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 (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 Regional Nodes Category Value Set

Official URL: http://hl7.org/fhir/us/mcode/ValueSet/mcode-tnm-regional-nodes-category-vs Version: 4.0.0
Active as of 2025-02-16 Maturity Level: 4 Computable Name: TNMRegionalNodesCategoryVS
Other Identifiers: OID:2.16.840.1.113883.4.642.40.15.48.83

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

References

Changes since version true:

  • New Content

    • Usage

    In AJCC terminology, examples of N categories include 'ycN0', for post-therapy clinical staging indicating no evidence of lymph node involvement, and 'pN1', indicating regional lymph node involvement to a small extent, with specific thresholds for the lymph node groups and number of lymph nodes involved. Other N categories refer to increasing lymph node involvement. Please note allowable N categories may vary between clinical, pathologic, and other classifications, and the N category prefix must align with Observation.code. The full set of allowable clinical, pathologic, and other (recurrence/retreatment/autopsy) N 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-regional-nodes-category-vs

    This value set includes codes based on the following rules:

    • Include codes fromhttp://snomed.info/sct where concept descends from 1222588006 (American Joint Committee on Cancer clinical N category allowable value (qualifier value))
    • Include codes fromhttp://snomed.info/sct where concept descends from 1222590007 (American Joint Committee on Cancer pathological N category allowable value (qualifier value))
    • Include codes fromhttp://snomed.info/sct where concept descends from 1222596001 (American Joint Committee on Cancer ypN 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 59 concepts.

    CodeSystemDisplay
      1229966003http://snomed.info/sctcNX
      1229967007http://snomed.info/sctAmerican Joint Committee on Cancer cN0
      1229968002http://snomed.info/sctAmerican Joint Committee on Cancer cN0a (qualifier value)
      1229969005http://snomed.info/sctcN0b
      1229971005http://snomed.info/sctAmerican Joint Committee on Cancer cN0(i+)
      1229973008http://snomed.info/sctcN1
      1229974002http://snomed.info/sctcN1mi
      1229975001http://snomed.info/sctAmerican Joint Committee on Cancer cN1a (qualifier value)
      1229976000http://snomed.info/sctAmerican Joint Committee on Cancer cN1b
      1229977009http://snomed.info/sctcN1c
      1229978004http://snomed.info/sctcN2
      1229980005http://snomed.info/sctAmerican Joint Committee on Cancer cN2mi
      1229981009http://snomed.info/sctAmerican Joint Committee on Cancer cN2a
      1229982002http://snomed.info/sctcN2b
      1229983007http://snomed.info/sctAmerican Joint Committee on Cancer cN2c
      1229984001http://snomed.info/sctcN3
      1229985000http://snomed.info/sctcN3a
      1229986004http://snomed.info/sctAmerican Joint Committee on Cancer cN3b
      1229987008http://snomed.info/sctcN3c
      1229945006http://snomed.info/sctAmerican Joint Committee on Cancer pNX (qualifier value)
      1229947003http://snomed.info/sctAmerican Joint Committee on Cancer pN0
      1229948008http://snomed.info/sctAmerican Joint Committee on Cancer pN0a
      1229949000http://snomed.info/sctAmerican Joint Committee on Cancer pN0(i+)
      1229950000http://snomed.info/sctAmerican Joint Committee on Cancer pN0(mol+) (qualifier value)
      1229951001http://snomed.info/sctAmerican Joint Committee on Cancer pN1
      1229952008http://snomed.info/sctAmerican Joint Committee on Cancer pN1mi (qualifier value)
      1229953003http://snomed.info/sctAmerican Joint Committee on Cancer pN1a(sn) (qualifier value)
      1229954009http://snomed.info/sctAmerican Joint Committee on Cancer pN1a (qualifier value)
      1229955005http://snomed.info/sctAmerican Joint Committee on Cancer pN1b
      1229956006http://snomed.info/sctAmerican Joint Committee on Cancer pN1c
      1229957002http://snomed.info/sctAmerican Joint Committee on Cancer pN2
      1229958007http://snomed.info/sctpN2mi
      1229959004http://snomed.info/sctpN2a
      1229960009http://snomed.info/sctAmerican Joint Committee on Cancer pN2b (qualifier value)
      1229961008http://snomed.info/sctAmerican Joint Committee on Cancer pN2c
      1229962001http://snomed.info/sctAmerican Joint Committee on Cancer pN3
      1229963006http://snomed.info/sctAmerican Joint Committee on Cancer pN3a (qualifier value)
      1229964000http://snomed.info/sctAmerican Joint Committee on Cancer pN3b (qualifier value)
      1229965004http://snomed.info/sctAmerican Joint Committee on Cancer pN3c
      1229877005http://snomed.info/sctypNX
      1229878000http://snomed.info/sctAmerican Joint Committee on Cancer ypN0 (qualifier value)
      1229879008http://snomed.info/sctypN0a
      1229880006http://snomed.info/sctAmerican Joint Committee on Cancer ypN0(mol+) (qualifier value)
      1229881005http://snomed.info/sctAmerican Joint Committee on Cancer ypN0(i+) (qualifier value)
      1229884002http://snomed.info/sctypN1
      1229885001http://snomed.info/sctAmerican Joint Committee on Cancer ypN1mi (qualifier value)
      1229886000http://snomed.info/sctAmerican Joint Committee on Cancer ypN2mi
      1229887009http://snomed.info/sctypN1a
      1229888004http://snomed.info/sctAmerican Joint Committee on Cancer ypN1a(sn)
      1229889007http://snomed.info/sctAmerican Joint Committee on Cancer ypN1b
      1229890003http://snomed.info/sctypN1c
      1229892006http://snomed.info/sctypN2
      1229893001http://snomed.info/sctAmerican Joint Committee on Cancer ypN2a
      1229894007http://snomed.info/sctypN2c
      1229896009http://snomed.info/sctypN2b
      1229897000http://snomed.info/sctAmerican Joint Committee on Cancer ypN3 (qualifier value)
      1229898005http://snomed.info/sctypN3a
      1229899002http://snomed.info/sctAmerican Joint Committee on Cancer ypN3b (qualifier value)
      1229900007http://snomed.info/sctAmerican Joint Committee on Cancer ypN3c (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