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{
  "resourceType": "CodeSystem",
  "id": "cap-ecc-codesystem",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem cap-ecc-codesystem</b></p><a name=\"cap-ecc-codesystem\"> </a><a name=\"hccap-ecc-codesystem\"> </a><a name=\"cap-ecc-codesystem-en-US\"> </a><p>This case-insensitive code system <code>http://hl7.org/fhir/us/cancer-reporting/CodeSystem/cap-ecc-codesystem</code> defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td></tr><tr><td style=\"white-space:nowrap\">31357.100004300<a name=\"cap-ecc-codesystem-31357.46100004300\"> </a></td><td>Greatest dimension of largest invasive focus greater than 1 mm (specify exact measurement in Millimeters (mm))</td></tr><tr><td style=\"white-space:nowrap\">30148.100004300<a name=\"cap-ecc-codesystem-30148.46100004300\"> </a></td><td>Tumor Size (Note E)</td></tr><tr><td style=\"white-space:nowrap\">51180.100004300<a name=\"cap-ecc-codesystem-51180.46100004300\"> </a></td><td>Tumor Site (Note B)</td></tr><tr><td style=\"white-space:nowrap\">16448.100004300<a name=\"cap-ecc-codesystem-16448.46100004300\"> </a></td><td>Single focus of invasive carcinoma</td></tr><tr><td style=\"white-space:nowrap\">38392.100004300<a name=\"cap-ecc-codesystem-38392.46100004300\"> </a></td><td>Tumor Focality (Note F)</td></tr><tr><td style=\"white-space:nowrap\">16214.100004300<a name=\"cap-ecc-codesystem-16214.46100004300\"> </a></td><td>Specimen Laterality</td></tr><tr><td style=\"white-space:nowrap\">16215.100004300<a name=\"cap-ecc-codesystem-16215.46100004300\"> </a></td><td>Right</td></tr><tr><td style=\"white-space:nowrap\">52399.100004300<a name=\"cap-ecc-codesystem-52399.46100004300\"> </a></td><td>HER2 (by immunohistochemistry)</td></tr><tr><td style=\"white-space:nowrap\">36944.100004300<a name=\"cap-ecc-codesystem-36944.46100004300\"> </a></td><td>HER2 (by immunohistochemistry)</td></tr><tr><td style=\"white-space:nowrap\">43789.100004300<a name=\"cap-ecc-codesystem-43789.46100004300\"> </a></td><td>Breast Biomarker Testing Performed on Previous Biopsy</td></tr><tr><td style=\"white-space:nowrap\">41776.100004300<a name=\"cap-ecc-codesystem-41776.46100004300\"> </a></td><td>Estrogen Receptor (ER)</td></tr><tr><td style=\"white-space:nowrap\">45138.100004300<a name=\"cap-ecc-codesystem-45138.46100004300\"> </a></td><td>Estrogen Receptor (ER) Status</td></tr><tr><td style=\"white-space:nowrap\">53472.100004300<a name=\"cap-ecc-codesystem-53472.46100004300\"> </a></td><td>Cannot be determined (indeterminate)</td></tr><tr><td style=\"white-space:nowrap\">16280.100004300<a name=\"cap-ecc-codesystem-16280.46100004300\"> </a></td><td>Invasive carcinoma of no special type (ductal)</td></tr><tr><td style=\"white-space:nowrap\">41794.100004300<a name=\"cap-ecc-codesystem-41794.46100004300\"> </a></td><td>Histologic Type (Note C)</td></tr><tr><td style=\"white-space:nowrap\">16182.100004300<a name=\"cap-ecc-codesystem-16182.46100004300\"> </a></td><td>SPECIMEN</td></tr><tr><td style=\"white-space:nowrap\">17834.100004300<a name=\"cap-ecc-codesystem-17834.46100004300\"> </a></td><td>SPECIAL STUDIES</td></tr><tr><td style=\"white-space:nowrap\">39858.100004300<a name=\"cap-ecc-codesystem-39858.46100004300\"> </a></td><td>Regional Lymph Nodes</td></tr><tr><td style=\"white-space:nowrap\">16697.100004300<a name=\"cap-ecc-codesystem-16697.46100004300\"> </a></td><td>REGIONAL LYMPH NODES (Note M)</td></tr><tr><td style=\"white-space:nowrap\">16717.100004300<a name=\"cap-ecc-codesystem-16717.46100004300\"> </a></td><td>PATHOLOGIC STAGE CLASSIFICATION (pTNM, AJCC 8th Edition) (Note M)</td></tr><tr><td style=\"white-space:nowrap\">16567.100004300<a name=\"cap-ecc-codesystem-16567.46100004300\"> </a></td><td>MARGINS (Note L)</td></tr><tr><td style=\"white-space:nowrap\">868263.100004300<a name=\"cap-ecc-codesystem-868263.46100004300\"> </a></td><td>Lymph Nodes</td></tr><tr><td style=\"white-space:nowrap\">352333.100004300<a name=\"cap-ecc-codesystem-352333.46100004300\"> </a></td><td>DISTANT METASTASIS</td></tr><tr><td style=\"white-space:nowrap\">381061.100004300<a name=\"cap-ecc-codesystem-381061.46100004300\"> </a></td><td>COMMENTS</td></tr><tr><td style=\"white-space:nowrap\">16782.100004300<a name=\"cap-ecc-codesystem-16782.46100004300\"> </a></td><td>ADDITIONAL FINDINGS (Note N)</td></tr><tr><td style=\"white-space:nowrap\">351607.100004300<a name=\"cap-ecc-codesystem-351607.46100004300\"> </a></td><td>?Number of Sentinel Nodes Examined (if applicable)</td></tr><tr><td style=\"white-space:nowrap\">351606.100004300<a name=\"cap-ecc-codesystem-351606.46100004300\"> </a></td><td>Exact number (specify)</td></tr><tr><td style=\"white-space:nowrap\">351601.100004300<a name=\"cap-ecc-codesystem-351601.46100004300\"> </a></td><td>Exact number (specify)</td></tr><tr><td style=\"white-space:nowrap\">351602.100004300<a name=\"cap-ecc-codesystem-351602.46100004300\"> </a></td><td>Total Number of Lymph Nodes Examined (sentinel and non-sentinel)</td></tr><tr><td style=\"white-space:nowrap\">374353.100004300<a name=\"cap-ecc-codesystem-374353.46100004300\"> </a></td><td>Regional lymph nodes present</td></tr><tr><td style=\"white-space:nowrap\">351589.100004300<a name=\"cap-ecc-codesystem-351589.46100004300\"> </a></td><td>Regional Lymph Node Status</td></tr><tr><td style=\"white-space:nowrap\">16736.100004300<a name=\"cap-ecc-codesystem-16736.46100004300\"> </a></td><td>pT1b: Tumor &gt; 5 mm but &lt;= 10 mm in greatest dimension</td></tr><tr><td style=\"white-space:nowrap\">327740.100004300<a name=\"cap-ecc-codesystem-327740.46100004300\"> </a></td><td>pT Category</td></tr><tr><td style=\"white-space:nowrap\">763178.100004300<a name=\"cap-ecc-codesystem-763178.46100004300\"> </a></td><td>pN Category</td></tr><tr><td style=\"white-space:nowrap\">38649.100004300<a name=\"cap-ecc-codesystem-38649.46100004300\"> </a></td><td>pN0: No regional lymph node metastasis identified or ITCs only#</td></tr><tr><td style=\"white-space:nowrap\">58807.100004300<a name=\"cap-ecc-codesystem-58807.46100004300\"> </a></td><td>Procedure (Note A)</td></tr><tr><td style=\"white-space:nowrap\">40307.100004300<a name=\"cap-ecc-codesystem-40307.46100004300\"> </a></td><td>Excision (less than total mastectomy)</td></tr><tr><td style=\"white-space:nowrap\">38391.100004300<a name=\"cap-ecc-codesystem-38391.46100004300\"> </a></td><td>Overall Grade</td></tr><tr><td style=\"white-space:nowrap\">16390.100004300<a name=\"cap-ecc-codesystem-16390.46100004300\"> </a></td><td>Grade 1 (scores of 3, 4 or 5)</td></tr><tr><td style=\"white-space:nowrap\">380283.100004300<a name=\"cap-ecc-codesystem-380283.46100004300\"> </a></td><td>Nottingham Score</td></tr><tr><td style=\"white-space:nowrap\">38125.100004300<a name=\"cap-ecc-codesystem-38125.46100004300\"> </a></td><td>Nuclear Pleomorphism</td></tr><tr><td style=\"white-space:nowrap\">16355.100004300<a name=\"cap-ecc-codesystem-16355.46100004300\"> </a></td><td>Score 2 (Cells larger than normal with open vesicular nuclei, visible nucleoli, and moderate variability in both size and shape)</td></tr><tr><td style=\"white-space:nowrap\">16383.100004300<a