This page is part of the HL7 FHIR Implementation Guide: minimal Common Oncology Data Elements (mCODE) Release 1 - US Realm | STU1 (v2.0.0: 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
Contents:
This page provides a list of the FHIR artifacts defined as part of this implementation guide.
The following artifacts define the specific capabilities that different types of systems are expected to have in order to comply with this implementation guide. Systems conforming to this implementation guide are expected to declare conformance to one or more of the following capability statements.
mcode-receiver-cancer-conditions-then-patients |
Retrieves a Bundle of Condition resources with a code in mCODE’s cancer condition value set, and allows for associated Patient resources to be retrieved in a subsequent request. Use ONLY when reverse chaining AND |
mcode-receiver-patient-bundle |
Retrieves a Bundle of Condition resources with a code in mCODE’s cancer condition value set, and allows for associated Patient resources to be retrieved in a subsequent request. Use ONLY when reverse chaining AND |
mcode-receiver-patients-and-cancer-conditions |
Uses |
mcode-receiver-patients-in-group |
Capabilities for an mCODE Data Receiver where not all cancer patients conform to mCODE. Retrieves a Group of references to Patient resources that conform to mCODE, and allows for the full Patient resources to be retrieved in a subsequent request. |
mcode-receiver-patients-with-cancer-condition |
Uses reverse chaining to retrieve a Bundle of Patient resources with a condition code in mCODE’s cancer condition value set. |
mcode-sender-cancer-conditions-then-patients |
Retrieves a Bundle of Condition resources with a code in mCODE’s cancer condition value set, and allows for associated Patient resources to be retrieved in a subsequent request. Use ONLY when reverse chaining AND |
mcode-sender-patient-bundle |
Retrieves a Bundle of Condition resources with a code in mCODE’s cancer condition value set, and allows for associated Patient resources to be retrieved in a subsequent request. Use ONLY when reverse chaining AND |
mcode-sender-patients-and-cancer-conditions |
Uses |
mcode-sender-patients-in-group |
Capabilities for an mCODE Data Sender where not all cancer patients conform to mCODE. Retrieves a Group of references to Patient resources that conform to mCODE, and allows for the full Patient resources to be retrieved in a subsequent request. |
mcode-sender-patients-with-cancer-condition |
Uses reverse chaining to retrieve a Bundle of Patient resources with a condition code in mCODE’s cancer condition value set. |
These are custom operations that can be supported by and/or invoked by systems conforming to this implementation guide
mcode-patient-everything |
Gets an mCODE Patient Bundle for a specific patient that contains all of that patient’s resources that conform to mCODE Profiles. |
These are profiles on resources or data types that describe patterns used by other profiles, but cannot be instantiated directly. I.e. instances can conform to profiles based on these abstract profiles, but do not declare conformance to the abstract profiles themselves.
Comorbidities Parent Abstract Profile |
General structure for capturing comorbid conditions with respect to a primary (‘index’) condition. The specific set of comorbidities of interest in a given context are defined by slicing the components array. The same general approach can be applied to any comorbidity category checklist. |
These define constraints on FHIR resources for systems conforming to this implementation guide
Cancer Disease Status Profile |
A clinician’s qualitative judgment on the current trend of the cancer, e.g., whether it is stable, worsening (progressing), or improving (responding). The judgment may be based a single type or multiple kinds of evidence, such as imaging data, assessment of symptoms, tumor markers, laboratory data, etc. |
Cancer Patient Profile |
A patient who has been diagnosed with or is receiving medical treatment for a malignant growth or tumor. The is the most essential profile in mCODE, since it is referenced by many other profiles. The only difference between the mCODE Patient profile and the US Core Patient Profile is that Patient.deceased is a must-support element in mCODE. |
Cancer-Related Medication Administration Profile |
An episode of medication administration for a patient whose condition is related to a primary or secondary cancer condition. In the context of chemotherapy drugs, the medication administration in most cases is performed and documented by the provider. |
Cancer-Related Medication Request Profile |
A record of a medication prescription or consumption associated with cancer treatment. The medication may reported by the prescriber, prescribing organization, or patient. It does not have to be directly observed. |
Cancer-Related Surgical Procedure Profile |
A surgical action addressing a cancer condition. The scope of this profile has been narrowed to cancer-related procedures by constraining the reasonReference and reasonCode to cancer conditions, one of which is required. |
Cancer Stage Group Profile |
The extent of the cancer in the body, according to a given cancer staging classification system, based on evidence such as physical examination, imaging, and/or biopsy or based on pathologic analysis of a specimen. |
