CH CRL (R4)
0.9.0 - Draft
CH CRL (R4)
0.9.0 - Draft
This page is part of the CH CRL (R4) (v0.9.0: STU Draft) based on FHIR R4. . For a full list of available versions, see the Directory of published versions 
{
"resourceType" : "CodeSystem",
"id" : "nkrs-torontotierIImanualstaging",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>This code system http://fhir.ch/ig/ch-crl/CodeSystem/nkrs-torontotierIImanualstaging defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style=\"white-space:nowrap\">M0<a name=\"nkrs-torontotierIImanualstaging-M0\"> </a></td><td>M0</td><td>No visible disease on imaging (MRI brain and spine) beyond primary site of disease and no tumour cells in the cerebrospinal fluid (CSF)</td></tr><tr><td style=\"white-space:nowrap\">M1<a name=\"nkrs-torontotierIImanualstaging-M1\"> </a></td><td>M1</td><td>Tumour cells in the CSF</td></tr><tr><td style=\"white-space:nowrap\">M2<a name=\"nkrs-torontotierIImanualstaging-M2\"> </a></td><td>M2</td><td>Visible metastasis in brain</td></tr><tr><td style=\"white-space:nowrap\">M3<a name=\"nkrs-torontotierIImanualstaging-M3\"> </a></td><td>M3</td><td>Visible metastasis in spine or visible metastasis in cervicomedullary (junction)</td></tr><tr><td style=\"white-space:nowrap\">M4<a name=\"nkrs-torontotierIImanualstaging-M4\"> </a></td><td>M4</td><td>Metastasis outside of the central nervous system</td></tr><tr><td style=\"white-space:nowrap\">Localised<a name=\"nkrs-torontotierIImanualstaging-Localised\"> </a></td><td>Localised</td><td>Used for Ewing’s sarcoma or osteosarcoma : tumour confined to the area of origin including regional lymph nodes Although more detailed staging systems exist their clinical and prognostic value is limited, multi-tiered staging systems were not deemed appropriate</td></tr><tr><td style=\"white-space:nowrap\">Metastatic<a name=\"nkrs-torontotierIImanualstaging-Metastatic\"> </a></td><td>Metastatic</td><td>Used for Ewing’s sarcoma or osteosarcoma with distant metastases present at diagnosis. Although more detailed staging systems exist their clinical and prognostic value is limited, multi-tiered staging systems were not deemed appropriate</td></tr></table></div>"
},
"url" : "http://fhir.ch/ig/ch-crl/CodeSystem/nkrs-torontotierIImanualstaging",
"version" : "0.9.0",
"name" : "NkrsTorontoTierIIManualStaging",
"title" : "NKRS - Toronto Tier II (Manual) Staging",
"status" : "active",
"date" : "2022-02-04T14:14:21+01:00",
"publisher" : "Bundesamt für Gesundheit BAG",
"contact" : [
{
"name" : "Bundesamt für Gesundheit BAG",
"telecom" : [
{
"system" : "url",
"value" : "https://www.bag.admin.ch/"
}
]
}
],
"description" : "The Toronto Paediatric Cancer Stage Guidelines recommend the malignancy-specific staging system most suitable \r\nfor use by population registries for 16 of the most common childhood malignancies. The Guidelines include a two-tiered \r\napproach that provides less detailed criteria for registries with limited resources and/or limited data access (Tier 1) \r\nbased on collapsing of the more detailed criteria (Tier 2). \r\n\r\n**Toronto Tier II (manual) staging (Variable number: 4.33.2)** \r\nin \\'NATIONAL CANCER DATA DICTIONARY, V 1.1, Part A, BASIC VARIABLES for Adults, Adolescents, and Children (23.12.2019)\\'\r\n([EN](https://www.nacr.ch/assets/files/uploads/a-datadictionary-basicvariables-v1.1.pdf), \r\n[DE](https://www.nkrs.ch/assets/files/uploads/a-datenstruktur-variablen-der-basisdaten-v1.1.pdf), \r\n[FR](https://www.onec.ch/assets/files/uploads/a-dict-des-donnees-variables-de-base-v1.1.pdf), \r\n[IT](https://www.snrt.ch/assets/files/uploads/a-dati-oncologici-variabili-di-base-v1.1.pdf))",
"jurisdiction" : [
{
"coding" : [
{
"system" : "urn:iso:std:iso:3166",
"code" : "CH"
}
]
}
],
"copyright" : "CC-BY-SA-4.0",
"caseSensitive" : true,
"valueSet" : "http://fhir.ch/ig/ch-crl/ValueSet/nkrs-torontotierIImanualstaging",
"content" : "complete",
"count" : 7,
"concept" : [
{
"code" : "M0",
"display" : "M0",
"definition" : "No visible disease on imaging (MRI brain and spine) beyond primary site of disease and no tumour cells in the cerebrospinal fluid (CSF)"
},
{
"code" : "M1",
"display" : "M1",
"definition" : "Tumour cells in the CSF"
},
{
"code" : "M2",
"display" : "M2",
"definition" : "Visible metastasis in brain"
},
{
"code" : "M3",
"display" : "M3",
"definition" : "Visible metastasis in spine or visible metastasis in cervicomedullary (junction)"
},
{
"code" : "M4",
"display" : "M4",
"definition" : "Metastasis outside of the central nervous system"
},
{
"code" : "Localised",
"display" : "Localised",
"definition" : "Used for Ewing’s sarcoma or osteosarcoma : tumour confined to the area of origin including regional lymph nodes Although more detailed staging systems exist their clinical and prognostic value is limited, multi-tiered staging systems were not deemed appropriate"
},
{
"code" : "Metastatic",
"display" : "Metastatic",
"definition" : "Used for Ewing’s sarcoma or osteosarcoma with distant metastases present at diagnosis. Although more detailed staging systems exist their clinical and prognostic value is limited, multi-tiered staging systems were not deemed appropriate"
}
]
}