Enhancing Oncology Model
1.0.1

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TNM Primary Tumor

Primary Tumor (T) 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 Primary Tumor Category Profile leveraging the TNM Primary Tumor 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 Primary Tumor 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
1222604002 American Joint Committee on Cancer cTX (qualifier value) 1222604002 American Joint Committee on Cancer cTX (qualifier value) 1222604002 American Joint Committee on Cancer cTX (qualifier value) 1222604002 American Joint Committee on Cancer cTX (qualifier value) 1228889001 American Joint Committee on Cancer cT1
1228882005 American Joint Committee on Cancer cT0 (qualifier value) 1228882005 American Joint Committee on Cancer cT0 (qualifier value) 1228882005 American Joint Committee on Cancer cT0 (qualifier value) 1228882005 American Joint Committee on Cancer cT0 (qualifier value) 1228892002 cT1a
1228885007 cTis(DCIS) 1228884006 cTis 1228889001 American Joint Committee on Cancer cT1 1228884006 cTis 1228895000 cT1b
1228888009 American Joint Committee on Cancer cTis(Paget) 1228889001 American Joint Committee on Cancer cT1 1228892002 cT1a 1228889001 American Joint Committee on Cancer cT1 1228929004 cT2
1228889001 American Joint Committee on Cancer cT1 1228891009 cT1mi 1228895000 cT1b 1228892002 cT1a 1228931008 cT2a
1228891009 cT1mi 1228892002 cT1a 1228899006 American Joint Committee on Cancer cT1c 1228895000 cT1b 1228934000 American Joint Committee on Cancer cT2b
1228892002 cT1a 1228895000 cT1b 1228929004 cT2 1228929004 cT2 1228936003 American Joint Committee on Cancer cT2c (qualifier value)
1228895000 cT1b 1228899006 American Joint Committee on Cancer cT1c 1228931008 cT2a 1228938002 American Joint Committee on Cancer cT3 (qualifier value) 1228938002 American Joint Committee on Cancer cT3 (qualifier value)
1228899006 American Joint Committee on Cancer cT1c 1228929004 cT2 1228934000 American Joint Committee on Cancer cT2b 1228944003 American Joint Committee on Cancer cT4 1228939005 American Joint Committee on Cancer cT3a (qualifier value)
1228929004 cT2 1228931008 cT2a 1228936003 American Joint Committee on Cancer cT2c (qualifier value) 1228950008 pTX 1228940007 American Joint Committee on Cancer cT3b
1228938002 American Joint Committee on Cancer cT3 (qualifier value) 1228934000 American Joint Committee on Cancer cT2b 1228938002 American Joint Committee on Cancer cT3 (qualifier value) 1228951007 American Joint Committee on Cancer pT0 1228944003 American Joint Committee on Cancer cT4
1228944003 American Joint Committee on Cancer cT4 1228938002 American Joint Committee on Cancer cT3 (qualifier value) 1228939005 American Joint Committee on Cancer cT3a (qualifier value) 1228953005 American Joint Committee on Cancer pTis (qualifier value)
1228945002 American Joint Committee on Cancer cT4a 1228944003 American Joint Committee on Cancer cT4 1228940007 American Joint Committee on Cancer cT3b 1228957006 American Joint Committee on Cancer pT1
1228946001 cT4b 1228950008 pTX 1228944003 American Joint Committee on Cancer cT4 1228959009 pT1a
1228947005 American Joint Committee on Cancer cT4c 1228951007 American Joint Committee on Cancer pT0 1229852009 American Joint Committee on Cancer pT2 (qualifier value) 1228962007 American Joint Committee on Cancer pT1b (qualifier value)
1228948000 American Joint Committee on Cancer cT4d 1228953005 American Joint Committee on Cancer pTis (qualifier value) 1229859000 American Joint Committee on Cancer pT3 1229852009 American Joint Committee on Cancer pT2 (qualifier value)
1228950008 pTX 1228957006 American Joint Committee on Cancer pT1 1229860005 American Joint Committee on Cancer pT3a (qualifier value) 1229859000 American Joint Committee on Cancer pT3
