New Zealand Health Terminology Service (NZHTS) Implementation Guide
0.1.0 - ci-build

New Zealand Health Terminology Service (NZHTS) Implementation Guide, published by Health New Zealand | Te Whatu Ora. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/daniel-thomson/nzhts/ and changes regularly. See the Directory of published versions

: NZ cancer grade - XML Representation

Active as of 2024-11-02

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<ValueSet xmlns="http://hl7.org/fhir">
  <id value="canshare-grade"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2024-11-05T17:15:33.200+13:00"/>
  </meta>
  <language value="en-x-sctlang-23162100-0210105"/>
  <url value="https://nzhts.digital.health.nz/fhir/ValueSet/canshare-grade"/>
  <identifier>
    <system value="http://canshare.co.nz/fhir/NamingSystem/valuesets"/>
    <value value="canshare-grade"/>
  </identifier>
  <version value="0.1.0"/>
  <name value="canshare-grade"/>
  <title value="NZ cancer grade"/>
  <status value="active"/>
  <experimental value="false"/>
  <date value="2024-11-02"/>
  <publisher value="Health New Zealand | Te Whatu Ora"/>
  <contact>
    <name value="Health New Zealand | Te Whatu Ora"/>
    <telecom>
      <system value="url"/>
      <value value="https://www.tewhatuora.govt.nz/"/>
    </telecom>
  </contact>
  <description value="The grade of a cancer"/>
  <compose>
    <include>
      <system value="http://snomed.info/sct"/>
      <version value="http://snomed.info/sct/21000210109"/>
      <filter>
        <property value="constraint"/>
        <op value="="/>
        <value
               value="&lt; 384740007 |Finding of grade (finding)| OR &lt; 370114008 |Histological grades (qualifier value)|"/>
      </filter>
    </include>
  </compose>
  <expansion>
    <identifier value="f0d547d1-cbe9-48b5-89e4-19782a4fbab6"/>
    <timestamp value="2024-11-11T13:49:30+13:00"/>
    <total value="100"/>
    <offset value="0"/>
    <parameter>
      <name value="version"/>
      <valueUri
                value="http://snomed.info/sct|http://snomed.info/sct/21000210109/version/20241001"/>
    </parameter>
    <parameter>
      <name value="count"/>
      <valueInteger value="2147483647"/>
    </parameter>
    <parameter>
      <name value="offset"/>
      <valueInteger value="0"/>
    </parameter>
    <contains>
      <system value="http://snomed.info/sct"/>
      <code value="369781009"/>
      <display
               value="DCIS nuclear pleomorphism, grade 1: monotonous nuclei, 1.5 - 2.0 RBC diameters, with finely dispersed chromatin and only occasional nucleoli"/>
    </contains>
    <contains>
      <system value="http://snomed.info/sct"/>
      <code value="369782002"/>
      <display
               value="DCIS nuclear pleomorphism, grade 2: neither nuclear grade 1 nor nuclear grade 3"/>
    </contains>
    <contains>
      <system value="http://snomed.info/sct"/>
      <code value="369783007"/>
      <display
               value="DCIS nuclear pleomorphism, grade 3: Markedly pleomorphic nuclei, usually &gt;2.5 RBC diameters, with coarse chromatin and multiple nucleoli"/>
    </contains>
    <contains>
      <system value="http://snomed.info/sct"/>
      <code value="1290245004"/>
      <display value="Differentiating neuroblastoma"/>
    </contains>
    <contains>
      <system value="http://snomed.info/sct"/>
      <code value="1290302009"/>
      <display
               value="FIGO (International Federation of Gynecology and Obstetrics) grading system grade 1"/>
    </contains>
    <contains>
      <system value="http://snomed.info/sct"/>
      <code value="1290303004"/>
      <display
               value="FIGO (International Federation of Gynecology and Obstetrics) grading system grade 2"/>
    </contains>
    <contains>
      <system value="http://snomed.info/sct"/>
      <code value="1290304005"/>
      <display
               value="FIGO (International Federation of Gynecology and Obstetrics) grading system grade 3"/>
    </contains>
    <contains>
      <system value="http://snomed.info/sct"/>
      <code value="396193002"/>
      <display value="Fuhrman nuclear grade finding"/>
    </contains>
    <contains>
      <system value="http://snomed.info/sct"/>
      <code value="54102005"/>
      <display value="G1 grade"/>
    </contains>
    <contains>
      <system value="http://snomed.info/sct"/>
