and Obstetrics stage for epithelial tumor of ovary (observable entity)
    385367008International Federation of Gynecology and Obstetrics stage for cervical carcinoma (observable entity)
    385375002International Federation of Gynecology and Obstetrics stage for endometrial carcinoma (observable entity)
    385369006International Federation of Gynecology and Obstetrics stage for vulvar melanoma (observable entity)
    385373009International Federation of Gynecology and Obstetrics uterine tumor stage (observable entity)
    385388004Lymphoma stage (observable entity)
    385349001Clinical stage (observable entity)
    103420007Modified Dukes stage (observable entity)
    385357003Dukes stage (observable entity)
    17964000Residual tumor stage (observable entity)
    371495009Stage of tumor involvement of non-regional lymph nodes (observable entity)
    409720004International neuroblastoma staging system stage (observable entity)
    405931009National Wilms Tumor Study Group Stage (observable entity)
    405916000Intergroup rhabdomyosarcoma study post-surgical clinical group (observable entity)
    385377005Gleason grade finding for prostatic cancer (finding)
  • Include these codes as defined in http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl
    CodeDisplay
    C134969 AIDS-Related Kaposi Sarcoma Stage
    C90529 AJCC v6 Stage
    C90530 AJCC v7 Stage
    C177555 AJCC v8 Clinical Stage
    C177556 AJCC v8 Pathologic Stage
    C132248 AJCC v8 Stage
    C180901 AJCC v9 Stage
    C177558 Ann Arbor Clinical Stage
    C177559 Ann Arbor Pathologic Stage
    C141138 Ann Arbor Stage
    C115134 BCLC Stage
    C141212 Binet Stage
    C139445 Breast Cancer Anatomic Stage
    C139446 Breast Cancer Prognostic Stage
    C139006 Durie/Salmon Stage
    C141099 ENSAT Stage
    C186618 FIGO 2009 Stage
    C186617 FIGO 2018 Stage
    C157232 FIGO/TNM Stage
    C28067 Hepatoblastoma Stage
    C139007 International Staging System Stage
    C141147 Lugano Stage
    C143151 Masaoka-Koga Stage
    C146847 Mediastinal Malignant Germ Cell Tumor Stage
    C16899 Neoplasm Stage
    C174125 Neoplastic Disease Extent Indicator
    C141461 Occult Stage
    C133427 International Neuroblastoma Risk Group Staging System

 

Expansion

Expansion based on SNOMED CT International edition 01-Feb 2024

This value set contains 36 concepts.

CodeSystemDisplay
  399566009http://snomed.info/sctTumor-node-metastasis (TNM) category (observable entity)
  78873005http://snomed.info/sctT stage
  277206009http://snomed.info/sctNode stages
  277208005http://snomed.info/sctMetastasis stages
  399703000http://snomed.info/sctIntegrated TNM category (observable entity)
  399437009http://snomed.info/sctIntegrated M category (observable entity)
  399458003http://snomed.info/sctIntegrated N category (observable entity)
  399556001http://snomed.info/sctIntegrated T category (observable entity)
  106248000http://snomed.info/sctTNM classification of malignant tumor before any treatment
  399387003http://snomed.info/sctcM category (observable entity)
  399534004http://snomed.info/sctcN category (observable entity)
  399504009http://snomed.info/sctcT category (observable entity)
  106249008http://snomed.info/sctTNM classification of malignant tumor after operation
  371497001http://snomed.info/sctpM category (observable entity)
  371494008http://snomed.info/sctpN category (observable entity)
  384625004http://snomed.info/sctpT category (observable entity)
  399390009http://snomed.info/sctTumor-node-metastasis (TNM) stage grouping (observable entity)
  399537006http://snomed.info/sctClinical TNM stage grouping (observable entity)
  399588009http://snomed.info/sctPathologic TNM stage grouping (observable entity)
  385361009http://snomed.info/sctInternational Federation of Gynecology and Obstetrics stage for gynecological malignancy (observable entity)
  385363007http://snomed.info/sctInternational Federation of Gynecology and Obstetrics ovarian tumor stage (observable entity)
  385365000http://snomed.info/sctInternational Federation of Gynecology and Obstetrics stage for epithelial tumor of ovary (observable entity)
  385367008http://snomed.info/sctInternational Federation of Gynecology and Obstetrics stage for cervical carcinoma (observable entity)
  385375002http://snomed.info/sctInternational Federation of Gynecology and Obstetrics stage for endometrial carcinoma (observable entity)
  385369006http://snomed.info/sctInternational Federation of Gynecology and Obstetrics stage for vulvar melanoma (observable entity)
  385373009http://snomed.info/sctInternational Federation of Gynecology and Obstetrics uterine tumor stage (observable entity)
  385388004http://snomed.info/sctLymphoma stage (observable entity)
  385349001http://snomed.info/sctClinical stage (observable entity)
  103420007http://snomed.info/sctModified Dukes stage
  385357003http://snomed.info/sctDukes stage (observable entity)
  17964000http://snomed.info/sctResidual tumor
  371495009http://snomed.info/sctStage of tumor involvement of non-regional lymph nodes (observable entity)
  409720004http://snomed.info/sctInternational neuroblastoma staging system stage (observable entity)
  405931009http://snomed.info/sctNational Wilms Tumor Study Group Stage (observable entity)
  405916000http://snomed.info/sctIntergroup rhabdomyosarcoma study post-surgical clinical group (observable entity)
  385377005http://snomed.info/sctGleason grade finding for prostatic cancer (finding)

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