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: TNM Primary Tumor Category Value Set

Official URL: http://hl7.org/fhir/us/mcode/ValueSet/mcode-tnm-primary-tumor-category-vs Version: 4.0.0-ballot
Active as of 2024-10-30 Maturity Level: 4 Computable Name: TNMPrimaryTumorCategoryVS
Other Identifiers: OID:2.16.840.1.113883.4.642.40.15.48.79

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 T category, following AJCC staging guidelines. This value set contains SNOMED-CT equivalents of AJCC codes for the T category, according to AJCC TNM staging rules.

References

Changes since version true:

Usage

Using AJCC terminology, examples of T categories include 'ycTX', used for post-therapy clinical staging if the tumor primary tumor cannot be evaluated, 'pT0', denoting there is no evidence of a primary tumor, and 'pTis', referencing carcinoma in situ (with some cancer-specific exceptions). Other T categories refer to increasing size of the primary tumor. Please note allowable T categories may vary between clinical, pathologic, and other classifications, and the T category prefix must align with Observation.code. The full set of allowable clinical, pathologic, and other (recurrence/retreatment/autopsy) T 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)

Generated Narrative: ValueSet mcode-tnm-primary-tumor-category-vs

This value set includes codes based on the following rules:

  • Include codes fromhttp://snomed.info/sct where concept descends from 1222585009 (American Joint Committee on Cancer clinical T category allowable value (qualifier value))
  • Include codes fromhttp://snomed.info/sct where concept descends from 1222589003 (American Joint Committee on Cancer pathological T category allowable value (qualifier value))
  • Include codes fromhttp://snomed.info/sct where concept descends from 1222595002 (American Joint Committee on Cancer ypT category allowable value (qualifier value))

 

Expansion

Generated Narrative: ValueSet

Expansion based on SNOMED CT International edition 01-Feb 2024

This value set expansion contains 118 concepts.

