minimal Common Oncology Data Elements (mCODE) Implementation Guide
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This page is part of the HL7 FHIR Implementation Guide: minimal Common Oncology Data Elements (mCODE) Release 1 - US Realm | STU1 (v2.1.0: STU 2) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

ValueSet: Cancer Staging System Value Set

Official URL: http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-staging-system-vs Version: 2.1.0
Active as of 2023-03-21 Computable Name: CancerStagingSystemVS

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 used for staging.

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)

 

Expansion

This value set contains 219 concepts

Expansion based on SNOMED CT United States edition 01-Sept 2022

CodeSystemDisplay
  254292007http://snomed.info/sctTumor staging
  13808002http://snomed.info/sctWR stage 3
  15972002http://snomed.info/sctWR stage 2
  42114005http://snomed.info/sctWR stage 1
  66470009http://snomed.info/sctWR stage 5
  74542008http://snomed.info/sctWR stage 4
  83200007http://snomed.info/sctWR stage 6
  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
  106252000http://snomed.info/sctStaging classification for lymphoma
  110375007http://snomed.info/sctOverlapping tumor
  254293002http://snomed.info/sctTNM tumor staging
  254294008http://snomed.info/sctTNM Head and neck tumor staging
  254295009http://snomed.info/sctTNM Lip and oral cavity tumor staging
  254296005http://snomed.info/sctTNM Oropharynx tumor staging
  254297001http://snomed.info/sctTNM Nasopharynx tumor staging
  254298006http://snomed.info/sctTNM Hypopharynx tumor staging
  254299003http://snomed.info/sctTNM Supraglottic larynx tumor staging
  254300006http://snomed.info/sctTNM Glottic larynx tumor staging
  254301005http://snomed.info/sctTNM Subglottic larynx tumor staging
  254302003http://snomed.info/sctTNM Maxillary sinus tumor staging
  254303008http://snomed.info/sctTNM Salivary glands tumor staging
  254304002http://snomed.info/sctTNM Thyroid gland tumor staging
  254305001http://snomed.info/sctTNM Digestive system tumor staging
  254306000http://snomed.info/sctTNM Esophagus tumor staging
  254307009http://snomed.info/sctTNM Stomach tumor staging
  254309007http://snomed.info/sctTNM Small intestine tumor staging
  254310002http://snomed.info/sctTNM Colon and rectum tumor staging
  254311003http://snomed.info/sctTNM Anal canal tumor staging
  254312005http://snomed.info/sctTNM Liver tumor staging
  254313000http://snomed.info/sctTNM Gallbladder tumor staging
  254314006http://snomed.info/sctTNM Extrahepatic bile ducts tumor staging
  254315007http://snomed.info/sctTNM Ampulla of vater tumor staging
  254316008http://snomed.info/sctTNM Pancreas tumor staging
  254317004http://snomed.info/sctTNM Lung and pleural tumor staging
  254318009http://snomed.info/sctTNM Lung tumor staging
  254319001http://snomed.info/sctTNM Pleural mesothelioma tumor staging
  254320007http://snomed.info/sctTNM bone and soft tissue tumor staging
  254321006http://snomed.info/sctTNM Bone tumor staging
  254322004http://snomed.info/sctTNM Soft tissues tumor staging
  254323009http://snomed.info/sctTNM Skin tumor staging
  254324003http://snomed.info/sctTNM Carcinoma of skin tumor staging
  254325002http://snomed.info/sctTNM Malignant melanoma of skin staging
  254326001http://snomed.info/sctTNM Breast tumor staging
  254327005http://snomed.info/sctTNM Gynecological tumor staging
  254328000http://snomed.info/sctTNM Vulva tumor staging
  254329008http://snomed.info/sctTNM Vaginal tumor staging
  254330003http://snomed.info/sctTNM Cervix uteri tumor staging
  254331004http://snomed.info/sctTNM Corpus uteri tumor staging
  254332006http://snomed.info/sctTNM Ovary tumor staging
  254333001http://snomed.info/sctTNM Urological tumor staging
  254334007http://snomed.info/sctTNM Penis tumor staging
  254335008http://snomed.info/sctTNM Prostate tumor staging
  254336009http://snomed.info/sctTNM Testis tumor staging
  254337000http://snomed.info/sctTNM Kidney tumor staging
  254338005http://snomed.info/sctTNM Renal pelvis and ureter tumor staging
  254339002http://snomed.info/sctTNM Urinary bladder tumor staging
  254340000http://snomed.info/sctTNM Urethra tumor staging
