HL7 FHIR Implementation Guide: minimal Common Oncology Data Elements (mCODE) Release 1 - US Realm | STU Ballot 1

This page is part of the HL7 FHIR Implementation Guide: minimal Common Oncology Data Elements (mCODE) Release 1 - US Realm | STU1 (v0.9.1: STU 1 Ballot 1) based on FHIR R4. The current version which supercedes this version is 2.0.0. For a full list of available versions, see the Directory of published versions

TNMDistantMetastasesCategoryVS


<ValueSet xmlns="http://hl7.org/fhir">
  <id value="onco-core-TNMDistantMetastasesCategoryVS"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
<p><b>TNMDistantMetastasesCategoryVS ValueSet</b></p>
<p>This value set is intended to contain allowable values for the M category, according to TNM staging rules. SNOMED CT codes or AJCC codes (preferrably, version 8 for current cancers) are allowed, but are not listed here due to AJCC intellectual property restrictions.

* AJCC terminology: examples of M categories include 'cM0', denoting there is no evidence of distant metastases, and 'pM1', an indication that the cancer has metasticized. The full set of allowable clinical and pathologic M categories, along with its current descriptions, can be accessed through the AJCC Staging Manual and any applicable updates and corrections, as well as the AJCC API.

* SNOMED CT: The SNOMED CT US Edition has content related to the M category under the hierarchy of 385380006 'Metastasis category finding', such as 30893008 'M0 category' and 443841006 'pM1a category'. If using SNOMED CT to store M category findings, the use of codes that do not contain descriptions of the categories, such as the examples provided, is encouraged, as stage finding codes in SNOMED CT may not be up-to-date with current AJCC guidance. Note that SNOMED CT codes do not always make a distinction between clinical and pathological classifications (e.g. 'cM0' and 'pM0' may be represented by the same SNOMED CT code 30893008 'M0 category'). In addition, SNOMED CT may not have complete TNM staging terminology and may require supplementation with codes from another controlled vocabulary (e.g. NCI Thesaurus).</p>
</div>
  </text>
  <url
       value="http://hl7.org/fhir/us/mcode/ValueSet/onco-core-TNMDistantMetastasesCategoryVS"/>
  <version value="0.9.1"/>
  <name value="TNMDistantMetastasesCategoryVS"/>
  <title value="TNMDistantMetastasesCategoryVS"/>
  <status value="draft"/>
  <date value="2019-08-01T00:00:00-04:00"/>
  <publisher value="HL7 International Clinical Interoperability Council"/>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/cic"/>
    </telecom>
  </contact>
  <description
               value="This value set is intended to contain allowable values for the M category, according to TNM staging rules. SNOMED CT codes or AJCC codes (preferrably, version 8 for current cancers) are allowed, but are not listed here due to AJCC intellectual property restrictions.

* AJCC terminology: examples of M categories include &#39;cM0&#39;, denoting there is no evidence of distant metastases, and &#39;pM1&#39;, an indication that the cancer has metasticized. The full set of allowable clinical and pathologic M categories, along with its current descriptions, can be accessed through the AJCC Staging Manual and any applicable updates and corrections, as well as the AJCC API.

* SNOMED CT: The SNOMED CT US Edition has content related to the M category under the hierarchy of 385380006 &#39;Metastasis category finding&#39;, such as 30893008 &#39;M0 category&#39; and 443841006 &#39;pM1a category&#39;. If using SNOMED CT to store M category findings, the use of codes that do not contain descriptions of the categories, such as the examples provided, is encouraged, as stage finding codes in SNOMED CT may not be up-to-date with current AJCC guidance. Note that SNOMED CT codes do not always make a distinction between clinical and pathological classifications (e.g. &#39;cM0&#39; and &#39;pM0&#39; may be represented by the same SNOMED CT code 30893008 &#39;M0 category&#39;). In addition, SNOMED CT may not have complete TNM staging terminology and may require supplementation with codes from another controlled vocabulary (e.g. NCI Thesaurus)."/>
  <compose>
    <include>
      <system value="http://cancerstaging.org"/>
    </include>
  </compose>
</ValueSet>