Data Set APSR 2.0 - Concept Tumor classification (ICD-O-3)

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Name	ID[‑]	Datatype[‑]	Codes[‑]	Description[‑]	Source[‑]	Rationale[‑]	Status[‑]	Terminology[‑]	Value Set[‑]	Type[‑]	Parent concept[‑]
Tumor classification (ICD-O-3)	psr-dataelement-54			System for the classification of tumors according their site (location) and their histology (morphology). Hosted by WHO (IARC) in the ICD-O (International classification of diseases (oncology)	http://www.who.int/classifications/icd/adaptations/oncology/en/	Classification structureA multi-axial classification of the site, morphology, behaviour, and grading of neoplasms.The topography axis uses the ICD-10 classification of malignant neoplasms (except those categories which relate to secondary neoplasms and to specified morphological types of tumours) for all types of tumours, thereby providing greater site detail for non-malignant tumours than is provided in ICD-10. In contrast to ICD-10, the ICD-O includes topography for sites of haematopoietic and reticuloendothelial tumours.The morphology axis provides five-digit codes ranging from 8000/0 to 9989/3. The first four digits indicate the specific histological term. The fifth digit after the slash (/) is the behaviour code, which indicates whether a tumour is malignant, benign, in situ, or uncertain (whether benign or malignant). A separate one-digit code is also provided for histologic grading (differentiation) or cell type in lymphomas and leukemias.A complete code consists of 10 digits (4 for topography, 6 for morphology, behavior and grading), separated by a "." after the 3rd digit in topography and a "/" after the 4th digit in morphology (8th digit in total). Qualifier for laterality (1 additional digit) may be given after the topography code.	draft	Histology and Behavior ICD-O-3 Cancer (Logical Observation Identifier Names and Codes: 59847-4) ICD-O-3 (International Classification of Diseases for Oncology: ICD-O: 2.16.840.1.113883.6.43.1)		Group
Topography (Tumor site)	psr-dataelement-73	Code		Indicates the tumor site. The topography axis of ICD-O-3 uses the ICD-10 classification of malignant neoplasms (except those categories which relate to secondary neoplasms and to specified morphological types of tumours) for all types of tumours, thereby providing greater site detail for non-malignant tumours than is provided in ICD-10. In contrast to ICD-10, the ICD-O includes topography for sites of haematopoietic and reticuloendothelial tumours.	http://www.who.int/classifications/icd/adaptations/oncology/en/		draft	Site coding system.current Cancer site (Logical Observation Identifier Names and Codes: 42129-7)	ICD-O-3 Topography 2015-11-13T19:16:23 (dynamic)	Item	Tumor classification (ICD-O-3)
Morphology (Typing)	psr-dataelement-56	Code		Classification of tumors according their morphology, resulting in tumor type. Classification System, part of ICD-O, hosted by WHO, published in the famous "blue books". Coded by the first 4 digits in the M chapter (Morphology axis) of ICD-O-3 (M-8000/0 to M-9989/3)	http://www.who.int/classifications/icd/adaptations/oncology/en/	Tumors are classified according their morphological properties, assuming that the morphology is an indicator for the original tissue component the tumor stems from.	draft	Histology ICD-O-3 Cancer (Logical Observation Identifier Names and Codes: 31205-8)	ICD-O-3 Morphology 2015-11-13T14:08:46 (dynamic)	Item	Tumor classification (ICD-O-3)
Behavior	psr-dataelement-72	Code	Value Set: ICD-O-3 Behavior (2015-11-13T18:54:30) /0 /1 /2 /3 /6 /9 asked but unknown	Indicates whether a tumour is malignant, benign, in situ, or uncertain (whether benign or malignant). Coded by the first digit after the slash in the M chapter (Morphology axis) of ICD-O-3	http://www.who.int/classifications/icd/adaptations/oncology/en/		draft	Behavior ICD-O-3 Cancer (Logical Observation Identifier Names and Codes: 31206-6)	ICD-O-3 Behavior 2015-11-13T18:54:30 (dynamic)	Item	Tumor classification (ICD-O-3)
Differentiation	psr-dataelement-55			Differentiation means Grading as classification of tumors according their assumed grade of malignancy. The most often three-tiered grading system is used. Furthermore, the cell type of lympoproliferative neoplasias is classified in that system, too. Both are coded by the second digit after the slash in the M chapter (Morphology axis) of ICD-O-3 It also means differentiation according the lymphocyte type in malignant lymphomas.	http://www.who.int/classifications/icd/adaptations/oncology/en/	All grading systems share the assumption that a tumor is as more malignant as it differs morphologically from the original tissue. Highly differentiated tumors (very similar to the original tissue) are low malignant (low grade, grade 1), poorly differentiated tumors are highly malignant ones (high grade, grade 3 or 4).	draft	Histological grade finding (finding) (SNOMED Clinical Terms: 373372005)		Group	Tumor classification (ICD-O-3)
Grading/Immunophenotype	psr-dataelement-104	Code	Value Set: ICD-O-3 Differentiation (2015-11-13T19:07:32) 1 2 3 4 5 6 7 8 9 Asked but unknown	Differentiation of a malignant tumor, both as grading in a 4-tiered grading system (WHO-grading) and as immunophenotype for malignant lymphomas and some leukemias	http://www.who.int/classifications/icd/adaptations/oncology/en/		draft	Grade Cancer (Logical Observation Identifier Names and Codes: 21858-6)	ICD-O-3 Differentiation 2015-11-13T19:07:32 (dynamic)	Item	Differentiation
Assessment Scales (Score)	psr-dataelement-99	Code	Scoring systems	Assessment scales or scores are a special, highly structured form of clinical findings (see scoring systems)			draft	Assessment scales (assessment scale) (SNOMED Clinical Terms: 273249006)		Item	Differentiation