PanCareSurPass Project HL7 FHIR Implementation Guide
1.0.0 - release 150

PanCareSurPass Project HL7 FHIR Implementation Guide, published by PanCareSurPass Project. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/pcsp/ and changes regularly. See the Directory of published versions

## ValueSet: Cancer Staging System Value Set

Official URL: http://hl7.eu/fhir/ig/pcsp/ValueSet/mcode-cancer-staging-system-vs | Version: 1.0.0
Active as of 2025-10-16 | Computable Name: CancerStagingSystemVS
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

System used for staging.

References

- Observation: Cancer Stage Group
- Observation: TNM Distant Metastases Category
- Observation: TNM Primary Tumor Category
- Observation: TNM Regional Nodes Category

### Logical Definition (CLD)

- Include codes from`http://snomed.info/sct` version Not Stated (use latest from terminology server) where concept is-a 254292007 (Tumor staging)

### Expansion

Expansion performed internally based on SNOMED CT International edition 01-Sep 2023

This value set expansion contains 148 concepts.

System | Code | Display (en) | JSON | XML
`http://snomed.info/sct` | 254292007 | Tumor staging |  |
`http://snomed.info/sct` | 13808002 | WR stage 3 |  |
`http://snomed.info/sct` | 15972002 | WR stage 2 |  |
`http://snomed.info/sct` | 42114005 | WR stage 1 |  |
`http://snomed.info/sct` | 66470009 | WR stage 5 |  |
`http://snomed.info/sct` | 74542008 | WR stage 4 |  |
`http://snomed.info/sct` | 83200007 | WR stage 6 |  |
`http://snomed.info/sct` | 106242004 | Walter Reed staging of prostatic cancer |  |
`http://snomed.info/sct` | 106244003 | FIGO staging of endometrial carcinoma |  |
`http://snomed.info/sct` | 106245002 | FIGO staging of vulvar carcinoma |  |
`http://snomed.info/sct` | 106246001 | FIGO staging of vulvar melanoma |  |
`http://snomed.info/sct` | 106247005 | FIGO staging for epithelial tumor of ovary |  |
`http://snomed.info/sct` | 106250008 | FIGO staging of cervical carcinoma |  |
`http://snomed.info/sct` | 106252000 | Staging classification for lymphoma |  |
`http://snomed.info/sct` | 110375007 | Overlapping tumor |  |
`http://snomed.info/sct` | 254360008 | Dukes staging system |  |
`http://snomed.info/sct` | 254361007 | Astler-Coller staging system |  |
`http://snomed.info/sct` | 254362000 | Modified Astler-Coller staging system |  |
`http://snomed.info/sct` | 254363005 | International neuroblastoma staging system |  |
`http://snomed.info/sct` | 254364004 | NWTS - National Wilms' tumour study staging system |  |
`http://snomed.info/sct` | 254365003 | Siopel liver staging system |  |
`http://snomed.info/sct` | 254366002 | Stannard staging system for retinoblastoma |  |
`http://snomed.info/sct` | 254368001 | United Kingdom children's cancer study group central nervous system tumor staging system |  |
`http://snomed.info/sct` | 254370005 | St Jude's malignant histiocytosis tumour staging system |  |
`http://snomed.info/sct` | 254371009 | St Jude's non-Hodgkin's lymphoma staging system |  |
`http://snomed.info/sct` | 254372002 | Ann Arbor lymphoma staging system |  |
`http://snomed.info/sct` | 254373007 | Ann Arbor Hodgkin's disease tumor staging system |  |
`http://snomed.info/sct` | 254374001 | Ann Arbor non-Hodgkin's lymphoma tumour staging system |  |
`http://snomed.info/sct` | 254375000 | Cotswolds Hodgkin's disease tumor staging system |  |
`http://snomed.info/sct` | 254376004 | Testicular tumour staging systems |  |
