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: International Neuroblastoma Staging System (INSS) for Neuroblastoma Stage Value Set

Official URL: http://hl7.org/fhir/us/mcode/ValueSet/mcode-neuroblastoma-inss-value-vs Version: 4.0.0-ballot
Active as of 2024-10-24 Computable Name: NeuroblastomaINSSValueVS
Other Identifiers: OID:2.16.840.1.113883.4.642.40.15.48.50

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 in INSS staging system representing neuroblastoma stage.

References

This value set is not used here; it may be used elsewhere (e.g. specifications and/or implementations that use this content)

Changes since version true:

Usage

The following information from the American Cancer Society describes the values.

  • Stage 1: The cancer is still in the area where it started. It is on one side of the body (right or left). All visible tumor has been removed completely by surgery (although looking at the tumor’s edges under the microscope after surgery may show some cancer cells). Lymph nodes near the tumor are free of cancer (although nodes enclosed within the tumor may contain neuroblastoma cells).
  • Stage 2A: The cancer is still in the area where it started and on one side of the body, but not all of the visible tumor could be removed by surgery. Lymph nodes near the tumor are free of cancer (although nodes enclosed within the tumor may contain neuroblastoma cells).
  • Stage 2B: The cancer is on one side of the body, and it may or may not have been removed completely by surgery. Nearby lymph nodes outside the tumor contain neuroblastoma cells, but the cancer has not spread to lymph nodes on the other side of the body or elsewhere.
  • Stage 3: The cancer has not spread to distant parts of the body, but one of the following is true: The cancer can't be removed completely by surgery, and it has crossed the midline (defined as the spine) to the other side of the body. It may or may not have spread to nearby lymph nodes; the cancer is still in the area where it started and is on one side of the body. It has spread to lymph nodes that are relatively nearby but on the other side of the body; the cancer is in the middle of the body and is growing toward both sides (either directly or by spreading to nearby lymph nodes).
  • Stage 4: The cancer has spread to distant parts of the body such as distant lymph nodes, bones, liver, skin, bone marrow, or other organs (but the child does not meet the criteria for stage 4S).
  • Stage 4S (also called “special” neuroblastoma): The child is younger than 1 year old. The cancer is on one side of the body. It might have spread to lymph nodes on the same side of the body but not to nodes on the other side. The neuroblastoma has spread to the liver, skin, and/or the bone marrow. However, no more than 10% of marrow cells are cancer cells, and imaging tests such as an MIBG scan do not show cancer in the bone marrow.

Logical Definition (CLD)

Generated Narrative: ValueSet mcode-neuroblastoma-inss-value-vs

  • Include codes fromhttp://snomed.info/sct where concept descends from 409721000 (International neuroblastoma staging system stage finding (finding))

 

Expansion

Generated Narrative: ValueSet

Expansion based on SNOMED CT International edition 01-Feb 2024

This value set expansion contains 6 concepts.

CodeSystemDisplay
  409722007http://snomed.info/sctInternational neuroblastoma staging system stage 1 (finding)
  409723002http://snomed.info/sctInternational neuroblastoma staging system stage 2A (finding)
  409724008http://snomed.info/sctInternational neuroblastoma staging system stage 2B (finding)
  409725009http://snomed.info/sctInternational neuroblastoma staging system stage 3 (finding)
  409726005http://snomed.info/sctInternational neuroblastoma staging system stage 4 (finding)
  409727001http://snomed.info/sctInternational neuroblastoma staging system stage 4S (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