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. For a full list of available versions, see the Directory of published versions

ValueSet: Cancer Stage Type Value Set

Official URL: http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-stage-type-vs Version: 4.0.0
Active as of 2025-02-16 Maturity Level: 4 Computable Name: CancerStageTypeVS
Other Identifiers: OID:2.16.840.1.113883.4.642.40.15.48.19

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

Codes that identify the kind of stage reported in an Observation, necessary to correctly interpret the value associated with a staging Observation. In terms of the SNOMED CT hierarchy, these codes represent observable entities. If the staging system used to determine the stage is not implicit in this code, the staging system must be separately recorded in Observation.method. More specific staging profiles, if available, should be consulted before determining the correct code.

References

Changes since version true:

  • New Content

    • Logical Definition (CLD)

    Generated Narrative: ValueSet mcode-cancer-stage-type-vs

    This value set includes codes based on the following rules:

    • Include these codes as defined in http://snomed.info/sct
      CodeDisplay
      399566009Tumor-node-metastasis (TNM) category (observable entity)
      78873005T category (observable entity)
      277206009N category (observable entity)
      277208005M category (observable entity)
      399703000Integrated TNM category (observable entity)
      399437009Integrated M category (observable entity)
      399458003Integrated N category (observable entity)
      399556001Integrated T category (observable entity)
      106248000TNM classification of malignant tumor before any treatment (observable entity)
      399387003cM category (observable entity)
      399534004cN category (observable entity)
      399504009cT category (observable entity)
      106249008TNM classification of malignant tumor after operation (observable entity)
      371497001pM category (observable entity)
      371494008pN category (observable entity)
      384625004pT category (observable entity)
      399390009Tumor-node-metastasis (TNM) stage grouping (observable entity)
      399537006Clinical TNM stage grouping (observable entity)
      399588009Pathologic TNM stage grouping (observable entity)
      385361009International Federation of Gynecology and Obstetrics stage for gynecological malignancy (observable entity)
      385363007International Federation of Gynecology and Obstetrics ovarian tumor stage (observable entity)
      385365000International Federation of Gynecology and Obstetrics stage for epithelial tumor of ovary (observable entity)
      385367008International Federation of Gynecology and Obstetrics stage for cervical carcinoma (observable entity)
      385375002International Federation of Gynecology and Obstetrics stage for endometrial carcinoma (observable entity)
      385369006International Federation of Gynecology and Obstetrics stage for vulvar melanoma (observable entity)
      385373009International Federation of Gynecology and Obstetrics uterine tumor stage (observable entity)
      385388004Lymphoma stage (observable entity)
      385349001Clinical stage (observable entity)
      103420007Modified Dukes stage (observable entity)
      385357003Dukes stage (observable entity)
      17964000Residual tumor stage (observable entity)
      371495009Stage of tumor involvement of non-regional lymph nodes (observable entity)
      409720004International neuroblastoma staging system stage (observable entity)
      405931009National Wilms Tumor Study Group Stage (observable entity)
      405916000Intergroup rhabdomyosarcoma study post-surgical clinical group (observable entity)
      385377005Gleason grade finding for prostatic cancer (finding)
      1342413004International Intraocular Retinoblastoma Classification (tumor staging)
    • Include these codes as defined in http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl
      CodeDisplay
      C134969 AIDS-Related Kaposi Sarcoma Stage
      C90529 AJCC v6 Stage
      C90530 AJCC v7 Stage
      C177555 AJCC v8 Clinical Stage
      C177556 AJCC v8 Pathologic Stage
      C132248 AJCC v8 Stage
      C180901 AJCC v9 Stage
      C177558 Ann Arbor Clinical Stage
      C177559 Ann Arbor Pathologic Stage
      C141138 Ann Arbor Stage
      C115134 BCLC Stage
      C141212 Binet Stage
      C139445 Breast Cancer Anatomic Stage
      C139446 Breast Cancer Prognostic Stage
      C139006 Durie/Salmon Stage
      C141099 ENSAT Stage
      C186618 FIGO 2009 Stage
      C186617 FIGO 2018 Stage
      C157232 FIGO/TNM Stage
      C28067 Hepatoblastoma Stage
      C139007 International Staging System Stage
      C141147 Lugano Stage
      C143151 Masaoka-Koga Stage
      C146847 Mediastinal Malignant Germ Cell Tumor Stage
      C16899 Neoplasm Stage
      C174125 Neoplastic Disease Extent Indicator
      C141461 Occult Stage
      C133427 International Neuroblastoma Risk Group Staging System
      C198190 Childhood Hepatoblastoma by Toronto Guidelines v2 Stage, Tier 2

