minimal Common Oncology Data Elements (mCODE) Implementation Guide
1.16.0 - STU Release 2 (Ballot Version)

This page is part of the HL7 FHIR Implementation Guide: minimal Common Oncology Data Elements (mCODE) Release 1 - US Realm | STU1 (v1.16.0: STU 2 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

ValueSet: Cancer Staging System Value Set

Summary

Defining URL:http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-staging-system-vs
Version:1.16.0
Name:CancerStagingSystemVS
Title:Cancer Staging System Value Set
Status:Active as of 2021-04-15T12:44:45+00:00
Definition:

System used for staging.

Publisher:HL7 International Clinical Interoperability Council
Copyright:

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

Source Resource:XML / JSON / Turtle

References

Usage

The codes in this value set represent common TNM staging systems. Non-TNM staging systems are not currently represented in mCODE, reflecting mCODE’s current focus on solid tumors. This is not meant to constrain which staging systems are used. The bindings to this value set are extensible, meaning codes outside the value set can be used, if needed.

The codes themselves are drawn from both NCI Thesaurus and SNOMED CT, since the latter does not currently have a concept code denoting AJCC version 8, the most current version used for AJCC for cancer staging. AJCC is actively requesting the addition of new SNOMED CT concept code, although this process takes time.

Logical Definition (CLD)

This value set includes codes based on the following rules:

  • Include these codes as defined in http://terminology.hl7.org/CodeSystem/umls
    CodeDisplay
    C4683555Ann Arbor Stage
    C4683625Binet Stage
    C0445450FIGO Stage
    C4683564Lugano Stage
    C4683620Rai Stage
    C0432516Ann Arbor Lymphoma Staging System
    C4528205International Staging System Stage
  • Include these codes as defined in http://snomed.info/sct
    CodeDisplay
    444256004American Joint Commission on Cancer, Cancer Staging Manual, 6th edition neoplasm staging system (tumor staging)
    443830009American Joint Commission on Cancer, Cancer Staging Manual, 7th edition neoplasm staging system (tumor staging)
    897275008American Joint Commission on Cancer, Cancer Staging Manual, 8th edition neoplasm staging system (tumor staging)
    258235000International Union Against Cancer (tumor staging)

 

Expansion

This value set contains 11 concepts

CodeSystemDisplayDefinition
C4683555http://terminology.hl7.org/CodeSystem/umlsAnn Arbor Stage
C4683625http://terminology.hl7.org/CodeSystem/umlsBinet Stage
C0445450http://terminology.hl7.org/CodeSystem/umlsFIGO Stage
C4683564http://terminology.hl7.org/CodeSystem/umlsLugano Stage
C4683620http://terminology.hl7.org/CodeSystem/umlsRai Stage
C0432516http://terminology.hl7.org/CodeSystem/umlsAnn Arbor Lymphoma Staging System
C4528205http://terminology.hl7.org/CodeSystem/umlsInternational Staging System Stage
444256004http://snomed.info/sctAmerican Joint Commission on Cancer, Cancer Staging Manual, 6th edition neoplasm staging system (tumor staging)
443830009http://snomed.info/sctAmerican Joint Commission on Cancer, Cancer Staging Manual, 7th edition neoplasm staging system (tumor staging)
897275008http://snomed.info/sctAmerican Joint Commission on Cancer, Cancer Staging Manual, 8th edition neoplasm staging system (tumor staging)
258235000http://snomed.info/sctInternational Union Against Cancer (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
Source 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