Code Systems

<CodeSystem xmlns="http://hl7.org/fhir">
    <text>
        <status value="additional" />
        --- We have skipped the narrative for better readability of the resource ---
    </text>
    <url value="https://sil-th-group-a.org/codesystem/lung-cancer-stage" />
    <name value="Lung_Cancer_Stage" />
    <title value="Lung Cancer Stage" />
    <status value="draft" />
    <contact>
        <telecom>
            <system value="email" />
        </telecom>
    </contact>
    <description value="This code system includes the codes for lung cancer stages covering Non-Small Cell Lung Cancer (NSCLC) as well as Small cell lung cancer stages." />
    <caseSensitive value="false" />
    <compositional value="false" />
    <content value="complete" />
    <count value="13" />
    <concept>
        <code value="0A" />
        <display value="Adenocarcinoma in situ" />
        <definition value="When abnormal cells are detected in glandular tissue lining the lungs" />
    </concept>
    <concept>
        <code value="0B" />
        <display value="Squamous cell carcinoma in situ" />
        <definition value="When abnormal cells are detected in the tissues that line the respiratory tract. These cells may turn cancerous and affect other nearby tissues." />
    </concept>
    <concept>
        <code value="1A" />
        <display value="1A" />
        <definition value="The cancer affects the lung only, with a tumor that measures 3 cm or smaller and hasn’t spread to lymph nodes or other areas" />
    </concept>
    <concept>
        <code value="1B" />
        <display value="1B" />
        <definition value="The lung tumor is larger than 3 cm, but smaller than 4 cm, and hasn’t metastasized to lymph nodes. The lung cancer tumor measures 4 cm or smaller and meets at least one of the following criteria:  The cancer has reached the main bronchus (a large airway connecting the trachea to the lung), but not the carina (a ridge at the bottom of the trachea that divides the openings of the left and right main bronchi). The cancer has reached the innermost tissue that wraps around the lung. Either a portion of or the entire lung has collapsed or has pneumonitis (a condition in which the lung becomes inflamed)." />
    </concept>
    <concept>
        <code value="2A" />
        <display value="2A" />
        <definition value="The lung tumor is smaller than 5 cm, but larger than 4 cm, and hasn’t metastasized to the lymph nodes. In addition, the cancer meets at least one of the following criteria: The cancer has reached the main bronchus, but not the carina. The cancer has reached the innermost tissue that wraps around the lung. Either a portion of or the entire lung has collapsed or has pneumonitis" />
    </concept>
    <concept>
        <code value="2B" />
        <display value="2B" />
        <definition value="The lung cancer tumor measures 5 cm or smaller and has reached lymph nodes located in the same area of the chest as the original tumor—typically lymph nodes in the lung or close to the bronchus. The cancer also meets at least one of the following criteria: The cancer has reached the main bronchus, but not the carina. The cancer has reached the innermost tissue that wraps around the lung. Either a portion of or the entire lung has collapsed or has pneumonitis. The cancer hasn’t reached the lymph nodes but meets one of the following criteria: The tumor is smaller than 7 cm, but larger than 5 cm. At least one additional tumor has formed in the same part of the lung where the original tumor was detected. The cancer has reached at least one of the following: The wall of the chest The inner lining of the chest wall The tissue that lines the outside of the sac around the heart The nerve controlling the diaphragm, or the muscle in between the chest and the abdomen" />
    </concept>
    <concept>
        <code value="3A" />
        <display value="3A" />
        <definition value="The lung cancer tumor measures 5 cm or smaller and has reached lymph nodes in the same area of the chest where the original tumor was detected—typically, the lymph nodes in the trachea, aorta of the heart or where the trachea splits into bronchi. In addition, the cancer meets at least one of the following criteria: The cancer has reached the main bronchus, but not the carina. The cancer has reached the innermost tissue that wraps around the lung. Either a portion of or the entire lung has collapsed or has pneumonitis. The cancer has reached the lymph nodes in the same area of the chest where the original tumor was found—typically, the lymph nodes near the bronchus or in the lung. In addition, the cancer meets one of the following criteria: The tumor is larger than 5 cm but smaller than 7 cm. At least one additional tumor has formed in the same part of the lung where the original tumor was found. The cancer has reached at least one of the following: The wall of the chest The inner lining of the chest wall The tissue that lines the outside of the sac around the heart The nerve controlling the diaphragm, or the muscle in between the chest and the abdomen the cancer may have reached the lymph nodes in the same area of the chest as the original tumor—typically, the lymph nodes near the bronchus or within the lung. In addition, the cancer meets one of the following criteria: The lung cancer tumor is larger than 7 cm. At least one additional tumor has formed in a different lobe, or different part, of the lung than where the original tumor was detected. The lung cancer tumor is any size and has reached the trachea, carina or esophagus, among other parts of the body." />
    </concept>
    <concept>
        <code value="3B" />
        <display value="3B" />
        <definition value="The lung cancer tumor is 5 cm or smaller, and the cancer has reached the lymph nodes above the collarbone in the same area of the chest as the original tumor, or lymph nodes on the other side of the chest. The cancer also meets at least one of the following criteria: The cancer has reached the main bronchus, but not the carina. The cancer has reached the innermost tissue wrapping around the lung. Either a portion of or the entire lung has collapsed or has pneumonitis. The lung tumor is any size and has reached the lymph nodes on the same side of the chest as the original tumor—typically, the lymph nodes near the aorta or the heart, the trachea or where the trachea splits into the bronchi. In addition, the cancer meets one of the following criteria: At least one additional tumor has formed in the same or a different lobe of the lung as the original tumor. The lung cancer tumor has reached the wall of the chest, the inner lining of the chest wall, the diaphragm or the nerve that controls the diaphragm, among other places." />
    </concept>
    <concept>
        <code value="3C" />
        <display value="3C" />
        <definition value="The lung cancer tumor is any size and has reached the lymph nodes on the same side or the opposite side of the chest. The cancer also meets at least one of the following criteria: At least one additional tumor has formed in the same or a different lobe of the lung. The lung cancer tumor has reached the wall of the chest, the inner lining of the chest wall, the diaphragm or the nerve that controls the diaphragm, among other places." />
    </concept>
    <concept>
        <code value="4A" />
        <display value="4A" />
        <definition value="The lung cancer tumor is any size, may have reached the lymph nodes, and meets at least one of the following criteria: At least one tumor has formed in the lung opposite to where the original tumor formed. The cancer has reached the sac around the heart or the tissues wrapping around the lungs. The cancer has spread to fluid surrounding the heart or lungs. The cancer has reached an organ far away from the lung, such as the brain, liver or kidney." />
    </concept>
    <concept>
        <code value="LIMITED" />
        <display value="Limited Stage" />
        <definition value="The cancer has only reached one area of the chest. For example, it may be found in one lung or cells may have spread to lymph nodes in the same area of the chest as where the cancer was detected. In limited-stage SCLC cases, radiation is typically needed in one area of the body." />
    </concept>
    <concept>
        <code value="EXTENSIVE" />
        <display value="Extensive-stage" />
        <definition value="The cancer has spread throughout the lung and may have metastasized to the other lung, to lymph nodes in the opposite area of the chest, to fluid surrounding the lung or other locations such as the bones." />
    </concept>
    <concept>
        <code value="4B" />
        <display value="4B" />
        <definition value="The cancer has reached various places in at least one organ far away from the lung." />
    </concept>
</CodeSystem>