      <code value="369724004"/>
      <display value="G1: 5 percent or less non-squamous solid growth"/>
    </contains>
    <contains>
      <system value="http://snomed.info/sct"/>
      <code value="369720008"/>
      <display
               value="G1: Nuclei round, uniform, approximately 10 µ; nucleoli inconspicuous or absent"/>
    </contains>
    <contains>
      <system value="http://snomed.info/sct"/>
      <code value="1155701009"/>
      <display value="G1: Well differentiated"/>
    </contains>
    <contains>
      <system value="http://snomed.info/sct"/>
      <code value="369716009"/>
      <display
               value="G1: Well differentiated (greater than 95 percent gland forming)"/>
    </contains>
    <contains>
      <system value="http://snomed.info/sct"/>
      <code value="1155706004"/>
      <display value="G1: Well differentiated neuroendocrine neoplasm"/>
    </contains>
    <contains>
      <system value="http://snomed.info/sct"/>
      <code value="476251000210106"/>
      <display
               value="G1: Well differentiated neuroendocrine neoplasm, typical carcinoid of thorax"/>
    </contains>
    <contains>
      <system value="http://snomed.info/sct"/>
      <code value="1663004"/>
      <display value="G2 grade"/>
    </contains>
    <contains>
      <system value="http://snomed.info/sct"/>
      <code value="369725003"/>
      <display value="G2: 6-50 percent non-squamous solid growth"/>
    </contains>
    <contains>
      <system value="http://snomed.info/sct"/>
      <code value="1155703007"/>
      <display value="G2: Moderately differentiated"/>
    </contains>
    <contains>
      <system value="http://snomed.info/sct"/>
      <code value="369717000"/>
      <display
               value="G2: Moderately differentiated (50-95 percent gland forming)"/>
    </contains>
    <contains>
      <system value="http://snomed.info/sct"/>
      <code value="369721007"/>
      <display
               value="G2: Nuclei slightly irregular, approximately 15 µ; nucleoli evident"/>
    </contains>
    <contains>
      <system value="http://snomed.info/sct"/>
      <code value="1155710001"/>
      <display value="G2: Well differentiated neuroendocrine neoplasm"/>
    </contains>
    <contains>
      <system value="http://snomed.info/sct"/>
      <code value="476241000210108"/>
      <display
               value="G2: Well differentiated neuroendocrine neoplasm, atypical carcinoid of thorax"/>
    </contains>
    <contains>
      <system value="http://snomed.info/sct"/>
      <code value="61026006"/>
      <display value="G3 grade"/>
    </contains>
    <contains>
      <system value="http://snomed.info/sct"/>
      <code value="369726002"/>
      <display value="G3: More than 50 percent non-squamous solid growth"/>
    </contains>
    <contains>
      <system value="http://snomed.info/sct"/>
      <code value="369722000"/>
      <display
               value="G3: Nuclei very irregular, approximately 20 µ; nucleoli large and prominent"/>
    </contains>
    <contains>
      <system value="http://snomed.info/sct"/>
      <code value="1155704001"/>
      <display value="G3: Poorly differentiated"/>
    </contains>
    <contains>
      <system value="http://snomed.info/sct"/>
      <code value="369718005"/>
      <display
               value="G3: Poorly differentiated (5-49 percent gland forming)"/>
    </contains>
    <contains>
      <system value="http://snomed.info/sct"/>
      <code value="1155711002"/>
      <display value="G3: Well differentiated neuroendocrine neoplasm"/>
    </contains>
    <contains>
      <system value="http://snomed.info/sct"/>
      <code value="258245003"/>
      <display value="G4 grade"/>
    </contains>
    <contains>
      <system value="http://snomed.info/sct"/>
      <code value="369723005"/>
      <display
               value="G4: Nuclei bizarre and multilobated, 20 µ or greater, nucleoli prominent, chromatin clumped"/>
    </contains>
    <contains>
      <system value="http://snomed.info/sct"/>
      <code value="1155702002"/>
      <display value="G4: Undifferentiated"/>
    </contains>
    <contains>
      <system value="http://snomed.info/sct"/>
      <code value="369719002"/>
      <display
               value="G4: Undifferentiated (less than 5 percent gland forming)"/>
    </contains>
    <contains>
