minimal Common Oncology Data Elements (mCODE) Implementation Guide
4.0.0 - STU4 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 (v4.0.0: STU4) based on FHIR (HL7® FHIR® Standard) 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: TNM Primary Tumor Category Value Set

Official URL: http://hl7.org/fhir/us/mcode/ValueSet/mcode-tnm-primary-tumor-category-vs Version: 4.0.0
Active as of 2025-02-16 Maturity Level: 4 Computable Name: TNMPrimaryTumorCategoryVS
Other Identifiers: OID:2.16.840.1.113883.4.642.40.15.48.79

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 T category, following AJCC staging guidelines. This value set contains SNOMED-CT equivalents of AJCC codes for the T category, according to AJCC TNM staging rules.

References

Changes since version true:

  • New Content
  • Usage

    Using AJCC terminology, examples of T categories include 'ycTX', used for post-therapy clinical staging if 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, pathologic, and other classifications, and the T category prefix must align with Observation.code. The full set of allowable clinical, pathologic, and other (recurrence/retreatment/autopsy) T 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)

    Generated Narrative: ValueSet mcode-tnm-primary-tumor-category-vs

    This value set includes codes based on the following rules:

    • Include codes fromhttp://snomed.info/sct where concept descends from 1222585009 (American Joint Committee on Cancer clinical T category allowable value (qualifier value))
    • Include codes fromhttp://snomed.info/sct where concept descends from 1222589003 (American Joint Committee on Cancer pathological T category allowable value (qualifier value))
    • Include codes fromhttp://snomed.info/sct where concept descends from 1222595002 (American Joint Committee on Cancer ypT category allowable value (qualifier value))

     

    Expansion

    Generated Narrative: ValueSet

    Expansion from tx.fhir.org based on SNOMED CT 900000000000207008 edition 01-Feb 2024

    This value set expansion contains 118 concepts.

