minimal Common Oncology Data Elements (mCODE) Implementation Guide
3.0.0-ballot - 2023May United States of America flag

This page is part of the HL7 FHIR Implementation Guide: minimal Common Oncology Data Elements (mCODE) Release 1 - US Realm | STU1 (v3.0.0-ballot: STU 3 Ballot 1) based on FHIR R4. The current version which supercedes this version is 2.1.0. For a full list of available versions, see the Directory of published versions

ValueSet: Cancer Staging Method Value Set

Official URL: http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-staging-method-vs Version: 3.0.0-ballot
Active as of 2023-03-28 Maturity Level: 4 Computable Name: CancerStagingMethodVS

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 or method used for staging cancers. The terms in this value set describe staging systems, not specific stages or descriptors used within those systems.

References

Usage

The codes in this value set represent a variety of different cancer staging systems. The codes will appear in the Observation.method element of resources representing staging information.

Logical Definition (CLD)

This value set includes codes based on the following rules:

  • Include codes from http://snomed.info/sct where concept descends from 254292007 (Tumor staging)
  • Include these codes as defined in http://snomed.info/sct version http://snomed.info/sct/900000000000207008
    CodeDisplay
    1149162008International Staging System for multiple myeloma (staging scale)
    1149163003Revised International Staging System for multiple myeloma (staging scale)
    246165003Extent of disease (attribute)
    418414003The revised European-American Lymphoma classification (qualifier value)
    418823005The World Health Organization classification of lymphoid malignancies (qualifier value)

This value set excludes codes based on the following rules:

  • Exclude codes from http://snomed.info/sct where concept descends from 258318002 (Generic anatomical site tumor invasion status)
  • Exclude codes from http://snomed.info/sct where concept descends from 258309004 (Generic lymph node tumor invasion status stage (tumor staging))
  • Exclude codes from http://snomed.info/sct where concept descends from 258233007 (Generic tumor staging descriptor (tumor staging))
  • Exclude codes from http://snomed.info/sct where concept descends from 258271004 (Specific tumor staging descriptor (tumor staging))
  • Exclude these codes as defined in http://snomed.info/sct version http://snomed.info/sct/900000000000207008
    CodeDisplay
    42114005Walter Reed stage 1 (tumor staging)
    15972002Walter Reed stage 2 (tumor staging)
    13808002Walter Reed stage 3 (tumor staging)
    74542008Walter Reed stage 4 (tumor staging)
    66470009Walter Reed stage 5 (tumor staging)
    83200007Walter Reed stage 6 (tumor staging)

 

Expansion

This value set contains 48 concepts

Expansion based on SNOMED CT International edition 31-Jul 2022

CodeSystemDisplay
  106242004http://snomed.info/sctWalter Reed staging of prostatic cancer
  106244003http://snomed.info/sctFIGO staging of endometrial carcinoma
  106245002http://snomed.info/sctFIGO staging of vulvar carcinoma
  106246001http://snomed.info/sctFIGO staging of vulvar melanoma
  106247005http://snomed.info/sctFIGO staging for epithelial tumor of ovary
  106250008http://snomed.info/sctFIGO staging of cervical carcinoma
  254360008http://snomed.info/sctDukes staging system
  254361007http://snomed.info/sctAstler-Coller staging system
  254362000http://snomed.info/sctModified Astler-Coller staging system
  254363005http://snomed.info/sctInternational neuroblastoma staging system
  254364004http://snomed.info/sctNWTS - National Wilms' tumor study staging system
  254365003http://snomed.info/sctSiopel liver staging system
  254366002http://snomed.info/sctStannard staging system for retinoblastoma
  254368001http://snomed.info/sctUnited Kingdom children's cancer study group central nervous system tumor staging system
  254370005http://snomed.info/sctSt Jude's malignant histiocytosis tumor staging system
  254371009http://snomed.info/sctSt Jude's non-Hodgkin's lymphoma staging system
  254372002http://snomed.info/sctAnn Arbor lymphoma staging system
  254373007http://snomed.info/sctAnn Arbor Hodgkin's disease tumor staging system
  254374001http://snomed.info/sctAnn Arbor non-Hodgkin's lymphoma tumor staging system
  254375000http://snomed.info/sctCotswolds Hodgkin's disease tumor staging system
  254376004http://snomed.info/sctTesticular tumor staging systems
  254378003http://snomed.info/sctWalter Reed testicular tumor staging system
  254379006http://snomed.info/sctIndiana University testicular tumor staging system
  254380009http://snomed.info/sctMarshall Modification of Jewett-Strong staging system for urinary bladder tumor
  254381008http://snomed.info/sctAmerican Urological Association staging system for prostate cancer
  254382001http://snomed.info/sctTrophoblastic malignancy staging system
  254383006http://snomed.info/sctFIGO staging of gynecological malignancy
  254384000http://snomed.info/sctFIGO Vaginal tumor staging
  254385004http://snomed.info/sctFederation internationale de gynecologie et d'obstetrique staging of corpus uteri malignancy
  254386003http://snomed.info/sctFederation Internationale de gynecologie et d'obstetrique staging of ovarian malignancy
  258233007http://snomed.info/sctGeneric tumor staging descriptor (tumor staging)
  258271004http://snomed.info/sctSpecific tumor staging descriptor (tumor staging)
  258309004http://snomed.info/sctGeneric lymph node tumor invasion status stage (tumor staging)
  258318002http://snomed.info/sctGeneric anatomical site tumor invasion status
  385345007http://snomed.info/sctClark system for melanoma staging (tumor staging)
  385346008http://snomed.info/sctBreslow system for melanoma staging (tumor staging)
  385359000http://snomed.info/sctModified Dukes staging system (tumor staging)
  443830009http://snomed.info/sctAmerican Joint Commission on Cancer, Cancer Staging Manual, 7th edition neoplasm staging system (tumor staging)
  444256004http://snomed.info/sctAmerican Joint Commission on Cancer, Cancer Staging Manual, 6th edition neoplasm staging system (tumor staging)
  897275008http://snomed.info/sctAmerican Joint Commission on Cancer, Cancer Staging Manual, 8th edition tumor staging system
  1149099005http://snomed.info/sctBinet staging classification for chronic lymphocytic leukemia (tumor staging)
  1149131009http://snomed.info/sctRai staging system for chronic lymphocytic leukemia (tumor staging)
  1149295006http://snomed.info/sctMalignant tumor staging (tumor staging)
  1149162008http://snomed.info/sctInternational Staging System for multiple myeloma (staging scale)
  1149163003http://snomed.info/sctRevised International Staging System for multiple myeloma (staging scale)
  246165003http://snomed.info/sctExtent of disease (attribute)
  418414003http://snomed.info/sctThe revised European-American Lymphoma classification (qualifier value)
  418823005http://snomed.info/sctThe World Health Organization classification of lymphoid malignancies (qualifier value)

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