Enhancing Oncology Model
1.0.1

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TNM Metastasis

Metastasis (M) must be reported for four EOM attributed cancer types: Breast Cancer, Lung Cancer, Prostate Cancer, and Small Intestine/Colorectal Cancer. It is optional for certain types of Lymphoma.

One required data element is the Observation.value[CodeableConcept] submitted via the EOM TNM Distant Metastasis Category Profile leveraging the TNM Distant Metastases Category Value Set. This Observation.value[CodableConcept] must be associated with the EOM attributed cancer type and the corresponding ICD-10 Diagnosis Code specific to the episode reported via the EOM Primary Cancer Condition Profile. The table below indicates which TNM Distant Metastases Category Value Set codes are permitted under EOM for each ICD-10 code by attributed cancer type.

Breast Cancer Lung Cancer Prostate Cancer Small Intestine/Colorectal Cancer Lymphoma (Optional)
SNOMED-CT Code Display SNOMED-CT Code Display SNOMED-CT Code Display SNOMED-CT Code Display SNOMED-CT Code Display
ICD-10 Range C50.011-C50.929 ICD-10 Range C34.00-C34.92 ICD-10 C61 ICD-10 Range C17.0-17.90 ICD-10 Range C84.00-C84.Z9
1229901006 American Joint Committee on Cancer cM0 1229901006 American Joint Committee on Cancer cM0 1229901006 American Joint Committee on Cancer cM0 1229901006 American Joint Committee on Cancer cM0 1229901006 American Joint Committee on Cancer cM0
1229902004 American Joint Committee on Cancer cM0(i+) (qualifier value) 1229903009 American Joint Committee on Cancer cM1 1229903009 American Joint Committee on Cancer cM1 1229903009 American Joint Committee on Cancer cM1 1229903009 American Joint Committee on Cancer cM1
1229903009 American Joint Committee on Cancer cM1 1229904003 American Joint Committee on Cancer cM1a 1229904003 American Joint Committee on Cancer cM1a 1229916009 American Joint Committee on Cancer pM1 (qualifier value) 1229916009 American Joint Committee on Cancer pM1 (qualifier value)
1229916009 American Joint Committee on Cancer pM1 (qualifier value) 1229907005 American Joint Committee on Cancer cM1b (qualifier value) 1229907005 American Joint Committee on Cancer cM1b (qualifier value) ICD-10 Range C18.0-C20
1229910003 American Joint Committee on Cancer cM1c 1229910003 American Joint Committee on Cancer cM1c 1229901006 American Joint Committee on Cancer cM0
1229916009 American Joint Committee on Cancer pM1 (qualifier value) 1229916009 American Joint Committee on Cancer pM1 (qualifier value) 1229903009 American Joint Committee on Cancer cM1
1229917000 American Joint Committee on Cancer pM1a 1229917000 American Joint Committee on Cancer pM1a 1229904003 American Joint Committee on Cancer cM1a
1229920008 American Joint Committee on Cancer pM1b 1229920008 American Joint Committee on Cancer pM1b 1229907005 American Joint Committee on Cancer cM1b (qualifier value)
1229923005 pM1c 1229923005 pM1c 1229910003 American Joint Committee on Cancer cM1c
ICD-10 Range C45.00-C45.90 1229916009 American Joint Committee on Cancer pM1 (qualifier value)
1229901006 American Joint Committee on Cancer cM0 1229917000 American Joint Committee on Cancer pM1a
1229903009 American Joint Committee on Cancer cM1 1229920008 American Joint Committee on Cancer pM1b
1229916009 American Joint Committee on Cancer pM1 (qualifier value) 1229923005 pM1c