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: TNM Distant Metastases Category Value Set

Official URL: http://hl7.org/fhir/us/mcode/ValueSet/mcode-tnm-distant-metastases-category-vs Version: 3.0.0-ballot
Active as of 2023-03-28 Maturity Level: 4 Computable Name: TNMDistantMetastasesCategoryVS

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

Result values for M category. This value set contains SNOMED-CT equivalents of AJCC codes for the M category, according to TNM staging rules.

References

Usage

In AJCC terminology, examples of M categories include ‘cM0’, denoting there is no evidence of distant metastases, and ‘pM1’, an indication that the cancer has metastasized. Please note allowable M categories may vary between clinical, pathologic, and other classifications, and the M category prefix must align with Observation.code. The full set of allowable clinical, pathologic, and other (recurrence/retreatment/autopsy) M categories, along with current descriptions, can be accessed through the AJCC Staging Manual and any applicable updates and corrections, as well as the AJCC API.

Logical Definition (CLD)

This value set includes codes based on the following rules:

  • Include codes from http://snomed.info/sct where concept descends from 1222587001 (American Joint Committee on Cancer clinical M category allowable value (qualifier value))
  • Include codes from http://snomed.info/sct where concept descends from 1222591006 (American Joint Committee on Cancer pathological M category allowable value (qualifier value))

 

Expansion

This value set contains 28 concepts

Expansion based on SNOMED CT International edition 31-Jul 2022

CodeSystemDisplay
  1229901006http://snomed.info/sctAmerican Joint Committee on Cancer cM0
  1229902004http://snomed.info/sctAmerican Joint Committee on Cancer cM0(i+) (qualifier value)
  1229903009http://snomed.info/sctAmerican Joint Committee on Cancer cM1
  1229904003http://snomed.info/sctAmerican Joint Committee on Cancer cM1a
  1229905002http://snomed.info/sctAmerican Joint Committee on Cancer cM1a(0) (qualifier value)
  1229906001http://snomed.info/sctAmerican Joint Committee on Cancer cM1a(1)
  1229907005http://snomed.info/sctAmerican Joint Committee on Cancer cM1b (qualifier value)
  1229908000http://snomed.info/sctAmerican Joint Committee on Cancer cM1b(0)
  1229909008http://snomed.info/sctAmerican Joint Committee on Cancer cM1b(1)
  1229910003http://snomed.info/sctAmerican Joint Committee on Cancer cM1c
  1229911004http://snomed.info/sctAmerican Joint Committee on Cancer cM1c(0)
  1229912006http://snomed.info/sctAmerican Joint Committee on Cancer cM1c(1) (qualifier value)
  1229913001http://snomed.info/sctAmerican Joint Committee on Cancer cM1d (qualifier value)
  1229914007http://snomed.info/sctAmerican Joint Committee on Cancer cM1d(0)
  1229915008http://snomed.info/sctAmerican Joint Committee on Cancer cM1d(1) (qualifier value)
  1229916009http://snomed.info/sctAmerican Joint Committee on Cancer pM1 (qualifier value)
  1229917000http://snomed.info/sctAmerican Joint Committee on Cancer pM1a
  1229918005http://snomed.info/sctpM1a(0)
  1229919002http://snomed.info/sctpM1a(1)
  1229920008http://snomed.info/sctAmerican Joint Committee on Cancer pM1b
  1229921007http://snomed.info/sctAmerican Joint Committee on Cancer pM1b(0) (qualifier value)
  1229922000http://snomed.info/sctAmerican Joint Committee on Cancer pM1b(1) (qualifier value)
  1229923005http://snomed.info/sctpM1c
  1229924004http://snomed.info/sctpM1c(0)
  1229925003http://snomed.info/sctAmerican Joint Committee on Cancer pM1c(1) (qualifier value)
  1229926002http://snomed.info/sctpM1d
  1229927006http://snomed.info/sctAmerican Joint Committee on Cancer pM1d(0)
  1229928001http://snomed.info/sctpM1d(1)

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