name=\"cap-ecc-codesystem-16383.46100004300\"> </a></td><td>Score 1</td></tr><tr><td style=\"white-space:nowrap\">38390.100004300<a name=\"cap-ecc-codesystem-38390.46100004300\"> </a></td><td>Mitotic Rate</td></tr><tr><td style=\"white-space:nowrap\">351503.100004300<a name=\"cap-ecc-codesystem-351503.46100004300\"> </a></td><td>?Margin Status for Invasive Carcinoma (required only if residual invasive carcinoma is present in specimen)</td></tr><tr><td style=\"white-space:nowrap\">351504.100004300<a name=\"cap-ecc-codesystem-351504.46100004300\"> </a></td><td>All margins negative for invasive carcinoma</td></tr><tr><td style=\"white-space:nowrap\">351501.100004300<a name=\"cap-ecc-codesystem-351501.46100004300\"> </a></td><td>Lateral</td></tr><tr><td style=\"white-space:nowrap\">16348.100004300<a name=\"cap-ecc-codesystem-16348.46100004300\"> </a></td><td>Score 2 (10 to 75% of tumor area forming glandular / tubular structures)</td></tr><tr><td style=\"white-space:nowrap\">38124.100004300<a name=\"cap-ecc-codesystem-38124.46100004300\"> </a></td><td>Glandular (Acinar) / Tubular Differentiation</td></tr><tr><td style=\"white-space:nowrap\">44040.100004300<a name=\"cap-ecc-codesystem-44040.46100004300\"> </a></td><td>Ductal Carcinoma In Situ (DCIS) (Note G)</td></tr><tr><td style=\"white-space:nowrap\">16306.100004300<a name=\"cap-ecc-codesystem-16306.46100004300\"> </a></td><td>Not identified</td></tr><tr><td style=\"white-space:nowrap\">352343.100004300<a name=\"cap-ecc-codesystem-352343.46100004300\"> </a></td><td>?Not applicable</td></tr><tr><td style=\"white-space:nowrap\">42418.100004300<a name=\"cap-ecc-codesystem-42418.46100004300\"> </a></td><td>Clock position</td></tr><tr><td style=\"white-space:nowrap\">352334.100004300<a name=\"cap-ecc-codesystem-352334.46100004300\"> </a></td><td>?Distant Site(s) Involved, if applicable</td></tr><tr><td style=\"white-space:nowrap\">16259.100004300<a name=\"cap-ecc-codesystem-16259.46100004300\"> </a></td><td>Specify Clock Position</td></tr><tr><td style=\"white-space:nowrap\">6643.100004300<a name=\"cap-ecc-codesystem-6643.46100004300\"> </a></td><td>8 o'clock</td></tr><tr><td style=\"white-space:nowrap\">16783.100004300<a name=\"cap-ecc-codesystem-16783.46100004300\"> </a></td><td>Additional Findings (specify)</td></tr><tr><td style=\"white-space:nowrap\">31359.100004300<a name=\"cap-ecc-codesystem-31359.46100004300\"> </a></td><td>Additional Dimension in Millimeters (mm)</td></tr><tr><td style=\"white-space:nowrap\">Breast.Invasive.Res.189_4.009.021.REL_sdcFDF<a name=\"cap-ecc-codesystem-Breast.46Invasive.46Res.46189_4.46009.46021.46REL_sdcFDF\"> </a></td><td>INVASIVE CARCINOMA OF THE BREAST: Resection</td></tr><tr><td style=\"white-space:nowrap\">16249.100004300<a name=\"cap-ecc-codesystem-16249.46100004300\"> </a></td><td>TUMOR</td></tr><tr><td style=\"white-space:nowrap\">16403.100004300<a name=\"cap-ecc-codesystem-16403.46100004300\"> </a></td><td>Tumor Extent (Note H)</td></tr><tr><td style=\"white-space:nowrap\">868258.100004300<a name=\"cap-ecc-codesystem-868258.46100004300\"> </a></td><td>Primary Tumor Bed</td></tr><tr><td style=\"white-space:nowrap\">868272.100004300<a name=\"cap-ecc-codesystem-868272.46100004300\"> </a></td><td>RCB Calculations</td></tr></table></div>"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode": "oo"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
      "valueCode": "trial-use",
      "_valueCode": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical": "http://hl7.org/fhir/us/cancer-reporting/ImplementationGuide/hl7.fhir.us.cancer-reporting"
          }
        ]