    CodeSystemDisplay
      1222604002http://snomed.info/sctAmerican Joint Committee on Cancer cTX (qualifier value)
      1228882005http://snomed.info/sctAmerican Joint Committee on Cancer cT0 (qualifier value)
      1228883000http://snomed.info/sctAmerican Joint Committee on Cancer cTa (qualifier value)
      1228884006http://snomed.info/sctcTis
      1228885007http://snomed.info/sctcTis(DCIS)
      1228887004http://snomed.info/sctAmerican Joint Committee on Cancer cTis(LAMN) (qualifier value)
      1228888009http://snomed.info/sctAmerican Joint Committee on Cancer cTis(Paget)
      1228889001http://snomed.info/sctAmerican Joint Committee on Cancer cT1
      1228891009http://snomed.info/sctcT1mi
      1228892002http://snomed.info/sctcT1a
      1228893007http://snomed.info/sctAmerican Joint Committee on Cancer cT1a1
      1228894001http://snomed.info/sctAmerican Joint Committee on Cancer cT1a2 (qualifier value)
      1228895000http://snomed.info/sctcT1b
      1228896004http://snomed.info/sctAmerican Joint Committee on Cancer cT1b1 (qualifier value)
      1228898003http://snomed.info/sctAmerican Joint Committee on Cancer cT1b2
      1228899006http://snomed.info/sctAmerican Joint Committee on Cancer cT1c
      1228900001http://snomed.info/sctcT1c1
      1228901002http://snomed.info/sctAmerican Joint Committee on Cancer cT1c2 (qualifier value)
      1228902009http://snomed.info/sctcT1c3
      1228928007http://snomed.info/sctAmerican Joint Committee on Cancer cT1d
      1228929004http://snomed.info/sctcT2
      1228931008http://snomed.info/sctcT2a
      1228932001http://snomed.info/sctAmerican Joint Committee on Cancer cT2a1
      1228933006http://snomed.info/sctcT2a2
      1228934000http://snomed.info/sctAmerican Joint Committee on Cancer cT2b
      1228936003http://snomed.info/sctAmerican Joint Committee on Cancer cT2c (qualifier value)
      1228937007http://snomed.info/sctAmerican Joint Committee on Cancer cT2d (qualifier value)
      1228938002http://snomed.info/sctAmerican Joint Committee on Cancer cT3 (qualifier value)
      1228939005http://snomed.info/sctAmerican Joint Committee on Cancer cT3a (qualifier value)
      1228940007http://snomed.info/sctAmerican Joint Committee on Cancer cT3b
      1228941006http://snomed.info/sctAmerican Joint Committee on Cancer cT3c (qualifier value)
      1228942004http://snomed.info/sctAmerican Joint Committee on Cancer cT3d (qualifier value)
      1228943009http://snomed.info/sctcT3e
      1228944003http://snomed.info/sctAmerican Joint Committee on Cancer cT4
      1228945002http://snomed.info/sctAmerican Joint Committee on Cancer cT4a
      1228946001http://snomed.info/sctcT4b
      1228947005http://snomed.info/sctAmerican Joint Committee on Cancer cT4c
      1228948000http://snomed.info/sctAmerican Joint Committee on Cancer cT4d
      1228949008http://snomed.info/sctAmerican Joint Committee on Cancer cT4e (qualifier value)
      1285094009http://snomed.info/sctAJCC (American Joint Committee on Cancer) cT1b3
      1228950008http://snomed.info/sctpTX
      1228951007http://snomed.info/sctAmerican Joint Committee on Cancer pT0
      1228952000http://snomed.info/sctAmerican Joint Committee on Cancer pTa
      1228953005http://snomed.info/sctAmerican Joint Committee on Cancer pTis (qualifier value)
      1228954004http://snomed.info/sctAmerican Joint Committee on Cancer pTis(DCIS) (qualifier value)
      1228955003http://snomed.info/sctpTis(LAMN)
      1228956002http://snomed.info/sctpTis(Paget)
      1228957006http://snomed.info/sctAmerican Joint Committee on Cancer pT1
      1228958001http://snomed.info/sctAmerican Joint Committee on Cancer pT1mi
      1228959009http://snomed.info/sctpT1a
      1228960004http://snomed.info/sctpT1a1
      1228961000http://snomed.info/sctAmerican Joint Committee on Cancer pT1a2 (qualifier value)
      1228962007http://snomed.info/sctAmerican Joint Committee on Cancer pT1b (qualifier value)
      1229844006http://snomed.info/sctAmerican Joint Committee on Cancer pT1b1
      1229845007http://snomed.info/sctAmerican Joint Committee on Cancer pT1b2
      1229846008http://snomed.info/sctAmerican Joint Committee on Cancer pT1c (qualifier value)
      1229848009http://snomed.info/sctAmerican Joint Committee on Cancer pT1c1 (qualifier value)
      1229849001http://snomed.info/sctAmerican Joint Committee on Cancer pT1c2
      1229850001http://snomed.info/sctAmerican Joint Committee on Cancer pT1c3 (qualifier value)
      1229851002http://snomed.info/sctpT1d
      1229852009http://snomed.info/sctAmerican Joint Committee on Cancer pT2 (qualifier value)