      <system value="http://snomed.info/sct"/>
      <code value="1268929003"/>
      <display value="GB: Borderline tumour"/>
    </contains>
    <contains>
      <system value="http://snomed.info/sct"/>
      <code value="384741006"/>
      <display value="Grade cannot be determined"/>
    </contains>
    <contains>
      <system value="http://snomed.info/sct"/>
      <code value="477281000210103"/>
      <display value="Grade determined"/>
    </contains>
    <contains>
      <system value="http://snomed.info/sct"/>
      <code value="60815008"/>
      <display value="Grade not determined"/>
    </contains>
    <contains>
      <system value="http://snomed.info/sct"/>
      <code value="1155705000"/>
      <display value="GX: Histologic grade cannot be assessed"/>
    </contains>
    <contains>
      <system value="http://snomed.info/sct"/>
      <code value="1155712009"/>
      <display value="GX: Neuroendocrine neoplasm grade cannot be assessed"/>
    </contains>
    <contains>
      <system value="http://snomed.info/sct"/>
      <code value="369767007"/>
      <display value="High grade (lymphoma)"/>
    </contains>
    <contains>
      <system value="http://snomed.info/sct"/>
      <code value="395530002"/>
      <display
               value="High grade (poorly differentiated to undifferentiated)"/>
    </contains>
    <contains>
      <system value="http://snomed.info/sct"/>
      <code value="399611001"/>
      <display value="High grade histologic differentiation"/>
    </contains>
    <contains>
      <system value="http://snomed.info/sct"/>
      <code value="1155707008"/>
      <display value="High histologic grade"/>
    </contains>
    <contains>
      <system value="http://snomed.info/sct"/>
      <code value="476601000210107"/>
      <display value="High poorly differentiated histologic grade"/>
    </contains>
    <contains>
      <system value="http://snomed.info/sct"/>
      <code value="373372005"/>
      <display value="Histological grade finding"/>
    </contains>
    <contains>
      <system value="http://snomed.info/sct"/>
      <code value="405986005"/>
      <display value="Intermediate grade histologic differentiation"/>
    </contains>
    <contains>
      <system value="http://snomed.info/sct"/>
      <code value="1286893008"/>
      <display value="Intermediate histologic grade"/>
    </contains>
    <contains>
      <system value="http://snomed.info/sct"/>
      <code value="332391000210102"/>
      <display
               value="International Federation of Gynecology and Obstetrics grade 1"/>
    </contains>
    <contains>
      <system value="http://snomed.info/sct"/>
      <code value="332401000210104"/>
      <display
               value="International Federation of Gynecology and Obstetrics grade 2"/>
    </contains>
    <contains>
      <system value="http://snomed.info/sct"/>
      <code value="332411000210102"/>
      <display
               value="International Federation of Gynecology and Obstetrics grade 3"/>
    </contains>
    <contains>
      <system value="http://snomed.info/sct"/>
      <code value="332381000210104"/>
      <display
               value="International Federation of Gynecology and Obstetrics grade finding"/>
    </contains>
    <contains>
      <system value="http://snomed.info/sct"/>
      <code value="1290294004"/>
      <display
               value="International Federation of Gynecology and Obstetrics grading system"/>
    </contains>
    <contains>
      <system value="http://snomed.info/sct"/>
      <code value="1279715000"/>
      <display
               value="International Society of Urological Pathology grade group 1 (Gleason score 3 + 3 = 6)"/>
    </contains>
    <contains>
      <system value="http://snomed.info/sct"/>
      <code value="1279714001"/>
      <display
               value="International Society of Urological Pathology grade group 2 (Gleason score 3 + 4 = 7)"/>
    </contains>
    <contains>
      <system value="http://snomed.info/sct"/>
      <code value="1279716004"/>
      <display
               value="International Society of Urological Pathology grade group 3 (Gleason score 4 + 3 = 7)"/>
    </contains>
    <contains>
      <system value="http://snomed.info/sct"/>
      <code value="1279718003"/>
      <display
               value="International Society of Urological Pathology grade group 4 (Gleason score 3 + 5 = 8)"/>