      }
    }
  ],
  "url": "http://hl7.org/fhir/us/cancer-reporting/CodeSystem/cap-ecc-codesystem",
  "version": "2.0.0-ballot",
  "name": "CAPeCCCodeSystem",
  "title": "CAP eCC CodeSystem",
  "status": "active",
  "experimental": false,
  "date": "2025-03-31T19:51:27+00:00",
  "publisher": "HL7 International / Orders and Observations and College of American Pathologists",
  "contact": [
    {
      "name": "HL7 International / Orders and Observations and College of American Pathologists",
      "telecom": [
        {
          "system": "url",
          "value": "http://www.hl7.org/Special/committees/orders"
        },
        {
          "system": "email",
          "value": "ord@lists.HL7.org"
        }
      ]
    }
  ],
  "description": "A CodeSystem for CAP eCC codes",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "urn:iso:std:iso:3166",
          "code": "US"
        }
      ]
    }
  ],
  "caseSensitive": false,
  "content": "complete",
  "count": 63,
  "concept": [
    {
      "code": "31357.100004300",
      "display": "Greatest dimension of largest invasive focus greater than 1 mm (specify exact measurement in Millimeters (mm))"
    },
    {
      "code": "30148.100004300",
      "display": "Tumor Size (Note E)"
    },
    {
      "code": "51180.100004300",
      "display": "Tumor Site (Note B)"
    },
    {
      "code": "16448.100004300",
      "display": "Single focus of invasive carcinoma"
    },
    {
      "code": "38392.100004300",
      "display": "Tumor Focality (Note F)"
    },
    {
      "code": "16214.100004300",
      "display": "Specimen Laterality"
    },
    {
      "code": "16215.100004300",
      "display": "Right"
    },
    {
      "code": "52399.100004300",
      "display": "HER2 (by immunohistochemistry)"
    },
    {
      "code": "36944.100004300",
      "display": "HER2 (by immunohistochemistry)"
    },
    {
      "code": "43789.100004300",
      "display": "Breast Biomarker Testing Performed on Previous Biopsy"
    },
    {
      "code": "41776.100004300",
      "display": "Estrogen Receptor (ER)"
    },
    {
      "code": "45138.100004300",
      "display": "Estrogen Receptor (ER) Status"
    },
    {
      "code": "53472.100004300",
      "display": "Cannot be determined (indeterminate)"
    },
    {
      "code": "16280.100004300",
      "display": "Invasive carcinoma of no special type (ductal)"
    },
    {
      "code": "41794.100004300",
      "display": "Histologic Type (Note C)"
    },
    {
      "code": "16182.100004300",
      "display": "SPECIMEN"
    },
    {
      "code": "17834.100004300",
      "display": "SPECIAL STUDIES"
    },
    {
      "code": "39858.100004300",
      "display": "Regional Lymph Nodes"
    },
    {
      "code": "16697.100004300",
      "display": "REGIONAL LYMPH NODES (Note M)"
    },
    {
      "code": "16717.100004300",
      "display": "PATHOLOGIC STAGE CLASSIFICATION (pTNM, AJCC 8th Edition) (Note M)"
    },
    {
      "code": "16567.100004300",
      "display": "MARGINS (Note L)"
    },
    {
      "code": "868263.100004300",
      "display": "Lymph Nodes"
    },
    {
      "code": "352333.100004300",
      "display": "DISTANT METASTASIS"
    },
    {
      "code": "381061.100004300",
      "display": "COMMENTS"
    },
    {
      "code": "16782.100004300",
      "display": "ADDITIONAL FINDINGS (Note N)"
    },
    {
      "code": "351607.100004300",
      "display": "?Number of Sentinel Nodes Examined (if applicable)"
    },
    {
      "code": "351606.100004300",
      "display": "Exact number (specify)"
    },
    {
