{
  "description": "A CodeSystem for CAP eCC codes",
  "_filename": "CodeSystem-cap-ecc-codesystem.json",
  "package_name": "hl7.fhir.us.cancer-reporting",
  "date": "2025-03-31T19:51:27+00:00",
  "publisher": "HL7 International / Orders and Observations and College of American Pathologists",
  "jurisdiction": [ {
    "coding": [ {
      "code": "US",
      "system": "urn:iso:std:iso:3166"
    } ]
  } ],
  "content": "complete",
  "name": "CAPeCCCodeSystem",
  "type": null,
  "experimental": "false",
  "resourceType": "CodeSystem",
  "title": "CAP eCC CodeSystem",
  "package_version": "2.0.0-ballot",
  "extension": [ {
    "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
    "valueCode": "oo"
  }, {
    "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
    "valueCode": "trial-use",
    "_valueCode": {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
        "valueCanonical": "http://hl7.org/fhir/us/cancer-reporting/ImplementationGuide/hl7.fhir.us.cancer-reporting"
      } ]
    }
  } ],
  "status": "active",
  "id": "143fc1c9-e2a4-49ad-94d7-d7cf54e179fe",
  "kind": null,
  "count": 63,
  "url": "http://hl7.org/fhir/us/cancer-reporting/CodeSystem/cap-ecc-codesystem",
  "concept": [ {
    "code": "31357.100004300",
    "display": "Greatest dimension of largest invasive focus greater than 1 mm (specify exact measurement in Millimeters (mm))"
  }, {
    "code": "30148.100004300",
    "display": "Tumor Size (Note E)"
  }, {
    "code": "51180.100004300",
    "display": "Tumor Site (Note B)"
  }, {
    "code": "16448.100004300",
    "display": "Single focus of invasive carcinoma"
  }, {
    "code": "38392.100004300",
    "display": "Tumor Focality (Note F)"
  }, {
    "code": "16214.100004300",
    "display": "Specimen Laterality"
  }, {
    "code": "16215.100004300",
    "display": "Right"
  }, {
    "code": "52399.100004300",
    "display": "HER2 (by immunohistochemistry)"
  }, {
    "code": "36944.100004300",
    "display": "HER2 (by immunohistochemistry)"
  }, {
    "code": "43789.100004300",
    "display": "Breast Biomarker Testing Performed on Previous Biopsy"
  }, {
    "code": "41776.100004300",
    "display": "Estrogen Receptor (ER)"
  }, {
    "code": "45138.100004300",
    "display": "Estrogen Receptor (ER) Status"
  }, {
    "code": "53472.100004300",
    "display": "Cannot be determined (indeterminate)"
  }, {
    "code": "16280.100004300",
    "display": "Invasive carcinoma of no special type (ductal)"
  }, {
    "code": "41794.100004300",
    "display": "Histologic Type (Note C)"
  }, {
    "code": "16182.100004300",
    "display": "SPECIMEN"
  }, {
    "code": "17834.100004300",
    "display": "SPECIAL STUDIES"
  }, {
    "code": "39858.100004300",
    "display": "Regional Lymph Nodes"
  }, {
    "code": "16697.100004300",
    "display": "REGIONAL LYMPH NODES (Note M)"
  }, {
    "code": "16717.100004300",
    "display": "PATHOLOGIC STAGE CLASSIFICATION (pTNM, AJCC 8th Edition) (Note M)"
  }, {
    "code": "16567.100004300",
    "display": "MARGINS (Note L)"
  }, {
    "code": "868263.100004300",
    "display": "Lymph Nodes"
  }, {
    "code": "352333.100004300",
    "display": "DISTANT METASTASIS"
  }, {
    "code": "381061.100004300",
    "display": "COMMENTS"
  }, {
    "code": "16782.100004300",
    "display": "ADDITIONAL FINDINGS (Note N)"
  }, {
    "code": "351607.100004300",
    "display": "?Number of Sentinel Nodes Examined (if applicable)"
  }, {
    "code": "351606.100004300",
    "display": "Exact number (specify)"
  }, {
    "code": "351601.100004300",