CodeSystemDisplay
  1222604002http://snomed.info/sctAmerican Joint Committee on Cancer cTX (qualifier value)
  1228882005http://snomed.info/sctAmerican Joint Committee on Cancer cT0 (qualifier value)
  1228883000http://snomed.info/sctAmerican Joint Committee on Cancer cTa (qualifier value)
  1228884006http://snomed.info/sctcTis
  1228885007http://snomed.info/sctcTis(DCIS)
  1228887004http://snomed.info/sctAmerican Joint Committee on Cancer cTis(LAMN) (qualifier value)
  1228888009http://snomed.info/sctAmerican Joint Committee on Cancer cTis(Paget)
  1228889001http://snomed.info/sctAmerican Joint Committee on Cancer cT1
  1228891009http://snomed.info/sctcT1mi
  1228892002http://snomed.info/sctcT1a
  1228893007http://snomed.info/sctAmerican Joint Committee on Cancer cT1a1
  1228894001http://snomed.info/sctAmerican Joint Committee on Cancer cT1a2 (qualifier value)
  1228895000http://snomed.info/sctcT1b
  1228896004http://snomed.info/sctAmerican Joint Committee on Cancer cT1b1 (qualifier value)
  1228898003http://snomed.info/sctAmerican Joint Committee on Cancer cT1b2
  1228899006http://snomed.info/sctAmerican Joint Committee on Cancer cT1c
  1228900001http://snomed.info/sctcT1c1
  1228901002http://snomed.info/sctAmerican Joint Committee on Cancer cT1c2 (qualifier value)
  1228902009http://snomed.info/sctcT1c3
  1228928007http://snomed.info/sctAmerican Joint Committee on Cancer cT1d
  1228929004http://snomed.info/sctcT2
  1228931008http://snomed.info/sctcT2a
  1228932001http://snomed.info/sctAmerican Joint Committee on Cancer cT2a1
  1228933006http://snomed.info/sctcT2a2
  1228934000http://snomed.info/sctAmerican Joint Committee on Cancer cT2b
  1228936003http://snomed.info/sctAmerican Joint Committee on Cancer cT2c (qualifier value)
  1228937007http://snomed.info/sctAmerican Joint Committee on Cancer cT2d (qualifier value)
  1228938002http://snomed.info/sctAmerican Joint Committee on Cancer cT3 (qualifier value)
  1228939005http://snomed.info/sctAmerican Joint Committee on Cancer cT3a (qualifier value)
  1228940007http://snomed.info/sctAmerican Joint Committee on Cancer cT3b
  1228941006http://snomed.info/sctAmerican Joint Committee on Cancer cT3c (qualifier value)
  1228942004http://snomed.info/sctAmerican Joint Committee on Cancer cT3d (qualifier value)
  1228943009http://snomed.info/sctcT3e
  1228944003http://snomed.info/sctAmerican Joint Committee on Cancer cT4
  1228945002http://snomed.info/sctAmerican Joint Committee on Cancer cT4a
  1228946001http://snomed.info/sctcT4b
  1228947005http://snomed.info/sctAmerican Joint Committee on Cancer cT4c
  1228948000http://snomed.info/sctAmerican Joint Committee on Cancer cT4d
  1228949008http://snomed.info/sctAmerican Joint Committee on Cancer cT4e (qualifier value)
  1285094009http://snomed.info/sctAJCC (American Joint Committee on Cancer) cT1b3
  1228950008http://snomed.info/sctpTX
  1228951007http://snomed.info/sctAmerican Joint Committee on Cancer pT0
  1228952000http://snomed.info/sctAmerican Joint Committee on Cancer pTa
  1228953005http://snomed.info/sctAmerican Joint Committee on Cancer pTis (qualifier value)
  1228954004http://snomed.info/sctAmerican Joint Committee on Cancer pTis(DCIS) (qualifier value)
  1228955003http://snomed.info/sctpTis(LAMN)
  1228956002http://snomed.info/sctpTis(Paget)
  1228957006http://snomed.info/sctAmerican Joint Committee on Cancer pT1
  1228958001http://snomed.info/sctAmerican Joint Committee on Cancer pT1mi
  1228959009http://snomed.info/sctpT1a
  1228960004http://snomed.info/sctpT1a1
  1228961000http://snomed.info/sctAmerican Joint Committee on Cancer pT1a2 (qualifier value)
  1228962007http://snomed.info/sctAmerican Joint Committee on Cancer pT1b (qualifier value)
  1229844006http://snomed.info/sctAmerican Joint Committee on Cancer pT1b1
  1229845007http://snomed.info/sctAmerican Joint Committee on Cancer pT1b2
  1229846008http://snomed.info/sctAmerican Joint Committee on Cancer pT1c (qualifier value)
  1229848009http://snomed.info/sctAmerican Joint Committee on Cancer pT1c1 (qualifier value)
  1229849001http://snomed.info/sctAmerican Joint Committee on Cancer pT1c2
  1229850001http://snomed.info/sctAmerican Joint Committee on Cancer pT1c3 (qualifier value)
  1229851002http://snomed.info/sctpT1d
  1229852009http://snomed.info/sctAmerican Joint Committee on Cancer pT2 (qualifier value)
