Terminology

Terminology defines sets of clinical concepts and convey the specific distinguishing characteristics of the included member concepts.

Clinical Focus - A statement describing the general focus of the set, including a description of the intended constituent concepts. This can include information about clinical relevancy or a statement about the general focus of the set.
Inclusions - A statement that describes what specific concept or code criteria are included and why.
Exclusions - A statement that describes what specific concept or code criteria would normally be included, but are specifically excluded by the authors, including their rationale for exclusions.

Adequate bowel preparation
Clinical Focus

Bowel preparation adequate for visualization of polyps >5 mm in size

Inclusions

Exclusions

Type

Direct Reference Code

Code/Value Set URI

code "Adequate Bowel Preparation": "703141002" from "SNOMED-CT" display 'Effective bowel preparation for procedure (finding)'

Code System(s)

SNOMED CT

FHIR Element

Observation.code

Status

#TODO

Notes

Age of earliest affected relative at diagnosis
Clinical Focus

Age at which the first-degree relative who was affected earliest was diagnosed

Inclusions

Exclusions

Type

Direct Reference Code

Code/Value Set URI

TBD

Code System(s)

TBD

FHIR Element

Observation.code
Questionnaire.item.code

Status

#TODO

Notes

May end up being calculated if we set up the questionnaire at more granular level (e.g. relative and age at diagnosis),

APC variant status
Clinical Focus

Inclusions

Exclusions

Type

Code/Value Set URI

Code System(s)

FHIR Element

Status

#TODO

Notes

Attenuated familial adenomatous polyposis
Clinical Focus

Diagnosis codes for attenuated familial adenomatous polyposis

Inclusions

Exclusions

Type

Direct Reference Code

Code/Value Set URI

code "AFAP SNOMED": ' 715866009 ' from SCT display 'Attenuated familial adenomatous polyposis (disorder)'
code "AFAP ICD-10": 'D13.91' from "ICD-10" display 'Familial adenomatous polyposis'

concept "AFAP": {"AFAP SNOMED", "AFAP ICD10"} display 'Attenuated familial adenomatous polyposis'

Code System(s)

ICD-10-CM
SNOMED CT

FHIR Element

Condition.code
FamilyMemberHistory.condition.code

Status

Ready

Notes

Blood in Stool
Clinical Focus

Concepts for hematochezia

Inclusions

Melena and hematoschezia

Exclusions

Type

Value Set

Code/Value Set URI

http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1032.330

Code System(s)

ICD-10-CM
SNOMED CT

FHIR Element

Condition.code
Observation.code
Questionnaire.item.code

Status

Ready

Notes

#TODO needs clinical validation

BMPR1A variant status
Clinical Focus

Inclusions

Exclusions

Type

Code/Value Set URI

Code System(s)

FHIR Element

Status

#TODO

Notes

Cancers Associated with Hereditary Cancer Syndromes Conferring Increased Risk of Colorectal Cancer
Clinical Focus

Concepts representing conditions for cancers associated with hereditary cancers syndromes that put patients at increased risk for colorectal cancer.

Inclusions

* Cancer of the colon or rectum, uterus, ovary, stomach , small intestine urinary tract (kidney, ureter, bladder), bile ducts, pancreas, or brain)

Exclusions

Type

Value Set

Code/Value Set URI

Code System(s)

ICD-10-CM
SNOMED CT

FHIR Element

FamilyMemberHistory.condition.code

Status

#TODO

Notes

C-RADS category 3
Clinical Focus

CT colonography reporting of polyp, possibly advanced adenoma

Inclusions

Exclusions

Type

Direct Reference Code (local)

Code/Value Set URI

CRADS#C3

Code System(s)

CRADS (local)

FHIR Element

Observation.valueCodeableConcept

Status

Ready

Notes

C-RADS category C0
Clinical Focus

CT colonography reporting of inadequate study and/or awaiting prior comparisons

Inclusions

Exclusions

Type

Direct Reference Code (local)

Code/Value Set URI

CRADS#C0

Code System(s)

CRADS (local)

FHIR Element

Observation.valueCodeableConcept

Status

Ready

Notes

C-RADS category C2
Clinical Focus

CT colonography reporting of intermediate polyp or indeterminate finding (prior to 2023 update)