Comorbidities Elixhauser Profile |
Comorbid condition checklist and optional risk score, using Elixhauser comorbidity categories as defined by the Agency for Healthcare Research and Quality (AHRQ) Healthcare Cost and Utilization Project (H-CUP). |
ECOG Performance Status Profile |
The Eastern Cooperative Oncology Group (ECOG) Performance Status represents the patient’s functional status and is used to determine their ability to tolerate therapies in serious illness, specifically for chemotherapy. (Definition from: LOINC) |
Genomic Region Studied Profile |
A subset of genes or genomic regions of interest in a targeted resequencing study. |
Genomic Specimen Profile |
A small sample of blood, hair, skin, amniotic fluid (the fluid that surrounds a fetus during pregnancy), or other tissue which is excised from a subject for the purposes of genomics testing or analysis. |
Genomic Variant Profile |
An alteration in the most common DNA nucleotide sequence. The term variant can be used to describe an alteration that may be benign, pathogenic, or of unknown significance. The term variant is increasingly being used in place of the term mutation. Variants can be computed relative to reference sequence assembly from which it was identified. |
Genomics Report Profile |
Genomic analysis summary report. The report may include one or more tests, with two distinct test types. The first type is a targeted mutation test, where a specific mutation on a specific gene is tested for. The result is either positive or negative for that mutation. The second type is a more general test for variants. This type of test returns the identity of variants found in a certain region of the genome. |
Karnofsky Performance Status Profile |
The Karnofsky Performance Status (KPS) is a tool used to measure a patient’s functional status. It can be used to compare the effectiveness of different therapies and to help assess the prognosis of certain patients, such as those with certain cancers. The KPS score ranges from 0 to 100 in intervals of 10. Higher scores are associated with better functional status, with 100 representing no symptoms or evidence of disease, and 0 representing death. |
mCODE Patient Bundle Profile |
A collection of data for an mCODE cancer patient. |
mCODE Patient Group Profile |
A group of patients included in the scope of mCODE, whose cancer-related resources conform to mCODE profiles. |
Primary Cancer Condition Profile |
Records the the primary cancer condition, the original or first tumor in the body (Definition from: NCI Dictionary of Cancer Terms). Cancers that are not clearly secondary (i.e., of uncertain origin or behavior) should be documented as primary. |
Radiotherapy Course Summary Profile |
A summary of a course of radiotherapy delivered to a patient. It records the treatment intent, termination reason, modalities, techniques, number of sessions, and doses delivered to one or more body volumes. Whether the course has been fully delivered or stopped is indicated in the status element. |
Radiotherapy Volume Profile |
A volume of the body used in radiotherapy planning or treatment delivery. |
Secondary Cancer Condition Profile |
Records the history of secondary neoplasms, including location(s) and the date of onset of metastases. A secondary cancer results from the spread (metastasization) of cancer from its original site (Definition from: NCI Dictionary of Cancer Terms). |
TNM Distant Metastases Category Profile |
Category describing the extent of a tumor metastasis in remote anatomical locations, based on evidence such as physical examination, imaging, and/or biopsy. |
TNM Primary Tumor Category Profile |
Category of the primary tumor, based on its size and extent, based on evidence such as physical examination, imaging, and/or biopsy. |
TNM Regional Nodes Category Profile |
Category of the presence or absence of metastases in regional lymph nodes, based on evidence such as physical examination, imaging, and/or biopsy. |
Tumor Profile |
Identifies a tumor that has not been removed from the body. Whenever possible, a single resource conforming to this profile will be used to track a tumor over time (as opposed to creating new Tumor-conforming BodyStructure resources each time that tumor is measured). Use TumorSpecimen to represent the tumor after removal from the body. |
Tumor Marker Test Profile |
The result of a tumor marker test. Tumor marker tests are generally used to guide cancer treatment decisions and monitor treatment, as well as to predict the chance of recovery and cancer recurrence. |
Tumor Size Profile |
Records the dimensions of a tumor |
Tumor Specimen Profile |
Represents a tumor after it has been removed from the body. If there is a Tumor resource representing the tumor before it was removed from the body, use |
These define constraints on FHIR data types for systems conforming to this implementation guide
Body Structure Identifier Data Type Profile |
An identifier that designates a body structure such as a tumor and can be used for tracking the structure over time. |
These define constraints on FHIR data types for systems conforming to this implementation guide