     

    Expansion

    Generated Narrative: ValueSet

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

    This value set contains 64 concepts

    CodeSystemDisplay
      399566009http://snomed.info/sctTumor-node-metastasis (TNM) category (observable entity)
      78873005http://snomed.info/sctT stage
      277206009http://snomed.info/sctNode stages
      277208005http://snomed.info/sctMetastasis stages
      399703000http://snomed.info/sctIntegrated TNM category (observable entity)
      399437009http://snomed.info/sctIntegrated M category (observable entity)
      399458003http://snomed.info/sctIntegrated N category (observable entity)
      399556001http://snomed.info/sctIntegrated T category (observable entity)
      106248000http://snomed.info/sctTNM classification of malignant tumor before any treatment
      399387003http://snomed.info/sctcM category (observable entity)
      399534004http://snomed.info/sctcN category (observable entity)
      399504009http://snomed.info/sctcT category (observable entity)
      106249008http://snomed.info/sctTNM classification of malignant tumor after operation
      371497001http://snomed.info/sctpM category (observable entity)
      371494008http://snomed.info/sctpN category (observable entity)
      384625004http://snomed.info/sctpT category (observable entity)
      399390009http://snomed.info/sctTumor-node-metastasis (TNM) stage grouping (observable entity)
      399537006http://snomed.info/sctClinical TNM stage grouping (observable entity)
      399588009http://snomed.info/sctPathologic TNM stage grouping (observable entity)
      385361009http://snomed.info/sctInternational Federation of Gynecology and Obstetrics stage for gynecological malignancy (observable entity)
      385363007http://snomed.info/sctInternational Federation of Gynecology and Obstetrics ovarian tumor stage (observable entity)
      385365000http://snomed.info/sctInternational Federation of Gynecology and Obstetrics stage for epithelial tumor of ovary (observable entity)
      385367008http://snomed.info/sctInternational Federation of Gynecology and Obstetrics stage for cervical carcinoma (observable entity)
      385375002http://snomed.info/sctInternational Federation of Gynecology and Obstetrics stage for endometrial carcinoma (observable entity)
      385369006http://snomed.info/sctInternational Federation of Gynecology and Obstetrics stage for vulvar melanoma (observable entity)
      385373009http://snomed.info/sctInternational Federation of Gynecology and Obstetrics uterine tumor stage (observable entity)
      385388004http://snomed.info/sctLymphoma stage (observable entity)
      385349001http://snomed.info/sctClinical stage (observable entity)
      103420007http://snomed.info/sctModified Dukes stage
      385357003http://snomed.info/sctDukes stage (observable entity)
      17964000http://snomed.info/sctResidual tumor
      371495009http://snomed.info/sctStage of tumor involvement of non-regional lymph nodes (observable entity)
      409720004http://snomed.info/sctInternational neuroblastoma staging system stage (observable entity)
      405931009http://snomed.info/sctNational Wilms Tumor Study Group Stage (observable entity)
      405916000http://snomed.info/sctIntergroup rhabdomyosarcoma study post-surgical clinical group (observable entity)
      385377005http://snomed.info/sctGleason grade finding for prostatic cancer (finding)
      C134969http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owlAIDS-Related Kaposi Sarcoma Stage
      C90529http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owlAJCC v6 Stage
      C90530http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owlAJCC v7 Stage
      C177555http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owlAJCC v8 Clinical Stage
      C177556http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owlAJCC v8 Pathologic Stage
      C132248http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owlAJCC v8 Stage
      C180901http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owlAJCC v9 Stage
      C177558http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owlAnn Arbor Clinical Stage
      C177559http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owlAnn Arbor Pathologic Stage
      C141138http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owlAnn Arbor Stage
      C115134http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owlBCLC Stage
      C141212http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owlBinet Stage
      C139445http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owlBreast Cancer Anatomic Stage
      C139446http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owlBreast Cancer Prognostic Stage
      C139006http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owlDurie/Salmon Stage
      C141099http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owlENSAT Stage
      C186618http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owlFIGO 2009 Stage
      C186617http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owlFIGO 2018 Stage
      C157232http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owlFIGO/TNM Stage
      C28067http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owlHepatoblastoma Stage
      C139007http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owlInternational Staging System Stage
      C141147http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owlLugano Stage
      C143151http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owlMasaoka-Koga Stage
      C146847http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owlMediastinal Malignant Germ Cell Tumor Stage
      C16899http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owlNeoplasm Stage
      C174125http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owlNeoplastic Disease Extent Indicator
      C141461http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owlOccult Stage
      C133427http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owlInternational Neuroblastoma Risk Group Staging System

    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