    "display": "Exact number (specify)"
  }, {
    "code": "351602.100004300",
    "display": "Total Number of Lymph Nodes Examined (sentinel and non-sentinel)"
  }, {
    "code": "374353.100004300",
    "display": "Regional lymph nodes present"
  }, {
    "code": "351589.100004300",
    "display": "Regional Lymph Node Status"
  }, {
    "code": "16736.100004300",
    "display": "pT1b: Tumor > 5 mm but <= 10 mm in greatest dimension"
  }, {
    "code": "327740.100004300",
    "display": "pT Category"
  }, {
    "code": "763178.100004300",
    "display": "pN Category"
  }, {
    "code": "38649.100004300",
    "display": "pN0: No regional lymph node metastasis identified or ITCs only#"
  }, {
    "code": "58807.100004300",
    "display": "Procedure (Note A)"
  }, {
    "code": "40307.100004300",
    "display": "Excision (less than total mastectomy)"
  }, {
    "code": "38391.100004300",
    "display": "Overall Grade"
  }, {
    "code": "16390.100004300",
    "display": "Grade 1 (scores of 3, 4 or 5)"
  }, {
    "code": "380283.100004300",
    "display": "Nottingham Score"
  }, {
    "code": "38125.100004300",
    "display": "Nuclear Pleomorphism"
  }, {
    "code": "16355.100004300",
    "display": "Score 2 (Cells larger than normal with open vesicular nuclei, visible nucleoli, and moderate variability in both size and shape)"
  }, {
    "code": "16383.100004300",
    "display": "Score 1"
  }, {
    "code": "38390.100004300",
    "display": "Mitotic Rate"
  }, {
    "code": "351503.100004300",
    "display": "?Margin Status for Invasive Carcinoma (required only if residual invasive carcinoma is present in specimen)"
  }, {
    "code": "351504.100004300",
    "display": "All margins negative for invasive carcinoma"
  }, {
    "code": "351501.100004300",
    "display": "Lateral"
  }, {
    "code": "16348.100004300",
    "display": "Score 2 (10 to 75% of tumor area forming glandular / tubular structures)"
  }, {
    "code": "38124.100004300",
    "display": "Glandular (Acinar) / Tubular Differentiation"
  }, {
    "code": "44040.100004300",
    "display": "Ductal Carcinoma In Situ (DCIS) (Note G)"
  }, {
    "code": "16306.100004300",
    "display": "Not identified"
  }, {
    "code": "352343.100004300",
    "display": "?Not applicable"
  }, {
    "code": "42418.100004300",
    "display": "Clock position"
  }, {
    "code": "352334.100004300",
    "display": "?Distant Site(s) Involved, if applicable"
  }, {
    "code": "16259.100004300",
    "display": "Specify Clock Position"
  }, {
    "code": "6643.100004300",
    "display": "8 o'clock"
  }, {
    "code": "16783.100004300",
    "display": "Additional Findings (specify)"
  }, {
    "code": "31359.100004300",
    "display": "Additional Dimension in Millimeters (mm)"
  }, {
    "code": "Breast.Invasive.Res.189_4.009.021.REL_sdcFDF",
    "display": "INVASIVE CARCINOMA OF THE BREAST: Resection"
  }, {
    "code": "16249.100004300",
    "display": "TUMOR"
  }, {
    "code": "16403.100004300",
    "display": "Tumor Extent (Note H)"
  }, {
    "code": "868258.100004300",
    "display": "Primary Tumor Bed"
  }, {
    "code": "868272.100004300",
    "display": "RCB Calculations"
  } ],
  "caseSensitive": false,
  "version": "2.0.0-ballot",
  "contact": [ {
    "name": "HL7 International / Orders and Observations and College of American Pathologists",
    "telecom": [ {
      "value": "http://www.hl7.org/Special/committees/orders",
      "system": "url"
    }, {
      "value": "ord@lists.HL7.org",
      "system": "email"
    } ]
  } ]
}