Body Location Qualifier Extension |
Qualifier to refine an body location. These include qualifiers for relative location, directionality, number, and plane, and exclude qualifiers for laterality. |
Cancer Disease Status Evidence Type Extension |
Categorization of the kind of evidence contributing to a clinical judgment on cancer disease progression. |
Comorbid Condition Code Extension |
An extension for representing a specific condition code corresponding to the comorbid condition category. |
Comorbid Condition Reference Extension |
An extension for representing a reference to a condition resource corresponding to the comorbid condition category. |
Histology-Morphology-Behavior Extension |
An extension describing the morphologic and behavioral characteristics of the cancer. |
Laterality Qualifier Extension |
Qualifier to specify laterality. |
Procedure Intent Extension |
The purpose of a treatment, medication, or procedure. |
Radiotherapy Dose Delivered To Volume Extension |
Dose delivered to a given radiotherapy volume. |
Radiotherapy Modality Extension |
Extension capturing a modality of external beam or brachytherapy radiation procedures. |
Radiotherapy Modality And Technique Extension |
Extension capturing modality and technique of a given radiotherapy procedure. The allowed combinations of modality and technique are constrained by invariants, one per modality. |
Radiotherapy Number of Sessions Extension |
The number of sessions in a course of radiotherapy. |
Radiotherapy Technique Extension |
Extension capturing a technique of external beam or brachytherapy radiation procedures. |
Related Condition Extension |
The resource has an unspecified relationship with a Condition. |
Treatment Termination Reason Extension |
A code explaining the unplanned or premature termination, or normal completion, of a plan of treatment, course of medication, or research study. |
These define sets of codes used by systems conforming to this implementation guide
Benign Neoplasm of Brain and CNS Disorder Value Set |
Types of benign neoplasms and neoplasms of uncertain behavior of the brain and central nervous system, coded in SNOMED CT or ICD-10-CM. |
Body Location and Laterality Qualifier Value Set |
Qualifiers to refine a body structure or location including qualifiers for relative location, directionality, number, plane, and laterality. |
Body Location Qualifier Value Set |
Qualifiers to refine a body structure or location including qualifiers for relative location, directionality, number, and plane, and excluding qualifiers for laterality. |
Brachytherapy High Dose Rate Electronic Technique Value Set |
Allowed techniques for brachytherapy modality High Dose Rate electronic |
Brachytherapy High Dose Rate Technique Value Set |
Allowed techniques for brachytherapy modality High Dose Rate |
Brachytherapy Low Dose Rate Temporary Radation Technique Value Set |
Allowed techniques for brachytherapy modality Low Dose Rate using temporary radiation source |
Brachytherapy Modality Value Set |
Codes describing the modalities of brachytherapy procedures. |
Brachytherapy Permanent Seeds Technique Value Set |
Allowed techniques for brachytherapy modality internal radiotherapy - permanent seeds |
Brachytherapy Pulsed Dose Rate Technique Value Set |
Allowed techniques for brachytherapy modality Pulsed Dose Rate |
Brachytherapy Radiopharmaceutical Technique Value Set |
Allowed techniques for brachytherapy modality radiopharmaceutical |
Brachytherapy Technique Value Set |
Codes describing the techniques of brachytherapy (internal or surface radiation) procedures. |
Cancer Body Location Value Set |
Codes describing the location(s) of primary or secondary cancer. The value set includes all codes from the SNOMED CT body structure hierarchy (codes descending from 123037004 ‘Body Structure’). The cancer body location may also be expressed using ICD-O-3 topography codes, however, those codes are not included here due to intellectual property restrictions. These topography terms have four-character codes that run from C00.0 to C80.9 ref. Only SNOMED CT and ICD-O-3 are considered conformant. |
Cancer Disease Status Evidence Type Value Set |
The type of evidence backing up the clinical determination of cancer progression. |
Cancer Disorder Value Set |
A broad cancer-related value set containing both primary and secondary tumor types, with codes from ICD-10 and SNOMED CT, including both diagnosis and histology/morphology/behavior codes. ICD-O-3 morphology codes may also be used and are considered conformant to the specification. For SNOMED, the value set includes all codes descending from 363346000 ‘Malignant neoplastic disease (disorder)’ and 108369006 ‘Neoplasm (morphologic abnormality)’. |
Cancer-Related Surgical Procedure Value Set |
Includes surgical procedure codes from SNOMED CT, ICD-10-PCS and CPT. The value set may be a superset of cancer surgery codes, but narrowing the set further risks eliminating potentially useful and relevant codes. |
Cancer Stage Group Value Set |
This value set is intended to contain allowable values for Stage Group, according to TNM staging rules. AJCC codes (preferably, version 8 for current cancers) SHOULD be used. |
Cancer Staging System Value Set |
System used for staging. |
Carcinoma In-Situ Disorder Value Set |