1228951007 American Joint Committee on Cancer pT0 1228958001 American Joint Committee on Cancer pT1mi 1229861009 American Joint Committee on Cancer pT3b (qualifier value) 1229864001 American Joint Committee on Cancer pT4
1228954004 American Joint Committee on Cancer pTis(DCIS) (qualifier value) 1228959009 pT1a 1229864001 American Joint Committee on Cancer pT4 ICD-10 Range C18.0-C20 not including 18.1
1228956002 pTis(Paget) 1228962007 American Joint Committee on Cancer pT1b (qualifier value) 1222604002 American Joint Committee on Cancer cTX (qualifier value)
1228957006 American Joint Committee on Cancer pT1 1229846008 American Joint Committee on Cancer pT1c (qualifier value) 1228882005 American Joint Committee on Cancer cT0 (qualifier value)
1228958001 American Joint Committee on Cancer pT1mi 1229852009 American Joint Committee on Cancer pT2 (qualifier value) 1228884006 cTis
1228959009 pT1a 1229853004 American Joint Committee on Cancer pT2a 1228889001 American Joint Committee on Cancer cT1
1228962007 American Joint Committee on Cancer pT1b (qualifier value) 1229856007 pT2b 1228892002 cT1a
1229846008 American Joint Committee on Cancer pT1c (qualifier value) 1229859000 American Joint Committee on Cancer pT3 1228895000 cT1b
1229852009 American Joint Committee on Cancer pT2 (qualifier value) 1229864001 American Joint Committee on Cancer pT4 1228929004 cT2
1229859000 American Joint Committee on Cancer pT3 ICD-10 Range C45.00-C45.90 1228938002 American Joint Committee on Cancer cT3 (qualifier value)
1229864001 American Joint Committee on Cancer pT4 1222604002 American Joint Committee on Cancer cTX (qualifier value) 1228944003 American Joint Committee on Cancer cT4
1229865000 American Joint Committee on Cancer pT4a 1228882005 American Joint Committee on Cancer cT0 (qualifier value) 1228945002 American Joint Committee on Cancer cT4a
1229866004 American Joint Committee on Cancer pT4b 1228889001 American Joint Committee on Cancer cT1 1228946001 cT4b
1229867008 American Joint Committee on Cancer pT4c 1228929004 cT2 1228950008 pTX
1229868003 American Joint Committee on Cancer pT4d (qualifier value) 1228938002 American Joint Committee on Cancer cT3 (qualifier value) 1228951007 American Joint Committee on Cancer pT0
1228944003 American Joint Committee on Cancer cT4 1228953005 American Joint Committee on Cancer pTis (qualifier value)
1228950008 pTX 1228957006 American Joint Committee on Cancer pT1
1228951007 American Joint Committee on Cancer pT0 1228959009 pT1a
1228957006 American Joint Committee on Cancer pT1 1228962007 American Joint Committee on Cancer pT1b (qualifier value)
1229852009 American Joint Committee on Cancer pT2 (qualifier value) 1229852009 American Joint Committee on Cancer pT2 (qualifier value)
1229859000 American Joint Committee on Cancer pT3 1229859000 American Joint Committee on Cancer pT3
1229864001 American Joint Committee on Cancer pT4 1229864001 American Joint Committee on Cancer pT4
1229865000 American Joint Committee on Cancer pT4a
1229866004 American Joint Committee on Cancer pT4b
ICD-10 C18.1
1222604002 American Joint Committee on Cancer cTX (qualifier value)
1228882005 American Joint Committee on Cancer cT0 (qualifier value)
1228884006 cTis
1228887004 American Joint Committee on Cancer cTis(LAMN) (qualifier value)
1228889001 American Joint Committee on Cancer cT1
1228929004 cT2
1228938002 American Joint Committee on Cancer cT3 (qualifier value)
1228944003 American Joint Committee on Cancer cT4
1228945002 American Joint Committee on Cancer cT4a
1228946001 cT4b
1228950008 pTX
1228951007 American Joint Committee on Cancer pT0
1228953005 American Joint Committee on Cancer pTis (qualifier value)
1228955003 pTis(LAMN)
1228957006 American Joint Committee on Cancer pT1
1229852009 American Joint Committee on Cancer pT2 (qualifier value)
1229859000 American Joint Committee on Cancer pT3
1229864001 American Joint Committee on Cancer pT4
1229865000 American Joint Committee on Cancer pT4a
1229866004 American Joint Committee on Cancer pT4b