      "code": "351601.100004300",
      "display": "Exact number (specify)"
    },
    {
      "code": "351602.100004300",
      "display": "Total Number of Lymph Nodes Examined (sentinel and non-sentinel)"
    },
    {
      "code": "374353.100004300",
      "display": "Regional lymph nodes present"
    },
    {
      "code": "351589.100004300",
      "display": "Regional Lymph Node Status"
    },
    {
      "code": "16736.100004300",
      "display": "pT1b: Tumor > 5 mm but <= 10 mm in greatest dimension"
    },
    {
      "code": "327740.100004300",
      "display": "pT Category"
    },
    {
      "code": "763178.100004300",
      "display": "pN Category"
    },
    {
      "code": "38649.100004300",
      "display": "pN0: No regional lymph node metastasis identified or ITCs only#"
    },
    {
      "code": "58807.100004300",
      "display": "Procedure (Note A)"
    },
    {
      "code": "40307.100004300",
      "display": "Excision (less than total mastectomy)"
    },
    {
      "code": "38391.100004300",
      "display": "Overall Grade"
    },
    {
      "code": "16390.100004300",
      "display": "Grade 1 (scores of 3, 4 or 5)"
    },
    {
      "code": "380283.100004300",
      "display": "Nottingham Score"
    },
    {
      "code": "38125.100004300",
      "display": "Nuclear Pleomorphism"
    },
    {
      "code": "16355.100004300",
      "display": "Score 2 (Cells larger than normal with open vesicular nuclei, visible nucleoli, and moderate variability in both size and shape)"
    },
    {
      "code": "16383.100004300",
      "display": "Score 1"
    },
    {
      "code": "38390.100004300",
      "display": "Mitotic Rate"
    },
    {
      "code": "351503.100004300",
      "display": "?Margin Status for Invasive Carcinoma (required only if residual invasive carcinoma is present in specimen)"
    },
    {
      "code": "351504.100004300",
      "display": "All margins negative for invasive carcinoma"
    },
    {
      "code": "351501.100004300",
      "display": "Lateral"
    },
    {
      "code": "16348.100004300",
      "display": "Score 2 (10 to 75% of tumor area forming glandular / tubular structures)"
    },
    {
      "code": "38124.100004300",
      "display": "Glandular (Acinar) / Tubular Differentiation"
    },
    {
      "code": "44040.100004300",
      "display": "Ductal Carcinoma In Situ (DCIS) (Note G)"
    },
    {
      "code": "16306.100004300",
      "display": "Not identified"
    },
    {
      "code": "352343.100004300",
      "display": "?Not applicable"
    },
    {
      "code": "42418.100004300",
      "display": "Clock position"
    },
    {
      "code": "352334.100004300",
      "display": "?Distant Site(s) Involved, if applicable"
    },
    {
      "code": "16259.100004300",
      "display": "Specify Clock Position"
    },
    {
      "code": "6643.100004300",
      "display": "8 o'clock"
    },
    {
      "code": "16783.100004300",
      "display": "Additional Findings (specify)"
    },
    {
      "code": "31359.100004300",
      "display": "Additional Dimension in Millimeters (mm)"
    },
    {
      "code": "Breast.Invasive.Res.189_4.009.021.REL_sdcFDF",
      "display": "INVASIVE CARCINOMA OF THE BREAST: Resection"
    },
    {
      "code": "16249.100004300",
      "display": "TUMOR"
    },
    {
      "code": "16403.100004300",
      "display": "Tumor Extent (Note H)"
    },
    {
      "code": "868258.100004300",
      "display": "Primary Tumor Bed"
    },
    {
      "code": "868272.100004300",
      "display": "RCB Calculations"
    }
  ]
}

name : CAPeCCCodeSystem

{

}