Types of carcinoma in-situ, coded in SNOMED CT or ICD-10-CM. |
ClinVar Value Set |
Value set of human genomic variants, drawn from ClinVar. The codes in this value set refer to the ClinVar Variation ID, or the identifier for the variant or set of variants that were interpreted. Source: NCBI ClinVar Data Dictionary |
Condition Status Trend Value Set |
How patient’s given disease, condition, or ability is trending. |
Cytologic Evidence of Malignancy Value Set |
Types of cytological evience of malignancy, coded in SNOMED CT or ICD-10-CM. |
DNA Change Type Value Set |
DNA Change Type of a variant |
Elixhauser HIV-AIDS Value Set |
Elixhauser Comorbid Condition Value Set for HIV-AIDS. ICD-10 codes are drawn from https://www.hcup-us.ahrq.gov/toolssoftware/comorbidityicd10/comorbidity_icd10.jsp, version 2021.1 |
Elixhauser Alcohol Abuse Value Set |
Elixhauser Comorbid Condition Value Set for Alcohol Abuse. ICD-10 codes are drawn from https://www.hcup-us.ahrq.gov/toolssoftware/comorbidityicd10/comorbidity_icd10.jsp, version 2021.1 |
Elixhauser Blood Loss Anemia Value Set |
Elixhauser Comorbid Condition Value Set for Blood Loss Anemia. ICD-10 codes are drawn from https://www.hcup-us.ahrq.gov/toolssoftware/comorbidityicd10/comorbidity_icd10.jsp, version 2021.1 |
Elixhauser Leukemia Value Set |
Elixhauser Comorbid Condition Value Set for Leukemia. ICD-10 codes are drawn from https://www.hcup-us.ahrq.gov/toolssoftware/comorbidityicd10/comorbidity_icd10.jsp, version 2021.1 |
Elixhauser Lymphoma Value Set |
Elixhauser Comorbid Condition Value Set for Lymphoma. ICD-10 codes are drawn from https://www.hcup-us.ahrq.gov/toolssoftware/comorbidityicd10/comorbidity_icd10.jsp, version 2021.1 |
Elixhauser Metastatic Cancer Value Set |
Elixhauser Comorbid Condition Value Set for Metastatic cancer. ICD-10 codes are drawn from https://www.hcup-us.ahrq.gov/toolssoftware/comorbidityicd10/comorbidity_icd10.jsp, version 2021.1 |
Elixhauser Malignant Solid Tumors In Situ Value Set |
Elixhauser Comorbid Condition Value Set for malignant solid tumors in situ. ICD-10 codes are drawn from https://www.hcup-us.ahrq.gov/toolssoftware/comorbidityicd10/comorbidity_icd10.jsp, version 2021.1 |
Elixhauser Malignant Solid Tumors Without Metastases Value Set |
Elixhauser Comorbid Condition Value Set for malignant solid tumors without metastases. ICD-10 codes are drawn from https://www.hcup-us.ahrq.gov/toolssoftware/comorbidityicd10/comorbidity_icd10.jsp, version 2021.1 |
Elixhauser Cerebrovascular Disease Value Set |
Elixhauser Comorbid Condition Value Set for cerebrovascular disease. ICD-10 codes are drawn from https://www.hcup-us.ahrq.gov/toolssoftware/comorbidityicd10/comorbidity_icd10.jsp, version 2021.1 |
Elixhauser Chronic Pulmonary Disease Value Set |
Elixhauser Comorbid Condition Value Set for Chronic Pulmonary Disease. ICD-10 codes are drawn from https://www.hcup-us.ahrq.gov/toolssoftware/comorbidityicd10/comorbidity_icd10.jsp, version 2021.1 |
Elixhauser Coagulation Deficiency Value Set |
Elixhauser Comorbid Condition Value Set for Coagulation Deficiency. ICD-10 codes are drawn from https://www.hcup-us.ahrq.gov/toolssoftware/comorbidityicd10/comorbidity_icd10.jsp, version 2021.1 |
Elixhauser Congestive Heart Failure Value Set |
Elixhauser Comorbid Condition Value Set for CongestiveHeartFailure. ICD-10 codes are drawn from https://www.hcup-us.ahrq.gov/toolssoftware/comorbidityicd10/comorbidity_icd10.jsp, version 2021.1 |
Elixhauser Deficiency Anemia Value Set |
Elixhauser Comorbid Condition Value Set for Deficiency Anemia. ICD-10 codes are drawn from https://www.hcup-us.ahrq.gov/toolssoftware/comorbidityicd10/comorbidity_icd10.jsp, version 2021.1 |
Elixhauser Dementia Value Set |
Elixhauser Comorbid Condition Value Set for Dementia. ICD-10 codes are drawn from https://www.hcup-us.ahrq.gov/toolssoftware/comorbidityicd10/comorbidity_icd10.jsp, version 2021.1 |
Elixhauser Depression Value Set |
Elixhauser Comorbid Condition Value Set for Depression. ICD-10 codes are drawn from https://www.hcup-us.ahrq.gov/toolssoftware/comorbidityicd10/comorbidity_icd10.jsp, version 2021.1 |
Elixhauser Diabetes With Chronic Complications Value Set |
Elixhauser Comorbid Condition Value Set for diabetes with chronic complications. ICD-10 codes are drawn from https://www.hcup-us.ahrq.gov/toolssoftware/comorbidityicd10/comorbidity_icd10.jsp, version 2021.1 |
Elixhauser Diabetes Without Chronic Complications Value Set |
Elixhauser Comorbid Condition Value Set for diabetes without chronic complications. ICD-10 codes are drawn from https://www.hcup-us.ahrq.gov/toolssoftware/comorbidityicd10/comorbidity_icd10.jsp, version 2021.1 |
Elixhauser Drug Abuse Value Set |
Elixhauser Comorbid Condition Value Set for drug abuse. ICD-10 codes are drawn from https://www.hcup-us.ahrq.gov/toolssoftware/comorbidityicd10/comorbidity_icd10.jsp, version 2021.1 |
Elixhauser Hypertension, Complicated Value Set |
Elixhauser Comorbid Condition Value Set for Hypertension, Complicated. ICD-10 codes are drawn from https://www.hcup-us.ahrq.gov/toolssoftware/comorbidityicd10/comorbidity_icd10.jsp, version 2021.1 |
Elixhauser Hypertension, Uncomplicated Value Set |
Elixhauser Comorbid Condition Value Set for Hypertension, Uncomplicated. ICD-10 codes are drawn from https://www.hcup-us.ahrq.gov/toolssoftware/comorbidityicd10/comorbidity_icd10.jsp, version 2021.1 |
