HL7 FHIR Implementation Guide: minimal Common Oncology Data Elements (mCODE) Release 1 - US Realm | STU1
1.0.0 - STU1

This page is part of the HL7 FHIR Implementation Guide: minimal Common Oncology Data Elements (mCODE) Release 1 - US Realm | STU1 (v1.0.0: STU 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

TNM Primary Tumor Category Value Set

Summary

Defining URL:http://hl7.org/fhir/us/mcode/ValueSet/mcode-tnm-primary-tumor-category-vs
Version:1.0.0
Name:TNMPrimaryTumorCategoryVS
Status:Active
Title:TNM Primary Tumor Category Value Set
Definition:

This value set is intended to contain allowable values for the T category, according to TNM staging rules. SNOMED CT codes or AJCC codes (preferably, version 8 for current cancers) are allowed, but are not listed here due to AJCC intellectual property restrictions.

  • AJCC terminology: examples of T categories include 'cTX', used when the tumor primary tumor cannot be evaluated, 'pT0', denoting there is no evidence of a primary tumor, and 'pTis', referencing carcinoma in situ (with some cancer-specific exceptions). Other T categories refer to increasing size of the primary tumor. Please note allowable T categories may vary between clinical and pathologic classifications. The full set of allowable clinical and pathologic T 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 has content related to the T category under the hierarchy of 385356007 'Tumor stage finding', such as 23351008 'T1 category' and 261650005 'Tumor stage T1c'. If using SNOMED CT to store T 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. cT1 and pT1 may be represented by the same SNOMED CT code 23351008 'T1 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).

Publisher:HL7 International Clinical Interoperability Council
Source Resource:XML / JSON / Turtle

References

Content Logical Definition

Definition

  • Include all codes defined in http://cancerstaging.org

 

Expansion

No Expansion for this valueset (not supported by Publication Tooling)


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