Inclusions

Exclusions

Type

Direct Reference Code (local)

Code/Value Set URI

CRADS#C2

Code System(s)

CRADS (local)

FHIR Element

Observation.valueCodeableConcept

Status

Ready

Notes

C-RADS category C2a
Clinical Focus

CT colonography reporting of intermediate polyp or indeterminate finding

Inclusions

Exclusions

Type

Direct Reference Code (local)

Code/Value Set URI

CRADS#C2a

Code System(s)

CRADS (local)

FHIR Element

Observation.valueCodeableConcept

Status

Ready

Notes

C-RADS category C4
Clinical Focus

CT colonography reporting of likely malignant colonic mass

Inclusions

Exclusions

Type

Direct Reference Code (local)

Code/Value Set URI

CRADS#C4

Code System(s)

CRADS (local)

FHIR Element

Observation.valueCodeableConcept

Status

Ready

Notes

Colonoscopy
Clinical Focus

Inclusions

Exclusions

Type

Value Set

Code/Value Set URI

http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1032.356

Code System(s)

LOINC

FHIR Element

DiagnosticReport.code

Status

Ready

Notes

Colonoscopy Procedure
Clinical Focus

Concepts for a colonoscopy procedure intended for routine screening purposes or follow-up after an abnormal stool test

Inclusions

* Screening

Exclusions

* Diagnostic
* Partial
* Limited

Type

Value Set

Code/Value Set URI

http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1020

Code System(s)

SNOMED CT
CPT

FHIR Element

Procedure.code

Status

Ready

Notes

Colorectal Cancer
Clinical Focus

Concepts for diagnosis of invasive and non-invasive colorectal cancer.

Inclusions

* Non-invasive
* Invasive
* Primary and secondary

Exclusions

None.

Type

Value Set

Code/Value Set URI

http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1032.325

Code System(s)

ICD-10-CM
SNOMED CT

FHIR Element

Condition.code

Status

Published (Experimental)

Notes

* Cannot reuse NCQA value set bc it includes codes for history of colon cancer.

Colorectal cancer finding
Clinical Focus

Concepts for a finding of colorectal cancer

Inclusions

Exclusions

Type

Value Set

Code/Value Set URI

http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1032.326

Code System(s)

SNOMED CT

FHIR Element

DiagnosticReport.conclusionCode
Observation.valueCodeableConcept

Status

Published (Experimental)

Notes

Same as Colorectal Cancer, but SNOMED CT only.

Colorectal cancer resection
Clinical Focus

Surgery for the resection of colorectal cancer.

Inclusions

* Open and laparoscopic approaches

Exclusions

* endoscopic-only procedures

Type

Value Set

Code/Value Set URI

http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.705

Code System(s)

ICD-10-PCS
SNOMED CT

FHIR Element

Procedure.code

Status

Placeholder

Notes

#TODO replace with subset of procedures for resection or destruction, add rectal procedures

Confirmed Advanced Precancerous Polyp(s) in First-Degree Relative
Clinical Focus

Confirmed advanced polyp (any polyp >= 10 mm, adenoma with tubulovillous or villous histology, or adenoma or serrated lesion (sessile serrated polyp, traditional serrated adenoma) with high-grade dysplasia.

Inclusions

Exclusions

Type

Direct Reference Code (local)

Code/Value Set URI

#PolypsInFirstDegreeRelative

Code System(s)

LOCAL

FHIR Element

Observation.code
Questionnaire.item.code

Status

Placeholder

Notes

Cowden syndrome
Clinical Focus

Diagnosis codes for Cowden syndrome

Inclusions

Exclusions

Type

Direct Reference Code

Code/Value Set URI

code "Cowden Syndrome SNOMED CT": '58037000' from "SNOMED-CT" display 'Cowden syndrome (disorder)'
code "Cowden Syndrome ICD-10-CM": 'Q85.81' from "ICD-10-CM" display 'PTEN hamartoma tumor syndrome'
concept "Cowden Syndrome": {"Cowden Syndrome SNOMED CT", "Cowden Syndrome ICD-10-CM"} display 'Cowden Syndrome'

Code System(s)

ICD-10-CM
SNOMED CT

FHIR Element

Condition.code
FamilyMemberHistory.condition.code

Status

Ready

Notes

#TODO there may be more than 1 ICD-10-CM code for Cowden

Crohn's Disease
Clinical Focus

Concepts identifying conditions indicative of Crohn's disease.