Elixhauser Hypothyroidism Value Set |
Elixhauser Comorbid Condition Value Set for Hypothyroidism. ICD-10 codes are drawn from https://www.hcup-us.ahrq.gov/toolssoftware/comorbidityicd10/comorbidity_icd10.jsp, version 2021.1 |
Elixhauser Mild Liver Disease Value Set |
Elixhauser Comorbid Condition Value Set for Mild Liver Disease. ICD-10 codes are drawn from https://www.hcup-us.ahrq.gov/toolssoftware/comorbidityicd10/comorbidity_icd10.jsp, version 2021.1 |
Elixhauser Moderate To Severe Liver Disease Value Set |
Elixhauser Comorbid Condition Value Set for Moderate to Severe Liver Disease. ICD-10 codes are drawn from https://www.hcup-us.ahrq.gov/toolssoftware/comorbidityicd10/comorbidity_icd10.jsp, version 2021.1 |
Elixhauser Neurological Movement Disorder Value Set |
Elixhauser Comorbid Condition Value Set for Neurological Movement Disorders. ICD-10 codes are drawn from https://www.hcup-us.ahrq.gov/toolssoftware/comorbidityicd10/comorbidity_icd10.jsp, version 2021.1 |
Elixhauser Neurological Seizure Disorder Value Set |
Elixhauser Comorbid Condition Value Set for Neurological Seizure Disorders. ICD-10 codes are drawn from https://www.hcup-us.ahrq.gov/toolssoftware/comorbidityicd10/comorbidity_icd10.jsp, version 2021.1 |
Elixhauser Obesity Value Set |
Elixhauser Comorbid Condition Value Set for Obesity. ICD-10 codes are drawn from https://www.hcup-us.ahrq.gov/toolssoftware/comorbidityicd10/comorbidity_icd10.jsp, version 2021.1 |
Elixhauser Other Neurological Disorder Value Set |
Elixhauser Comorbid Condition Value Set for Other Neurological Disorders. ICD-10 codes are drawn from https://www.hcup-us.ahrq.gov/toolssoftware/comorbidityicd10/comorbidity_icd10.jsp, version 2021.1 |
Elixhauser Other Thyroid Disorder Value Set |
Elixhauser Comorbid Condition Value Set for Other Thyroid Disorder. ICD-10 codes are drawn from https://www.hcup-us.ahrq.gov/toolssoftware/comorbidityicd10/comorbidity_icd10.jsp, version 2021.1 |
Elixhauser Paralysis Value Set |
Elixhauser Comorbid Condition Value Set for Paralysis. ICD-10 codes are drawn from https://www.hcup-us.ahrq.gov/toolssoftware/comorbidityicd10/comorbidity_icd10.jsp, version 2021.1 |
Elixhauser Peripheral Vascular Disease Value Set |
Elixhauser Comorbid Condition Value Set for Peripheral vascular disease. ICD-10 codes are drawn from https://www.hcup-us.ahrq.gov/toolssoftware/comorbidityicd10/comorbidity_icd10.jsp, version 2021.1 |
Elixhauser Psychosis Value Set |
Elixhauser Comorbid Condition Value Set for Psychosis. ICD-10 codes are drawn from https://www.hcup-us.ahrq.gov/toolssoftware/comorbidityicd10/comorbidity_icd10.jsp, version 2021.1 |
Elixhauser Pulmonary Circulation Disorder Value Set |
Elixhauser Comorbid Condition Value Set for Pulmonary circulation disorders. ICD-10 codes are drawn from https://www.hcup-us.ahrq.gov/toolssoftware/comorbidityicd10/comorbidity_icd10.jsp, version 2021.1 |
Elixhauser Moderate Renal Failure Value Set |
Elixhauser Comorbid Condition Value Set for Moderate Renal Failure. ICD-10 codes are drawn from https://www.hcup-us.ahrq.gov/toolssoftware/comorbidityicd10/comorbidity_icd10.jsp, version 2021.1 |
Elixhauser Severe Renal Failure Value Set |
Elixhauser Comorbid Condition Value Set for Severe Renal Failure. ICD-10 codes are drawn from https://www.hcup-us.ahrq.gov/toolssoftware/comorbidityicd10/comorbidity_icd10.jsp, version 2021.1 |
Elixhauser Rheumatoid Arthritis and Collagen Vascular Disease Value Set |
Elixhauser Comorbid Condition Value Set for Rheumatoid Arthritis and collagen vascular diseases. ICD-10 codes are drawn from https://www.hcup-us.ahrq.gov/toolssoftware/comorbidityicd10/comorbidity_icd10.jsp, version 2021.1 |
Elixhauser Chronic Peptic Ulcer Disease Value Set |
Elixhauser Comorbid Condition Value Set for Chronic peptic ulcer disease. ICD-10 codes are drawn from https://www.hcup-us.ahrq.gov/toolssoftware/comorbidityicd10/comorbidity_icd10.jsp, version 2021.1 |
Elixhauser Valvular Disease Value Set |
Elixhauser Comorbid Condition Value Set for Valvular disease. ICD-10 codes are drawn from https://www.hcup-us.ahrq.gov/toolssoftware/comorbidityicd10/comorbidity_icd10.jsp, version 2021.1 |
Elixhauser Weight Loss Value Set |
Elixhauser Comorbid Condition Value Set for Weight loss. ICD-10 codes are drawn from https://www.hcup-us.ahrq.gov/toolssoftware/comorbidityicd10/comorbidity_icd10.jsp, version 2021.1 |
Genomic Molecular Consequence Value Set |
Changes in a structural features of a sequence due to the observed variant. |
Genomic Specimen Type Value Set |
The type of specimen analyzed in a genomic test. The values include the subset of codes in the HL7 Specimen Type code system (https://terminology.hl7.org/2.1.0/CodeSystem-v2-0487.html) representing body sites and body fluids likely to be used in genomic testing. The most specific term available should be used. |
HUGO Gene Nomenclature Committee Gene Names Value Set |
HUGO Gene Nomenclature Committee Gene Names Value Set |
Human Genome Variation Society Sequence Variant Nomenclature Value Set |
HGVS nomenclature is used to report and exchange information regarding variants found in DNA, RNA, and protein sequences. |
Histology Morphology Behavior Value Set |