      1229853004http://snomed.info/sctAmerican Joint Committee on Cancer pT2a
      1229854005http://snomed.info/sctAmerican Joint Committee on Cancer pT2a1 (qualifier value)
      1229855006http://snomed.info/sctpT2a2
      1229856007http://snomed.info/sctpT2b
      1229857003http://snomed.info/sctAmerican Joint Committee on Cancer pT2c (qualifier value)
      1229858008http://snomed.info/sctAmerican Joint Committee on Cancer pT2d (qualifier value)
      1229859000http://snomed.info/sctAmerican Joint Committee on Cancer pT3
      1229860005http://snomed.info/sctAmerican Joint Committee on Cancer pT3a (qualifier value)
      1229861009http://snomed.info/sctAmerican Joint Committee on Cancer pT3b (qualifier value)
      1229862002http://snomed.info/sctpT3c
      1229863007http://snomed.info/sctAmerican Joint Committee on Cancer pT3d (qualifier value)
      1229864001http://snomed.info/sctAmerican Joint Committee on Cancer pT4
      1229865000http://snomed.info/sctAmerican Joint Committee on Cancer pT4a
      1229866004http://snomed.info/sctAmerican Joint Committee on Cancer pT4b
      1229867008http://snomed.info/sctAmerican Joint Committee on Cancer pT4c
      1229868003http://snomed.info/sctAmerican Joint Committee on Cancer pT4d (qualifier value)
      1229869006http://snomed.info/sctAmerican Joint Committee on Cancer pT4e (qualifier value)
      1285095005http://snomed.info/sctpT1b3
      1228862006http://snomed.info/sctAmerican Joint Committee on Cancer ypTX
      1228863001http://snomed.info/sctAmerican Joint Committee on Cancer ypT0 (qualifier value)
      1228864007http://snomed.info/sctAmerican Joint Committee on Cancer ypTa
      1228865008http://snomed.info/sctypTis
      1228866009http://snomed.info/sctAmerican Joint Committee on Cancer ypTis(DCIS) (qualifier value)
      1228867000http://snomed.info/sctAmerican Joint Committee on Cancer ypTis(LAMN) (qualifier value)
      1228868005http://snomed.info/sctAmerican Joint Committee on Cancer ypTis(Paget)
      1228869002http://snomed.info/sctypT1
      1228870001http://snomed.info/sctAmerican Joint Committee on Cancer ypT1mi (qualifier value)
      1228872009http://snomed.info/sctAmerican Joint Committee on Cancer ypT1a (qualifier value)
      1228873004http://snomed.info/sctAmerican Joint Committee on Cancer ypT1a1
      1228874005http://snomed.info/sctAmerican Joint Committee on Cancer ypT1a2
      1228897008http://snomed.info/sctAmerican Joint Committee on Cancer ypT1b (qualifier value)
      1228903004http://snomed.info/sctAmerican Joint Committee on Cancer ypT1b1 (qualifier value)
      1228904005http://snomed.info/sctAmerican Joint Committee on Cancer ypT1b2 (qualifier value)
      1228905006http://snomed.info/sctypT1c
      1228906007http://snomed.info/sctAmerican Joint Committee on Cancer ypT1c1 (qualifier value)
      1228907003http://snomed.info/sctAmerican Joint Committee on Cancer ypT1c2 (qualifier value)
      1228908008http://snomed.info/sctAmerican Joint Committee on Cancer ypT1c3 (qualifier value)
      1228909000http://snomed.info/sctAmerican Joint Committee on Cancer ypT1d (qualifier value)
      1228910005http://snomed.info/sctypT2
      1228911009http://snomed.info/sctAmerican Joint Committee on Cancer ypT2a
      1228912002http://snomed.info/sctAmerican Joint Committee on Cancer ypT2a1 (qualifier value)
      1228913007http://snomed.info/sctAmerican Joint Committee on Cancer ypT2a2 (qualifier value)
      1228914001http://snomed.info/sctAmerican Joint Committee on Cancer ypT2b (qualifier value)
      1228915000http://snomed.info/sctypT2c
      1228916004http://snomed.info/sctypT2d
      1228917008http://snomed.info/sctAmerican Joint Committee on Cancer ypT3
      1228918003http://snomed.info/sctypT3a
      1228919006http://snomed.info/sctAmerican Joint Committee on Cancer ypT3b (qualifier value)
      1228920000http://snomed.info/sctAmerican Joint Committee on Cancer ypT3c
      1228921001http://snomed.info/sctypT3d
      1228922008http://snomed.info/sctypT4
      1228923003http://snomed.info/sctAmerican Joint Committee on Cancer ypT4a (qualifier value)
      1228924009http://snomed.info/sctAmerican Joint Committee on Cancer ypT4b
      1228925005http://snomed.info/sctAmerican Joint Committee on Cancer ypT4c (qualifier value)
      1228926006http://snomed.info/sctypT4d
      1228927002http://snomed.info/sctAmerican Joint Committee on Cancer ypT4e (qualifier value)
      1285096006http://snomed.info/sctAmerican Joint Committee on Cancer ypT1b3 (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