Inclusions

* Active
* In remission

Exclusions

* Crohn's disease without colonic involvement (e.g. Crohn's disease isolated to the small bowel)

Type

Value Set

Code/Value Set URI

http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1032.348

Code System(s)

ICD-10-CM
SNOMED CT

FHIR Element

Condition.code

Status

Published (Experimental)

Notes

#TODO need to replace in cervical cancer (value sets originally used have been deprecated)

CT colonography
Clinical Focus

Concepts for a computed tomography colonography intended for routine screening purposes

Inclusions

* Screening

Exclusions

* Diagnostic

Type

Value Set

Code/Value Set URI

http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.118.11.1097

Code System(s)

LOINC

FHIR Element

DiagnosticReport.code
DocumentReference.type

Status

Published (Experimental)

Notes

CT Colonography Procedure
Clinical Focus

Concepts for a computed tomography colonography intended for routine screening purposes

Inclusions

Exclusions

Type

Value Set

Code/Value Set URI

http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.11.1144

Code System(s)

SNOMED CT
CPT

FHIR Element

Procedure.code

Status

Placeholder

Notes

#TODO replace with grouping value set of SNOMED and CPT value sets.

Familial adenomatous polyposis
Clinical Focus

Diagnosis codes for familial adenomatous polyposis

Inclusions

Exclusions

Type

Direct Reference Code

Code/Value Set URI

code "FAP SNOMED CT": '72900001' from SCT display 'Familial multiple polyposis syndrome (disorder)'
code "FAP ICD-10-CM": 'D13.91' from "ICD-10" display 'Familial adenomatous polyposis'

concept "FAP": {"FAP SNOMED CT", "FAP ICD-10-CM"} display 'Familial adenomatous polyposis'

Code System(s)

ICD-10-CM
SNOMED CT

FHIR Element

Condition.code
FamilyMemberHistory.condition.code

Status

Ready

Notes

Familial Colorectal Cancer Type X
Clinical Focus

Concepts identifying conditions indicative of familial colorectal cancer type X

Inclusions

Exclusions

Type

Direct Reference Code

Code/Value Set URI

code "Familial Colorectal Cancer Type X": '1197359006' from SCT display 'Familial colorectal cancer type X (disorder)'

Code System(s)

ICD-10-CM
SNOMED CT

FHIR Element

Condition.code
FamilyMemberHistory.condition.code

Status

Ready

Notes

No concept in ICD-10-CM

Family History of Colorectal Cancer
Clinical Focus

Concepts identifying family history of colorectal cancer

Inclusions

Exclusions

Family history of hereditary syndromes

Type

Value Set

Code/Value Set URI

http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1032.349

Code System(s)

ICD-10-CM
SNOMED CT

FHIR Element

Condition.code
FamilyMemberHistory.condition.code

Status

Published (Experimental)

Notes

Family History of Familial Colorectal Cancer Type X
Clinical Focus

Concepts identifying conitions indicative of a family history of familial colorectal cancer type X

Inclusions

Exclusions

Type

Direct Reference Code

Code/Value Set URI

Code System(s)

LOCAL

FHIR Element

Condition.code

Status

#TODO

Notes

No concepts available in SNOMED CT or ICD-10-CM that are specific to colorectal cancer type X

Family History of Potentially Precancerous Polyps
Clinical Focus

Concepts identifying family history of potentially precancerous polyps

Inclusions

Exclusions

Type

Value Set

Code/Value Set URI

http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1032.360

Code System(s)

ICD-10-CM
SNOMED CT

FHIR Element

Condition.code

Status

Published (Experimental)

Notes

No concepts available in SNOMED CT

Genetic mutation associated with increased risk of colorectal cancer
Clinical Focus

Concepts identifying a family history of a variant known to be pathogenic or likely pathogenic and associated with an increased risk of colorectal cancer

Inclusions

Concepts that include mutations in genes associated with:
* Lynch Syndrome
* Familial Adenomatous Polyposis and Attenuated Familial Adenomatous Polyposis
* Peutz-Jeghers Syndrome
* Juvenile Polyposis Syndrome
* Cowden Syndrome