Codes representing the structure, arrangement, and behavioral characteristics of malignant neoplasms, and cancer cells. Inclusion criteria: in situ neoplasms and malignant neoplasms. Exclusion criteria: benign neoplasms and neoplasms of unspecified behavior. Note: ICD-O-3 morphology codes are referenced in the logical definition but not expanded in the value set for intellectual property reasons. For primary cancers, the ICD-O-3 behavior suffix should be /1, /2, or /3. For secondary cancers, the ICD-O-3 behavior suffix should be /6. |
Specific Diagnosis of Cancer Value Set |
Types of hypereosinophilic syndrome, coded in SNOMED CT or ICD-10-CM. |
Laterality Qualifier Value Set |
Qualifiers to specify laterality. |
Melanoma In-Situ Disorder Value Set |
Types of melanoma in-situ, coded in SNOMED CT or ICD-10-CM. |
Staging Type Value Set (for Distant Metastases Category) |
Identifying codes based on the timing of classification for distant metastases (M) staging observations. |
Staging Type for Primary Tumor Category Value Set |
Identifying codes based on the timing of classification for primary tumor (T) staging observations. |
Staging Type for Regional Node Category Value Set |
Identifying codes based on the timing of classification for regional node (N) staging observations. |
Staging Type for Stage Group Value Set |
Identifying codes based on the timing of classification for stage group observations. |
Present Absent Value Set |
Value set used in association with phenomena that can be observed as being present or absent, such as a finding, organism, or physical object. |
Primary Cancer Disorder Value Set |
Types of primary malignant neoplastic disease, coded in SNOMED CT or ICD-10-CM. |
Primary Malignant Neoplasm Disorder Value Set |
Types of primary malignant neoplasms, coded in SNOMED CT or ICD-10-CM. |
Procedure Intent Value Set |
The purpose of a procedure. |
Radiotherapy Modality Value Set |
Codes describing the modalities of external beam and brachytherapy radiation procedures, for use with radiotherapy summaries. This value set is the union of the teleradiotherapy and brachytherapy modality value sets. |
Radiotherapy Technique Value Set |
Codes describing the techniques of external beam and brachytherapy radiation procedures, for use with radiotherapy summaries. This is the union of the EBRT and brachytherapy technique value sets. |
Radiotherapy Treatment Location Qualifier Value Set |
Various modifiers that can be applied to body locations where radiotherapy treatments can be directed. |
Radiotherapy Treatment Location Value Set |
Codes describing the body locations where radiotherapy treatments can be directed. Based on TG263. |
Radiotherapy Volume Type Value Set |
Codes describing the types of body volumes used in radiotherapy planning and treatment. The value set includes the most common codes from DICOM CID 9534 Radiotherapy Targets (UID 1.2.840.10008.6.1.1244) and adds a code for Organs at Risk (OAR). |
Secondary Cancer Disorder Value Set |
Types of secondary malignant neoplastic disease, coded in SNOMED CT or ICD-10-CM. |
TNM Distant Metastases Category Value Set |
This value set is intended to contain allowable values for the M category, according to TNM staging rules. AJCC codes (preferably, version 8 for current cancers) SHOULD be used. |
TNM Primary Tumor Category Value Set |
This value set is intended to contain allowable values for the T category, according to TNM staging rules. AJCC codes (preferably, version 8 for current cancers) SHOULD be used. |
TNM Regional Nodes Category Value Set |
This value set is intended to contain allowable values for the N category, according to TNM staging rules. AJCC codes (preferably, version 8 for current cancers) SHOULD be used. |
Carbon Ion Beam Technique Value Set |
Allowed techniques for carbon ion beam modality |
Electron Beam Technique Value Set |
Allowed techniques for electron beam modality |
Teleradiotherapy Modality Value Set |
Codes describing the modalities of teleradiotherapy (external beam) procedures. |
Neutron Beam Technique Value Set |
Allowed techniques for neutron beam modality |
Photon Beam Technique Value Set |
Allowed techniques for photon beam modality |
Proton Beam Technique Value Set |
Allowed techniques for proton beam modality |
Teleradiotherapy Technique Value Set |
Codes describing the techniques of teleradiotherapy (external beam) procedures. |
Treatment Termination Reason Value Set |
Values used to describe the reasons for stopping a treatment or episode of care. Includes code for ‘treatment completed’ as well as codes for unplanned (early) stoppage. Applies to medications and other treatments that take place over a period of time, such as radiation treatments. |
Tumor Marker Test Value Set |
Codes representing tests for tumor markers. This value set of LOINC codes is not comprehensive and can be extended. Other vocabularies can be used only if the test of interest is not covered by LOINC. Tumor marker tests differ from genetic tests in that they measure levels of protein or other substances produced downstream from RNA protein synthesis. |
Tumor Size Method Value Set |
Code for methods of measuring tumor size, including physical examination, pathology, and imaging. |
Tumor Size Units Value Set |
Acceptable units for measuring tumor size |
