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: Wilms Tumor Stage Value Set

Official URL: http://hl7.org/fhir/us/mcode/ValueSet/mcode-wilms-tumor-stage-value-vs Version: 4.0.0-ballot
Active as of 2024-10-30 Computable Name: WilmsTumorStageValueVS
Other Identifiers: OID:2.16.840.1.113883.4.642.40.15.48.98

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 the National Wilms Tumor Study Group representing Wilms Tumor 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 NLM describes the different stages.

  • Stage I indicates the tumor was completely contained within the kidney without any breaks or spillage outside the renal capsule and no vascular invasion.
  • Stage II would be a tumor that has grown outside the kidney to some degree, such as into surrounding fatty tissue. Usually, the tumor would be completely removable by surgery, and regional lymph nodes are negative.
  • Stage III indicates a tumor which could not be completely removed surgically such as the following:
    • Cancer has spread to the regional lymph nodes but not to more distant nodes, such as in the chest
    • Cancer has grown into nearby vital structures so it could not be surgically removed completely
    • Deposits of the tumor (tumor implants) are found in the peritoneum, or there are positive surgical margins
    • Cancer cells were accidentally “spilled” into the abdominal cavity during surgery
    • The tumor was removed in separate pieces surgically; such as one piece from the kidney and another from the adrenal gland
    • A renal biopsy of the tumor was done before it was surgically removed
  • Stage IV tumors are those that have spread through the vascular system to distant organs such as the lungs, liver, brain, or bones, or to distant lymph nodes.
  • Stage V are those cases where both kidneys are involved with tumor at the time of initial diagnosis. Individual staging of each renal unit is needed as well.

Logical Definition (CLD)

Generated Narrative: ValueSet mcode-wilms-tumor-stage-value-vs

  • Include codes fromhttp://snomed.info/sct where concept descends from 405971004 (National Wilms Tumor Study Group Stage finding (finding))

 

Expansion

Generated Narrative: ValueSet

Expansion based on SNOMED CT International edition 01-Feb 2024

This value set expansion contains 5 concepts.

CodeSystemDisplay
  405970003http://snomed.info/sctNational Wilms Tumor Study Group Stage V (finding)
  405972006http://snomed.info/sctNational Wilms Tumor Study Group Stage IV (finding)
  405973001http://snomed.info/sctNational Wilms Tumor Study Group Stage III (finding)
  405974007http://snomed.info/sctNational Wilms Tumor Study Group Stage II (finding)
  405975008http://snomed.info/sctNational Wilms Tumor Study Group Stage I (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