  254341001http://snomed.info/sctTNM Ophthalmic tumor staging
  254342008http://snomed.info/sctTNM Carcinoma of eyelid staging
  254343003http://snomed.info/sctTNM Malignant melanoma of eyelid staging
  254344009http://snomed.info/sctTNM Carcinoma of conjunctiva staging
  254345005http://snomed.info/sctTNM Malignant melanoma of conjunctiva staging
  254346006http://snomed.info/sctTNM Malignant melanoma of uvea staging
  254347002http://snomed.info/sctTNM Malignant melanoma of iris staging
  254348007http://snomed.info/sctTNM Malignant melanoma of ciliary body staging
  254349004http://snomed.info/sctTNM Malignant melanoma of choroid staging
  254350004http://snomed.info/sctTNM Retinoblastoma staging
  254351000http://snomed.info/sctTNM Sarcoma of orbit staging
  254352007http://snomed.info/sctTNM Lacrimal gland carcinoma staging
  254353002http://snomed.info/sctTNM Brain tumor staging
  254354008http://snomed.info/sctTNM Hodgkin's disease staging
  254355009http://snomed.info/sctTNM Non-Hodgkin's lymphoma staging
  254356005http://snomed.info/sctTNM Pediatric tumor staging
  254357001http://snomed.info/sctTNM Wilms' tumor staging
  254358006http://snomed.info/sctTNM Neuroblastoma staging
  254359003http://snomed.info/sctTNM Soft tissue sarcoma staging
  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)
  258234001http://snomed.info/sctTNM tumor staging classifications
  258235000http://snomed.info/sctUICC
  258236004http://snomed.info/sctAJCC
  258244004http://snomed.info/sctG status
  258246002http://snomed.info/sctL status
  258247006http://snomed.info/sctV status
  258257007http://snomed.info/sctAdditional tumor staging descriptor (tumor staging)
  258258002http://snomed.info/sct(f)
  258259005http://snomed.info/sctis
  258260000http://snomed.info/sct(d)
  258267002http://snomed.info/sctGeneric tumor risk status stages
  258268007http://snomed.info/sctLow risk tumor
  258269004http://snomed.info/sctMedium risk tumor
  258270003http://snomed.info/sctHigh risk tumor
  258271004http://snomed.info/sctSpecific tumor staging descriptor (tumor staging)
  258272006http://snomed.info/sctLiver tumor staging descriptor (tumor staging)
  258273001http://snomed.info/sctLiver tumor size index
  258276009http://snomed.info/sctTiming of liver tumor staging
  258279002http://snomed.info/sctLymphoma staging symptom status values
  258280004http://snomed.info/sctLymphomatous extranodal involvement status values
  258281000http://snomed.info/sctS+ minimal
  258282007http://snomed.info/sctS+ extensive
  258283002http://snomed.info/sctLymphomatous nodal involvement
  258284008http://snomed.info/sctStannards retinoblastoma stages
  258285009http://snomed.info/sctOptic nerve tumor invasion status in retinoblastoma staging
  258286005http://snomed.info/sctChoroidal tumor invasion status in retinoblastoma staging
  258292004http://snomed.info/sctLymph nodal tumor invasion status in retinoblastoma staging
  258293009http://snomed.info/sctBrain tumor invasion status in retinoblastoma staging
  258301001http://snomed.info/sctLangerhans cell histiocytosis stage (tumor staging)
  258302008http://snomed.info/sctNumber of organ systems involved with Langerhans cell histiocytosis
  258303003http://snomed.info/sctSingle system involvement
  258304009http://snomed.info/sctMultisystem involvement
  258305005http://snomed.info/sctOrgan failure due to Langerhans cell histiocytosis
  258306006http://snomed.info/sctVital organ failure
  258307002http://snomed.info/sctNon-vital organ failure
  258309004http://snomed.info/sctGeneric lymph node tumor invasion status stage (tumor staging)
  258310009http://snomed.info/sctNeck node tumor involvement
  258311008http://snomed.info/sctM+
  258312001http://snomed.info/sctAxillary lymph node level
  258313006http://snomed.info/sctLevel I
  258314000http://snomed.info/sctMidaxilla
  258315004http://snomed.info/sctLevel III
  258316003http://snomed.info/sctRetroperitoneal lymph node tumor invasion status
  258318002http://snomed.info/sctGeneric anatomical site tumor invasion status
  258319005http://snomed.info/sctLung involvement stages
  258320004http://snomed.info/sctLung stage L2
  258321000http://snomed.info/sctLung stage L3
  258322007http://snomed.info/sctH+