    </contains>
    <contains>
      <system value="http://snomed.info/sct"/>
      <code value="1279717008"/>
      <display
               value="International Society of Urological Pathology grade group 4 (Gleason score 4 + 4 = 8)"/>
    </contains>
    <contains>
      <system value="http://snomed.info/sct"/>
      <code value="1279719006"/>
      <display
               value="International Society of Urological Pathology grade group 4 (Gleason score 5 + 3 = 8)"/>
    </contains>
    <contains>
      <system value="http://snomed.info/sct"/>
      <code value="1279720000"/>
      <display
               value="International Society of Urological Pathology grade group 5 (Gleason score 4 + 5 = 9)"/>
    </contains>
    <contains>
      <system value="http://snomed.info/sct"/>
      <code value="1279721001"/>
      <display
               value="International Society of Urological Pathology grade group 5 (Gleason score 5 + 4 = 9)"/>
    </contains>
    <contains>
      <system value="http://snomed.info/sct"/>
      <code value="1279722008"/>
      <display
               value="International Society of Urological Pathology grade group 5 (Gleason score 5 + 5 = 10)"/>
    </contains>
    <contains>
      <system value="http://snomed.info/sct"/>
      <code value="1515521000004104"/>
      <display
               value="International Society of Urological Pathology histologic grade group"/>
    </contains>
    <contains>
      <system value="http://snomed.info/sct"/>
      <code value="1525761000004109"/>
      <display
               value="International Society of Urological Pathology histologic grade group 1"/>
    </contains>
    <contains>
      <system value="http://snomed.info/sct"/>
      <code value="1525771000004101"/>
      <display
               value="International Society of Urological Pathology histologic grade group 2"/>
    </contains>
    <contains>
      <system value="http://snomed.info/sct"/>
      <code value="1525781000004103"/>
      <display
               value="International Society of Urological Pathology histologic grade group 3"/>
    </contains>
    <contains>
      <system value="http://snomed.info/sct"/>
      <code value="1525791000004100"/>
      <display
               value="International Society of Urological Pathology histologic grade group 4"/>
    </contains>
    <contains>
      <system value="http://snomed.info/sct"/>
      <code value="1525801000004104"/>
      <display
               value="International Society of Urological Pathology histologic grade group 5"/>
    </contains>
    <contains>
      <system value="http://snomed.info/sct"/>
      <code value="369766003"/>
      <display value="Low grade (lymphoma)"/>
    </contains>
    <contains>
      <system value="http://snomed.info/sct"/>
      <code value="395529007"/>
      <display value="Low grade (well to moderately differentiated)"/>
    </contains>
    <contains>
      <system value="http://snomed.info/sct"/>
      <code value="399415002"/>
      <display value="Low grade histologic differentiation"/>
    </contains>
    <contains>
      <system value="http://snomed.info/sct"/>
      <code value="425037004"/>
      <display value="Low grade lymphoma, stage 1"/>
    </contains>
    <contains>
      <system value="http://snomed.info/sct"/>
      <code value="1155708003"/>
      <display value="Low histologic grade"/>
    </contains>
    <contains>
      <system value="http://snomed.info/sct"/>
      <code value="476591000210102"/>
      <display value="Low well-moderately differentiated histologic grade"/>
    </contains>
    <contains>
      <system value="http://snomed.info/sct"/>
      <code value="384812005"/>
      <display value="Moderately differentiated"/>
    </contains>
    <contains>
      <system value="http://snomed.info/sct"/>
      <code value="373377004"/>
      <display value="Moderately differentiated histological grade finding"/>
    </contains>
    <contains>
      <system value="http://snomed.info/sct"/>
      <code value="384668003"/>
      <display value="Nottingham Combined Grade cannot be determined"/>
    </contains>
    <contains>
      <system value="http://snomed.info/sct"/>
      <code value="373378009"/>
      <display value="Nottingham Combined Grade finding"/>
    </contains>
    <contains>
