Cancer Pathology Data Sharing
2.0.0-ballot - STU 2 Ballot United States of America flag

This page is part of the Sharing eCC Data from Pathology Labs to EHR (v2.0.0-ballot: STU 2 Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. This version is a pre-release. The current official version is 1.0.1. For a full list of available versions, see the Directory of published versions

CodeSystem: CAP eCC CodeSystem

Official URL: http://hl7.org/fhir/us/cancer-reporting/CodeSystem/cap-ecc-codesystem Version: 2.0.0-ballot
Standards status: Trial-use Computable Name: CAPeCCCodeSystem

A CodeSystem for CAP eCC codes

This Code system is referenced in the content logical definition of the following value sets:

Generated Narrative: CodeSystem cap-ecc-codesystem

This case-insensitive code system http://hl7.org/fhir/us/cancer-reporting/CodeSystem/cap-ecc-codesystem defines the following codes:

CodeDisplay
31357.100004300 Greatest dimension of largest invasive focus greater than 1 mm (specify exact measurement in Millimeters (mm))
30148.100004300 Tumor Size (Note E)
51180.100004300 Tumor Site (Note B)
16448.100004300 Single focus of invasive carcinoma
38392.100004300 Tumor Focality (Note F)
16214.100004300 Specimen Laterality
16215.100004300 Right
52399.100004300 HER2 (by immunohistochemistry)
36944.100004300 HER2 (by immunohistochemistry)
43789.100004300 Breast Biomarker Testing Performed on Previous Biopsy
41776.100004300 Estrogen Receptor (ER)
45138.100004300 Estrogen Receptor (ER) Status
53472.100004300 Cannot be determined (indeterminate)
16280.100004300 Invasive carcinoma of no special type (ductal)
41794.100004300 Histologic Type (Note C)
16182.100004300 SPECIMEN
17834.100004300 SPECIAL STUDIES
39858.100004300 Regional Lymph Nodes
16697.100004300 REGIONAL LYMPH NODES (Note M)
16717.100004300 PATHOLOGIC STAGE CLASSIFICATION (pTNM, AJCC 8th Edition) (Note M)
16567.100004300 MARGINS (Note L)
868263.100004300 Lymph Nodes
352333.100004300 DISTANT METASTASIS
381061.100004300 COMMENTS
16782.100004300 ADDITIONAL FINDINGS (Note N)
351607.100004300 ?Number of Sentinel Nodes Examined (if applicable)
351606.100004300 Exact number (specify)
351601.100004300 Exact number (specify)
351602.100004300 Total Number of Lymph Nodes Examined (sentinel and non-sentinel)
374353.100004300 Regional lymph nodes present
351589.100004300 Regional Lymph Node Status
16736.100004300 pT1b: Tumor > 5 mm but <= 10 mm in greatest dimension
327740.100004300 pT Category
763178.100004300 pN Category
38649.100004300 pN0: No regional lymph node metastasis identified or ITCs only#
58807.100004300 Procedure (Note A)
40307.100004300 Excision (less than total mastectomy)
38391.100004300 Overall Grade
16390.100004300 Grade 1 (scores of 3, 4 or 5)
380283.100004300 Nottingham Score
38125.100004300 Nuclear Pleomorphism
16355.100004300 Score 2 (Cells larger than normal with open vesicular nuclei, visible nucleoli, and moderate variability in both size and shape)
16383.100004300 Score 1
38390.100004300 Mitotic Rate
351503.100004300 ?Margin Status for Invasive Carcinoma (required only if residual invasive carcinoma is present in specimen)
351504.100004300 All margins negative for invasive carcinoma
351501.100004300 Lateral
16348.100004300 Score 2 (10 to 75% of tumor area forming glandular / tubular structures)
38124.100004300 Glandular (Acinar) / Tubular Differentiation
44040.100004300 Ductal Carcinoma In Situ (DCIS) (Note G)
16306.100004300 Not identified
352343.100004300 ?Not applicable
42418.100004300 Clock position
352334.100004300 ?Distant Site(s) Involved, if applicable
16259.100004300 Specify Clock Position
6643.100004300 8 o'clock
16783.100004300 Additional Findings (specify)
31359.100004300 Additional Dimension in Millimeters (mm)
Breast.Invasive.Res.189_4.009.021.REL_sdcFDF INVASIVE CARCINOMA OF THE BREAST: Resection
16249.100004300 TUMOR
16403.100004300 Tumor Extent (Note H)
868258.100004300 Primary Tumor Bed
868272.100004300 RCB Calculations