  258323002http://snomed.info/sctLiver sectors
  258324008http://snomed.info/sctLiver sector 1
  258325009http://snomed.info/sctLiver sector 2
  258326005http://snomed.info/sctLiver sector 3
  258327001http://snomed.info/sctLiver sector 4
  258328006http://snomed.info/sctMarkers for liver tumor staging
  261663004http://snomed.info/sctTumor stage Ta
  261731003http://snomed.info/sctCNS metastases
  261789009http://snomed.info/sctExtra CNS metastases
  261985008http://snomed.info/sctNo metastases
  277318003http://snomed.info/sct(m)
  277645005http://snomed.info/sctAdditional TNM descriptors
  277646006http://snomed.info/scta - At autopsy
  277647002http://snomed.info/sctr - Tumor recurrence
  277649004http://snomed.info/scty - During therapy/following treatment
  277650004http://snomed.info/sctm - Multiple tumors
  277652007http://snomed.info/sctf - Family history
  277676004http://snomed.info/sctd - Retinal involvement
  278241006http://snomed.info/sctNode stage G1
  278242004http://snomed.info/sctNode stage G2
  278247005http://snomed.info/sctLung stage L1
  282402005http://snomed.info/sctV - Hepatic vein marker
  282403000http://snomed.info/sctP - Portal vein marker
  282404006http://snomed.info/sctE - Extrahepatic marker
  282405007http://snomed.info/sctM - Metastatic marker
  282436004http://snomed.info/sctE - Extralymphatic organ involvement marker
  282437008http://snomed.info/sctS - Splenic involvement marker
  313061008http://snomed.info/sctTNM Ethmoid sinus tumor staging
  313118007http://snomed.info/sctTNM Fallopian tube tumor staging
  313119004http://snomed.info/sctTNM Gestational trophoblastic tumor staging
  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)
  417957003http://snomed.info/sctUveal metastasis (tumor staging)
  420417005http://snomed.info/sctLiver tumor size index more than 0.05 (tumor staging)
  420483003http://snomed.info/sctAbdominal lymph node tumor invasion status A (tumor staging)
  420533005http://snomed.info/sctChoroidal invasion stage C1 in retinoblastoma (tumor staging)
  420728008http://snomed.info/sctTiming of liver tumor staging at diagnosis (tumor staging)
  420841002http://snomed.info/sctChoroidal invasion stage C0 in retinoblastoma (tumor staging)
  420889006http://snomed.info/sctLiver tumor size index less than 0.05 (tumor staging)
  420969009http://snomed.info/sctLymphoma staging symptom status A (tumor staging)
  421074006http://snomed.info/sctCentral nervous system stage B3 in retinoblastoma (tumor staging)
  421174009http://snomed.info/sctChoroidal invasion stage C2 in retinoblastoma (tumor staging)
  421188008http://snomed.info/sctTumor staging descriptor r (tumor staging)
  421211000http://snomed.info/sctLymphoma staging symptom status B (tumor staging)
  421294007http://snomed.info/sctTiming of liver tumor staging pre-surgery (tumor staging)
  421426001http://snomed.info/sctTumor staging descriptor a (tumor staging)
  421432006http://snomed.info/sctChoroidal invasion stage C3 in retinoblastoma (tumor staging)
  421655002http://snomed.info/sctOptic nerve invasion stage N1 in retinoblastoma (tumor staging)
  421683000http://snomed.info/sctOptic nerve invasion stage N0 in retinoblastoma (tumor staging)
  421745006http://snomed.info/sctChoroidal invasion stage C4 in retinoblastoma (tumor staging)
  421755005http://snomed.info/sctTumor staging descriptor y (tumor staging)
  421824005http://snomed.info/sctTumor staging descriptor p (tumor staging)
  421838003http://snomed.info/sctOptic nerve invasion stage N3 in retinoblastoma (tumor staging)
  421923000http://snomed.info/sctCentral nervous system stage B2 in retinoblastoma (tumor staging)
  422196000http://snomed.info/sctTumor staging descriptor D (tumor staging)
  422203007http://snomed.info/sctCentral nervous system stage B1 in retinoblastoma (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)
  706904009http://snomed.info/sctTumor-node-metastasis (TNM) colon 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)
  1149164009http://snomed.info/sctACPS (Australian Clinico-pathological Staging) System for colorectal cancer
  1149295006http://snomed.info/sctMalignant tumor staging (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
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