These define new code systems used by systems conforming to this implementation guide
Requested LOINC Codes Code System |
Codes requested from LOINC, but not yet approved or assigned. Codes related to comorbidities use the categories originally defined by Elixhauser, and updated by the Agency for Healthcare Research and Quality (AHRQ) Healthcare Cost and Utilization Project (H-CUP) Elixhauser Comorbidity Software Refined for ICD-10-CM v2021.1. Each comorbidity category is associated with a specific ICD-10-CM value set. For example, the category #CHF (congestive heart failure) refers to the patient having a diagnosis within the Elixhauser Comorbid Condition Value Set for Congestive Heart Failure. |
Requested SNOMED Codes Code System |
Codes requested from SNOMED by mCODE, to be issued at a later date. Where numeric codes are given, these correspond to the expected SNOMED-CT codes. Terms beginning with ‘USCRS-‘ (for United States Content Request Service) represent request identifiers with no SNOMED code yet approved or assigned. |
These are example instances that show what data produced and consumed by systems conforming with this implementation guide might look like
Search by code:in in Conditions |
This SearchParameter enables query of conditions by code with the |
Search by _id in Patients with multipleOr |
This SearchParameter enables query of patients by |
binet-stage-group-A |
Example of a non-TNM Stage Group (Binet staging for CLL) |
bodyheight-jenny-m-2018-03-06 |
Extended example: example of body height vital sign |
bodyweight-jenny-m-2018-03-16 |
Extended example: example of body weight vital sign |
bodyweight-jenny-m-2018-04-22 |
Extended example: body weight vital sign at the time of chemotherapy administration |
cancer-disease-status-improved |
Example of Cancer Disease Status |
cancer-disease-status-jenny-m |
Extended example: example showing disease status (patient’s condition improved) |
cancer-patient-adam-everyman |
Example of Patient |
cancer-patient-eve-anyperson |
Example of Patient |
cancer-patient-jenny-m |
Extended example: example cancer patient |
cancer-patient-john-anyperson |
Example of Patient |
cancer-related-mcode-comorbidities-elixhauser-jenny-m |
mCODE Example for Cancer-Related Comorbidities |
cancer-related-mcode-comorbidities-elixhauser-john-anyperson |
Example of Cancer-Related Comorbidities |
cancer-related-medication-admin-cyclophosphamide-jenny-m |
Extended example: example showing chemotherapy medication |
cancer-related-medication-admin-doxorubicin-jenny-m |
Extended example: example showing chemotherapy medication |
cancer-related-medication-admin-paclitaxel-jenny-m |
Extended example: example showing chemotherapy medication |
cancer-related-medication-request-anastrozole-jenny-m |
Extended example: example showing chemotherapy medication |
cancer-related-medication-request-cisplatin |
Example of CancerRelatedMedicationRequest - Chemo Infusion |
cancer-related-medication-request-cyclophosphamide-jenny-m |
Extended example: example showing chemotherapy medication |
cancer-related-medication-request-doxorubicin-jenny-m |
Extended example: example showing chemotherapy medication |
cancer-related-medication-request-gefitinib |
Example of CancerRelatedMedicationRequest |
cancer-related-medication-request-paclitaxel-jenny-m |
Extended example: example showing chemotherapy medication |
cancer-related-surgical-procedure-jenny-m |
Extended example: example showing partial mastectomy surgical procedure |
cancer-related-surgical-procedure-lobectomy |
Example of Cancer Related Surgical Procedure |
ecog-performance-status-fully-active |
Example of ECOG Performance Status |
ecog-performance-status-jenny-m |
Extended example: example showing ECOG performance status |
family-member-history-aunt-jenny-m |
Extended example: example showing family member history of cancer |
family-member-history-sister-jenny-m |
Extended example: example showing family member history of cancer |
family-member-history-uncle-jenny-m |
Extended example: example showing family member history of cancer |
genomic-region-studied-jenny-m |
Extended example: example showing which regions were included in the genomics panel |
genomic-region-studied-stk11 |
mCODE Example for Genomic Region Studied |
genomic-specimen-left-breast-jenny-m |
Extended example: example showing genomic specimen for sequencing |
genomic-specimen-lung |
mCODE Example for Genomic Specimen |
genomic-variant-fusion |
mCODE Example for Genomic Variant gene fusion event |
genomic-variant-germline-deletion |
mCODE Example for Genomic Variant |
genomic-variant-jenny-m |
Extended example: example showing genomic variant found by breast cancer genomics panel |
genomic-variant-somatic-single-nucleotide |
mCODE Example for Genomic Variant |
genomics-report-jenny-m |
Extended example: example of gene panel report |
genomics-report-john-anyperson |
mCODE Example for Genomics Report |
mCODE Patient Group Example |
Example of a Group identifying in-scope patients |
jenny-m-chest-wall-lymph-nodes-treatment-volume |
Anatomic volume 2 for Jenny M’s teleradiotherapy. |
jenny-m-chest-wall-treatment-volume |
Anatomic volume 1 for Jenny M’s teleradiotherapy. |
john-anyperson-treatment-volume |
Anatomic volume for John Anyperson’s brachytherapy. |