  1229853004http://snomed.info/sctAmerican Joint Committee on Cancer pT2a
  1229854005http://snomed.info/sctAmerican Joint Committee on Cancer pT2a1 (qualifier value)
  1229855006http://snomed.info/sctpT2a2
  1229856007http://snomed.info/sctpT2b
  1229857003http://snomed.info/sctAmerican Joint Committee on Cancer pT2c (qualifier value)
  1229858008http://snomed.info/sctAmerican Joint Committee on Cancer pT2d (qualifier value)
  1229859000http://snomed.info/sctAmerican Joint Committee on Cancer pT3
  1229860005http://snomed.info/sctAmerican Joint Committee on Cancer pT3a (qualifier value)
  1229861009http://snomed.info/sctAmerican Joint Committee on Cancer pT3b (qualifier value)
  1229862002http://snomed.info/sctpT3c
  1229863007http://snomed.info/sctAmerican Joint Committee on Cancer pT3d (qualifier value)
  1229864001http://snomed.info/sctAmerican Joint Committee on Cancer pT4
  1229865000http://snomed.info/sctAmerican Joint Committee on Cancer pT4a
  1229866004http://snomed.info/sctAmerican Joint Committee on Cancer pT4b
  1229867008http://snomed.info/sctAmerican Joint Committee on Cancer pT4c
  1229868003http://snomed.info/sctAmerican Joint Committee on Cancer pT4d (qualifier value)
  1229869006http://snomed.info/sctAmerican Joint Committee on Cancer pT4e (qualifier value)
  1285095005http://snomed.info/sctpT1b3
  1228862006http://snomed.info/sctAmerican Joint Committee on Cancer ypTX
  1228863001http://snomed.info/sctAmerican Joint Committee on Cancer ypT0 (qualifier value)
  1228864007http://snomed.info/sctAmerican Joint Committee on Cancer ypTa
  1228865008http://snomed.info/sctypTis
  1228866009http://snomed.info/sctAmerican Joint Committee on Cancer ypTis(DCIS) (qualifier value)
  1228867000http://snomed.info/sctAmerican Joint Committee on Cancer ypTis(LAMN) (qualifier value)
  1228868005http://snomed.info/sctAmerican Joint Committee on Cancer ypTis(Paget)
  1228869002http://snomed.info/sctypT1
  1228870001http://snomed.info/sctAmerican Joint Committee on Cancer ypT1mi (qualifier value)
  1228872009http://snomed.info/sctAmerican Joint Committee on Cancer ypT1a (qualifier value)
  1228873004http://snomed.info/sctAmerican Joint Committee on Cancer ypT1a1
  1228874005http://snomed.info/sctAmerican Joint Committee on Cancer ypT1a2
  1228897008http://snomed.info/sctAmerican Joint Committee on Cancer ypT1b (qualifier value)
  1228903004http://snomed.info/sctAmerican Joint Committee on Cancer ypT1b1 (qualifier value)
  1228904005http://snomed.info/sctAmerican Joint Committee on Cancer ypT1b2 (qualifier value)
  1228905006http://snomed.info/sctypT1c
  1228906007http://snomed.info/sctAmerican Joint Committee on Cancer ypT1c1 (qualifier value)
  1228907003http://snomed.info/sctAmerican Joint Committee on Cancer ypT1c2 (qualifier value)
  1228908008http://snomed.info/sctAmerican Joint Committee on Cancer ypT1c3 (qualifier value)
  1228909000http://snomed.info/sctAmerican Joint Committee on Cancer ypT1d (qualifier value)
  1228910005http://snomed.info/sctypT2
  1228911009http://snomed.info/sctAmerican Joint Committee on Cancer ypT2a
  1228912002http://snomed.info/sctAmerican Joint Committee on Cancer ypT2a1 (qualifier value)
  1228913007http://snomed.info/sctAmerican Joint Committee on Cancer ypT2a2 (qualifier value)
  1228914001http://snomed.info/sctAmerican Joint Committee on Cancer ypT2b (qualifier value)
  1228915000http://snomed.info/sctypT2c
  1228916004http://snomed.info/sctypT2d
  1228917008http://snomed.info/sctAmerican Joint Committee on Cancer ypT3
  1228918003http://snomed.info/sctypT3a
  1228919006http://snomed.info/sctAmerican Joint Committee on Cancer ypT3b (qualifier value)
  1228920000http://snomed.info/sctAmerican Joint Committee on Cancer ypT3c
  1228921001http://snomed.info/sctypT3d
  1228922008http://snomed.info/sctypT4
  1228923003http://snomed.info/sctAmerican Joint Committee on Cancer ypT4a (qualifier value)
  1228924009http://snomed.info/sctAmerican Joint Committee on Cancer ypT4b
  1228925005http://snomed.info/sctAmerican Joint Committee on Cancer ypT4c (qualifier value)
  1228926006http://snomed.info/sctypT4d
  1228927002http://snomed.info/sctAmerican Joint Committee on Cancer ypT4e (qualifier value)
  1285096006http://snomed.info/sctAmerican Joint Committee on Cancer ypT1b3 (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