      <system value="http://snomed.info/sct"/>
      <code value="369790002"/>
      <display value="Nottingham Combined Grade I: 3-5 points"/>
    </contains>
    <contains>
      <system value="http://snomed.info/sct"/>
      <code value="369791003"/>
      <display value="Nottingham Combined Grade II: 6-7 points"/>
    </contains>
    <contains>
      <system value="http://snomed.info/sct"/>
      <code value="369792005"/>
      <display value="Nottingham Combined Grade III: 8-9 points"/>
    </contains>
    <contains>
      <system value="http://snomed.info/sct"/>
      <code value="1287024003"/>
      <display value="Nottingham combined histologic grade 1"/>
    </contains>
    <contains>
      <system value="http://snomed.info/sct"/>
      <code value="1287025002"/>
      <display value="Nottingham combined histologic grade 2"/>
    </contains>
    <contains>
      <system value="http://snomed.info/sct"/>
      <code value="1287026001"/>
      <display value="Nottingham combined histologic grade 3"/>
    </contains>
    <contains>
      <system value="http://snomed.info/sct"/>
      <code value="1287020007"/>
      <display
               value="Nottingham grade system for primary malignant neoplasm of breast"/>
    </contains>
    <contains>
      <system value="http://snomed.info/sct"/>
      <code value="1287460004"/>
      <display
               value="Nottingham scoring system for primary malignant neoplasm of breast"/>
    </contains>
    <contains>
      <system value="http://snomed.info/sct"/>
      <code value="1287021006"/>
      <display
               value="Nottingham scoring system for primary malignant neoplasm of breast score 1"/>
    </contains>
    <contains>
      <system value="http://snomed.info/sct"/>
      <code value="1287022004"/>
      <display
               value="Nottingham scoring system for primary malignant neoplasm of breast score 2"/>
    </contains>
    <contains>
      <system value="http://snomed.info/sct"/>
      <code value="1287023009"/>
      <display
               value="Nottingham scoring system for primary malignant neoplasm of breast score 3"/>
    </contains>
    <contains>
      <system value="http://snomed.info/sct"/>
      <code value="384736003"/>
      <display value="Nuclear grade finding"/>
    </contains>
    <contains>
      <system value="http://snomed.info/sct"/>
      <code value="263843001"/>
      <display value="Poorly differentiated"/>
    </contains>
    <contains>
      <system value="http://snomed.info/sct"/>
      <code value="373373000"/>
      <display value="Poorly differentiated histological grade finding"/>
    </contains>
    <contains>
      <system value="http://snomed.info/sct"/>
      <code value="313147000"/>
      <display value="Tumour grade G0"/>
    </contains>
    <contains>
      <system value="http://snomed.info/sct"/>
      <code value="263918006"/>
      <display value="Undifferentiated"/>
    </contains>
    <contains>
      <system value="http://snomed.info/sct"/>
      <code value="373374006"/>
      <display value="Undifferentiated histological grade finding"/>
    </contains>
    <contains>
      <system value="http://snomed.info/sct"/>
      <code value="263933003"/>
      <display value="Well differentiated"/>
    </contains>
    <contains>
      <system value="http://snomed.info/sct"/>
      <code value="373375007"/>
      <display value="Well differentiated histological grade finding"/>
    </contains>
    <contains>
      <system value="http://snomed.info/sct"/>
      <code value="396921005"/>
      <display value="WHO grade finding for central nervous system tumour"/>
    </contains>
    <contains>
      <system value="http://snomed.info/sct"/>
      <code value="396922003"/>
      <display value="WHO grade I (central nervous system tumour)"/>
    </contains>
    <contains>
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      <display value="WHO grade II (central nervous system tumour)"/>
    </contains>
    <contains>
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      <code value="396924002"/>
      <display value="WHO grade III (central nervous system tumour)"/>
    </contains>
    <contains>
      <system value="http://snomed.info/sct"/>
      <code value="396925001"/>
      <display value="WHO grade IV (central nervous system tumour)"/>
    </contains>
  </expansion>
</ValueSet>