`http://snomed.info/sct` | 254378003 | Walter Reed testicular tumor staging system |  |
`http://snomed.info/sct` | 254379006 | Indiana University testicular tumour staging system |  |
`http://snomed.info/sct` | 254380009 | Marshall Modification of Jewett-Strong staging system for urinary bladder tumor |  |
`http://snomed.info/sct` | 254381008 | American Urological Association staging system for prostate cancer |  |
`http://snomed.info/sct` | 254382001 | Trophoblastic malignancy staging system |  |
`http://snomed.info/sct` | 254383006 | Federation internationale de gynecologie et d'obstetrique staging of gynaecological malignancy |  |
`http://snomed.info/sct` | 254384000 | FIGO Vaginal tumor staging |  |
`http://snomed.info/sct` | 254385004 | Federation internationale de gynecologie et d'obstetrique staging of corpus uteri malignancy |  |
`http://snomed.info/sct` | 254386003 | Federation Internationale de gynecologie et d'obstetrique staging of ovarian malignancy |  |
`http://snomed.info/sct` | 258233007 | Generic tumor staging descriptor (tumor staging) |  |
`http://snomed.info/sct` | 258234001 | TNM tumor staging classifications |  |
`http://snomed.info/sct` | 258244004 | G status |  |
`http://snomed.info/sct` | 258246002 | Lymphatic tumour invasion status stages |  |
`http://snomed.info/sct` | 258247006 | V status |  |
`http://snomed.info/sct` | 258257007 | Additional tumor staging descriptor (tumor staging) |  |
`http://snomed.info/sct` | 258258002 | (f) |  |
`http://snomed.info/sct` | 258259005 | is |  |
`http://snomed.info/sct` | 258260000 | (d) |  |
`http://snomed.info/sct` | 258267002 | Generic tumour risk status stages |  |
`http://snomed.info/sct` | 258268007 | Low risk tumor |  |
`http://snomed.info/sct` | 258269004 | Medium risk tumour |  |
`http://snomed.info/sct` | 258270003 | High risk tumor |  |
`http://snomed.info/sct` | 258271004 | Specific tumor staging descriptor (tumor staging) |  |
`http://snomed.info/sct` | 258272006 | Liver tumor staging descriptor (tumor staging) |  |
`http://snomed.info/sct` | 258273001 | Liver tumor size index |  |
`http://snomed.info/sct` | 258276009 | Timing of liver tumour staging |  |
`http://snomed.info/sct` | 258279002 | Lymphoma staging symptom status values |  |
`http://snomed.info/sct` | 258280004 | Lymphomatous extranodal involvement status values |  |
`http://snomed.info/sct` | 258281000 | S+ minimal |  |
`http://snomed.info/sct` | 258282007 | S+ extensive |  |
`http://snomed.info/sct` | 258283002 | Lymphomatous nodal involvement |  |
`http://snomed.info/sct` | 258284008 | Stannards retinoblastoma stages |  |
`http://snomed.info/sct` | 258285009 | Optic nerve tumour invasion status in retinoblastoma staging |  |
`http://snomed.info/sct` | 258286005 | Choroidal tumor invasion status in retinoblastoma staging |  |
`http://snomed.info/sct` | 258292004 | Lymph nodal tumour invasion status in retinoblastoma staging |  |
`http://snomed.info/sct` | 258293009 | Brain tumor invasion status in retinoblastoma staging |  |
`http://snomed.info/sct` | 258301001 | Langerhans cell histiocytosis stage (tumor staging) |  |
`http://snomed.info/sct` | 258302008 | Number of organ systems involved with Langerhans cell histiocytosis |  |
`http://snomed.info/sct` | 258303003 | Single system involvement |  |
`http://snomed.info/sct` | 258304009 | Multisystem involvement |  |