karnofsky-performance-status-normal-activity |
Example of Karnofsky Performance Status |
lab-result-observation-hemoglobin |
Hemoglobin lab result to support CancerStageGroup example |
mcode-patient-bundle-jenny-m |
Extended example as a mCODE Patient Bundle |
observation-smoking-pack-years-jenny-m |
Extended example: example showing smoking history |
primary-cancer-condition-breast |
mCODE Example for Primary Cancer Condition (breast). The example shows post-coordinated coding using SNOMED-CT, with separate codes for morphology and bodySite. |
primary-cancer-condition-cll |
Example of Primary Cancer Condition - hematologic cancer |
primary-cancer-condition-jenny-m |
Extended example: example showing primary cancer condition |
primary-cancer-condition-nsclc |
Example of Primary Cancer Condition |
radiotherapy-treatment-summary-chest-wall-jenny-m |
Example of radiotherapy treatment summary involving external beam radiation to chest wall and regional node radiation with a chest wall boost |
secondary-cancer-condition-brain-mets |
Example of Secondary Cancer Condition |
tnm-clinical-distant-metastases-category-cM0 |
Example of TNM Clinical Distant Metastases Category |
tnm-clinical-distant-metastases-category-jenny-m |
Extended example: example showing TNM staging (M) |
tnm-clinical-primary-tumor-category-cT3 |
Example of TNM Clinical Primary Tumor Category |
tnm-clinical-primary-tumor-category-jenny-m |
Extended example: example showing TNM staging (T) |
tnm-clinical-regional-nodes-category-cN3 |
Example of TNM Clinical Regional Nodes Category |
tnm-clinical-regional-nodes-category-jenny-m |
Extended example: example showing TNM staging (N) |
tnm-clinical-stage-group-3c |
Example of TNM Clinical Stage Group |
tnm-clinical-stage-group-jenny-m |
Extended example: example showing TNM staging (stage group) |
tnm-pathologic-distant-metastases-category-jenny-m |
Extended example: example showing TNM staging (M) |
tnm-pathologic-primary-tumor-category-jenny-m |
Extended example: example showing TNM staging (T) |
tnm-pathologic-regional-nodes-category-jenny-m |
Extended example: example showing TNM staging (N) |
tnm-pathologic-stage-group-jenny-m |
Extended example: example showing TNM staging (stage group) |
tumor-lobular-carcinoma-left-breast |
Example of a resource conforming to the tumor profile. |
tumor-marker-test-egf |
mCODE Example for Tumor Marker Test |
tumor-marker-test-er-jenny-m |
Extended example: example showing ER status |
tumor-marker-test-her2-jenny-m |
Extended example: example showing HER2 status |
tumor-marker-test-oncotype-dx-jenny-m |
Extended example: example showing Oncotype DX breast recurrence score. Note that this test has no assigned LOINC code, so GTR is being used as a backup. Only the score from the Oncotype DX panel (as opposed to variant data from the genes in the panel) is represented here. |
tumor-marker-test-pr-jenny-m |
Extended example: example showing PR status |
tumor-size-jenny-m |
Extended example: example showing tumor size |
tumor-size-pathology |
Example of a resource conforming to the tumor size profile. |
tumor-specimen-left-breast-jenny-m |
Extended example: example tumor specimen |
tumor-specimen-lobular-carcinoma-left-breast |
Example of a TumorSpecimen linked to this Tumor via |
us-core-condition-anxiety-jenny-m |
Extended example: example showing comorbid condition (anxiety) |
us-core-condition-depression-jenny-m |
Extended example: example showing comorbid condition (depression) |
us-core-condition-hypertension-jenny-m |
Extended example: example showing comorbid condition (hypertension) |
us-core-diagnosticreport-lab-jenny-m |
Extended example: example of pathology findings represented as a DiagnosticReport resource. |
us-core-observation-lab-neutrophils-jenny-m |
Extended example: neutrophils lab test |
us-core-observation-lab-sentinel-nodes-jenny-m |
Extended example: example showing 3 sentinel lymph nodes were examined |
us-core-observation-lab-tumor-dcis-jenny-m |
Extended example: example showing DCIS diagnosis |
us-core-observation-lab-tumor-grade-jenny-m |
Extended example: example showing DCIS diagnosis |
us-core-observation-lab-tumor-invasion-jenny-m |
Extended example: example showing negative invasion for the removed tumor |
us-core-observation-lab-tumor-margins-jenny-m |
Extended example: example showing negative margins for the removed tumor |
us-core-organization-bedrock-medicine |
Example of US Core Organization |
us-core-organization-physician-services-inc |
Extended example: example organization |
us-core-practitioner-jane-radiotech |
Extended example: example PCP practitioner |
us-core-practitioner-kyle-anydoc |
Example of Practitioner |
us-core-practitioner-mary-obgyn |
Extended example: example PCP practitioner |
us-core-practitioner-nancy-oncology-nurse |
Extended example: example RN practitioner |
us-core-practitioner-owen-oncologist |
Extended example: example practitioner |
us-core-practitioner-peter-pathologist |
Extended example: example practitioner (pathologist) |
us-core-procedure-biopsy-jenny-m |
Extended example: example biopsy procedure |
us-core-procedure-mammogram-jenny-m |
Extended example: example mammogram |
us-core-smokingstatus-jenny-m |
Extended example: example showing smoking status |