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

: NKRS - WHO Grade Group - XML Representation

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<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="nkrs-whogradegroup"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p>This code system http://fhir.ch/ig/ch-crl/CodeSystem/nkrs-whogradegroup 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">1<a name="nkrs-whogradegroup-1"> </a></td><td>Grade group 1</td><td>Gleason score ≤ 6 (≤ 3+3). 
Only individual discrete well-formed glands.</td></tr><tr><td style="white-space:nowrap">2<a name="nkrs-whogradegroup-2"> </a></td><td>Grade group 2</td><td>Gleason score 7 (3 + 4). 
Predominantly well-formed glands with lesser component of poorly formed/fused/cribriform glands.</td></tr><tr><td style="white-space:nowrap">3<a name="nkrs-whogradegroup-3"> </a></td><td>Grade group 3</td><td>Gleason score 7 (4 + 3). 
Predominantly poorly formed/fused/cribriform glands with lesser component of well-formed glands.</td></tr><tr><td style="white-space:nowrap">4<a name="nkrs-whogradegroup-4"> </a></td><td>Grade group 4</td><td>Gleason score 8 (4 + 4 or 3 + 5 or 5 + 3).
Only poorly formed/fused/cribriform glands or
predominantly well-formed glands and lesser component lacking glands or
predominantly lacking glands and lesser component of well-formed glands.</td></tr><tr><td style="white-space:nowrap">5<a name="nkrs-whogradegroup-5"> </a></td><td>Grade group 5</td><td>Gleason score 9-10. 
Lack of gland formation (or with necrosis) with or without poorly formed/fused/cribriform glands.</td></tr></table></div>
  </text>
  <url value="http://fhir.ch/ig/ch-crl/CodeSystem/nkrs-whogradegroup"/>
  <version value="0.9.0"/>
  <name value="NkrsWHOGradeGroup"/>
  <title value="NKRS - WHO Grade Group"/>
  <status value="active"/>
  <date value="2022-02-04T14:14:21+01:00"/>
  <publisher value="Bundesamt für Gesundheit BAG"/>
  <contact>
    <name value="Bundesamt für Gesundheit BAG"/>
    <telecom>
      <system value="url"/>
      <value value="https://www.bag.admin.ch/"/>
    </telecom>
  </contact>
  <description
               value="A five-grade group system based on the grading categories from Gleason score 2 to 10. 

**WHO grade group (Variable number: 5.2.7)** 
in \&#39;NATIONAL CANCER DATA DICTIONARY, V 1.1, Part A, BASIC VARIABLES for Adults, Adolescents, and Children (23.12.2019)\&#39;
([EN](https://www.nacr.ch/assets/files/uploads/a-datadictionary-basicvariables-v1.1.pdf), 
[DE](https://www.nkrs.ch/assets/files/uploads/a-datenstruktur-variablen-der-basisdaten-v1.1.pdf), 
[FR](https://www.onec.ch/assets/files/uploads/a-dict-des-donnees-variables-de-base-v1.1.pdf), 
[IT](https://www.snrt.ch/assets/files/uploads/a-dati-oncologici-variabili-di-base-v1.1.pdf))"/>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="CH"/>
    </coding>
  </jurisdiction>
  <copyright value="CC-BY-SA-4.0"/>
  <caseSensitive value="true"/>
  <valueSet value="http://fhir.ch/ig/ch-crl/ValueSet/nkrs-whogradegroup"/>
  <content value="complete"/>
  <count value="5"/>
  <concept>
    <code value="1"/>
    <display value="Grade group 1"/>
    <definition
                value="Gleason score ≤ 6 (≤ 3+3). 
Only individual discrete well-formed glands."/>
  </concept>
  <concept>
    <code value="2"/>
    <display value="Grade group 2"/>
    <definition
                value="Gleason score 7 (3 + 4). 
Predominantly well-formed glands with lesser component of poorly formed/fused/cribriform glands."/>
  </concept>
  <concept>
    <code value="3"/>
    <display value="Grade group 3"/>
    <definition
                value="Gleason score 7 (4 + 3). 
Predominantly poorly formed/fused/cribriform glands with lesser component of well-formed glands."/>
  </concept>
  <concept>
    <code value="4"/>
    <display value="Grade group 4"/>
    <definition
                value="Gleason score 8 (4 + 4 or 3 + 5 or 5 + 3).
Only poorly formed/fused/cribriform glands or
predominantly well-formed glands and lesser component lacking glands or
predominantly lacking glands and lesser component of well-formed glands."/>
  </concept>
  <concept>
    <code value="5"/>
    <display value="Grade group 5"/>
    <definition
                value="Gleason score 9-10. 
Lack of gland formation (or with necrosis) with or without poorly formed/fused/cribriform glands."/>
  </concept>
</CodeSystem>