`http://snomed.info/sct` | 258305005 | Organ failure due to Langerhans cell histiocytosis |  |
`http://snomed.info/sct` | 258306006 | Vital organ failure |  |
`http://snomed.info/sct` | 258307002 | Non-vital organ failure |  |
`http://snomed.info/sct` | 258309004 | Generic lymph node tumor invasion status stage (tumor staging) |  |
`http://snomed.info/sct` | 258310009 | Neck node tumor involvement |  |
`http://snomed.info/sct` | 258311008 | Mediastinal lymph node tumour involvement |  |
`http://snomed.info/sct` | 258312001 | Axillary lymph node level |  |
`http://snomed.info/sct` | 258313006 | Level I |  |
`http://snomed.info/sct` | 258314000 | Midaxilla |  |
`http://snomed.info/sct` | 258315004 | Level III |  |
`http://snomed.info/sct` | 258316003 | Retroperitoneal lymph node tumor invasion status |  |
`http://snomed.info/sct` | 258318002 | Generic anatomical site tumor invasion status |  |
`http://snomed.info/sct` | 258319005 | Lung involvement stages |  |
`http://snomed.info/sct` | 258320004 | Lung stage L2 |  |
`http://snomed.info/sct` | 258321000 | Lung stage L3 |  |
`http://snomed.info/sct` | 258322007 | H+ |  |
`http://snomed.info/sct` | 258323002 | Liver sectors |  |
`http://snomed.info/sct` | 258324008 | Liver sector 1 |  |
`http://snomed.info/sct` | 258325009 | Liver sector 2 |  |
`http://snomed.info/sct` | 258326005 | Liver sector 3 |  |
`http://snomed.info/sct` | 258327001 | Liver sector 4 |  |
`http://snomed.info/sct` | 258328006 | Markers for liver tumour staging |  |
`http://snomed.info/sct` | 261731003 | CNS metastases |  |
`http://snomed.info/sct` | 261789009 | Extra CNS metastases |  |
`http://snomed.info/sct` | 261985008 | No metastases |  |
`http://snomed.info/sct` | 277318003 | (m) |  |
`http://snomed.info/sct` | 277645005 | Additional TNM descriptors |  |
`http://snomed.info/sct` | 278241006 | Node stage G1 |  |
`http://snomed.info/sct` | 278242004 | Node stage G2 |  |
`http://snomed.info/sct` | 278247005 | Lung stage L1 |  |
`http://snomed.info/sct` | 282402005 | V - Hepatic vein marker |  |
`http://snomed.info/sct` | 282403000 | P - Portal vein marker |  |
`http://snomed.info/sct` | 282404006 | E - Extrahepatic marker |  |
`http://snomed.info/sct` | 282405007 | M - Metastatic marker |  |
`http://snomed.info/sct` | 282436004 | E - Extralymphatic organ involvement marker |  |
`http://snomed.info/sct` | 282437008 | S - Splenic involvement marker |  |
`http://snomed.info/sct` | 385345007 | Clark system for melanoma staging (tumor staging) |  |
`http://snomed.info/sct` | 385346008 | Breslow system for melanoma staging (tumor staging) |  |
`http://snomed.info/sct` | 385359000 | Modified Dukes staging system (tumor staging) |  |
`http://snomed.info/sct` | 417957003 | Uveal metastasis (tumor staging) |  |
`http://snomed.info/sct` | 420417005 | Liver tumor size index more than 0.05 (tumor staging) |  |
`http://snomed.info/sct` | 420483003 | Abdominal lymph node tumor invasion status A (tumor staging) |  |
`http://snomed.info/sct` | 420533005 | Choroidal invasion stage C1 in retinoblastoma (tumor staging) |  |
`http://snomed.info/sct` | 420728008 | Timing of liver tumor staging at diagnosis (tumor staging) |  |
`http://snomed.info/sct` | 420841002 | Choroidal invasion stage C0 in retinoblastoma (tumor staging) |  |
`http://snomed.info/sct` | 420889006 | Liver tumor size index less than 0.05 (tumor staging) |  |
`http://snomed.info/sct` | 420969009 | Lymphoma staging symptom status A (tumor staging) |  |
`http://snomed.info/sct` | 421074006 | Central nervous system stage B3 in retinoblastoma (tumor staging) |  |
`http://snomed.info/sct` | 421174009 | Choroidal invasion stage C2 in retinoblastoma (tumor staging) |  |
`http://snomed.info/sct` | 421188008 | Tumor staging descriptor r (tumor staging) |  |
`http://snomed.info/sct` | 421211000 | Lymphoma staging symptom status B (tumor staging) |  |
`http://snomed.info/sct` | 421294007 | Timing of liver tumor staging pre-surgery (tumor staging) |  |
`http://snomed.info/sct` | 421426001 | Tumor staging descriptor a (tumor staging) |  |
`http://snomed.info/sct` | 421432006 | Choroidal invasion stage C3 in retinoblastoma (tumor staging) |  |
`http://snomed.info/sct` | 421655002 | Optic nerve invasion stage N1 in retinoblastoma (tumor staging) |  |
`http://snomed.info/sct` | 421683000 | Optic nerve invasion stage N0 in retinoblastoma (tumor staging) |  |
`http://snomed.info/sct` | 421745006 | Choroidal invasion stage C4 in retinoblastoma (tumor staging) |  |
`http://snomed.info/sct` | 421755005 | Tumor staging descriptor y (tumor staging) |  |
`http://snomed.info/sct` | 421824005 | Tumor staging descriptor p (tumor staging) |  |
`http://snomed.info/sct` | 421838003 | Optic nerve invasion stage N3 in retinoblastoma (tumor staging) |  |
`http://snomed.info/sct` | 421923000 | Central nervous system stage B2 in retinoblastoma (tumor staging) |  |
`http://snomed.info/sct` | 422196000 | Tumor staging descriptor D (tumor staging) |  |
`http://snomed.info/sct` | 422203007 | Central nervous system stage B1 in retinoblastoma (tumor staging) |  |
`http://snomed.info/sct` | 443830009 | American Joint Commission on Cancer, Cancer Staging Manual, 7th edition neoplasm staging system (tumor staging) |  |
`http://snomed.info/sct` | 444256004 | American Joint Commission on Cancer, Cancer Staging Manual, 6th edition neoplasm staging system (tumor staging) |  |
`http://snomed.info/sct` | 897275008 | American Joint Commission on Cancer, Cancer Staging Manual, 8th edition tumor staging system |  |
`http://snomed.info/sct` | 1149099005 | Binet staging classification for chronic lymphocytic leukaemia |  |
`http://snomed.info/sct` | 1149131009 | Rai staging system for chronic lymphocytic leukaemia |  |
`http://snomed.info/sct` | 1149164009 | ACPS (Australian Clinico-pathological Staging) System for colorectal cancer |  |
`http://snomed.info/sct` | 1149295006 | Malignant tumour staging |  |
`http://snomed.info/sct` | 1269566009 | American Joint Commission on Cancer, Cancer Staging Manual, 9th version neoplasm staging system |  |
`http://snomed.info/sct` | 1287643004 | INRG (International Neuroblastoma Risk Group) staging system |  |
`http://snomed.info/sct` | 1287646007 | International Germ Cell Consensus Classification (tumor staging) |  |
`http://snomed.info/sct` | 1287647003 | Toronto Childhood Cancer Stage Guidelines Version 2 (tumor staging) |  |
`http://snomed.info/sct` | 1287648008 | Masaoka-Koga stage classification for thymic malignancies (tumor staging) |  |
`http://snomed.info/sct` | 1287844008 | COG (Children's Oncology Group) renal staging system |  |
`http://snomed.info/sct` | 1287845009 | Children's Oncology Group liver staging system (tumor staging) |  |
`http://snomed.info/sct` | 1287958009 | French-American-British classification system (tumor staging) |  |

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