Exclusions

Type

Value Set

Code/Value Set URI

Code System(s)

FHIR Element

Status

#TODO

Notes

First-degree relative
Clinical Focus

Parents, children, siblings

Inclusions

Exclusions

Type

Value Set

Code/Value Set URI

http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1032.92

Code System(s)

HL7 RoleCode

FHIR Element

FamilyMemberHistory.relationship

Status

Ready

Notes

Flexible Sigmoidoscopy
Clinical Focus

Concepts for a flexible sigmoidoscopy procedure intended for routine screening purposes

Inclusions

* Screening

Exclusions

Type

Value Set

Code/Value Set URI

http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1032.359

Code System(s)

LOINC

FHIR Element

DiagnosticReport

Status

Published (Experimental)

Notes

Flexible Sigmoidoscopy Procedure
Clinical Focus

Concepts for a flexible sigmoidoscopy study

Inclusions

Exclusions

Type

Value Set

Code/Value Set URI

http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1010

Code System(s)

ICD-10-CM
SNOMED CT
CPT

FHIR Element

Procedure.code

Status

Published

Notes

Genetic mutation associated with increased risk of colorectal cancer
Clinical Focus

Inclusions

Exclusions

Type

Code/Value Set URI

Code System(s)

FHIR Element

Status

#TODO

Notes

Genetic variation clinical significance
Clinical Focus

Inclusions

Exclusions

Type

Code/Value Set URI

Code System(s)

FHIR Element

Observation.code

Status

#TODO

Notes

Fecal Occult Blood Test
Clinical Focus

Concepts for tests detecting the presence of blood in feces, such as guaiac fecal occult blood tests and fecal immunochemical test

Inclusions

Exclusions

Type

Value Set

Code/Value Set URI

http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.11.1020

Code System(s)

LOINC

FHIR Element

Observation.code

Status

Ready

Notes

FIT and gFOBT are included in the same value set because LOINC does allow for full distinction of these tests.

Hereditary Syndrome Associated with Colorectal Cancer
Clinical Focus

Concepts

Inclusions

Exclusions

Type

Value Set

Code/Value Set URI

http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1032.342

Code System(s)

SNOMED CT

FHIR Element

Condition.code

Status

Published (Experimental)

Notes

No concepts granualr enough for most syndromes in ICD-10-CM.

History of Colorectal Cancer
Clinical Focus

Concepts for history of colorectal cancer

Inclusions

* Non-invasive
* Invasive
* Primary and secondary
* In remission

Exclusions

Type

Value Set

Code/Value Set URI

http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1032.349

Code System(s)

ICD-10-CM
SNOMED CT

FHIR Element

Condition.code

Status

Published (Experimental)

Notes

Inconclusive
Clinical Focus

Concepts for an inconclusive finding.

Inclusions

Exclusions

None.

Type

Direct Reference Code

Code/Value Set URI

code "Inconclusive": "419984006" from "SNOMED-CT" display 'Inconclusive (qualifier value)'

Code System(s)

SNOMED CT

FHIR Element

Observation.valueCodeableConcept

Status

#TODO

Notes

Indeterminate Colitis
Clinical Focus

Concepts identifying conditions indicative of Indeterminate Colitis

Inclusions

Exclusions

Type

TBD

Code/Value Set URI

Code System(s)

ICD-10-CM
SNOMED CT

FHIR Element

Condition.code

Status

#TODO

Notes

Invalid
Clinical Focus

Concepts for an invalid finding.

Inclusions

Exclusions

None.

Type

Direct Reference Code

Code/Value Set URI

code "Invalid": "455371000124106" from "SNOMED-CT" display 'Invalid result (qualifier value)'

Code System(s)

SNOMED CT

FHIR Element

Observation.valueCodeableConcept

Status

Ready

Notes

Iron-deficiency Anemia without Specified Cause
Clinical Focus

Concepts for iron-deficiency anemia without known cause.

Inclusions

Anemia due to iron deficiency

Exclusions

Anemias not associated with iron deficiency.
Iron-deficiency anemia due to inadequate dietary intake, iron metabolism deficiency, hereditary condition, or pregnancy.

Type

Value Set

Code/Value Set URI

http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1032.332

Code System(s)

ICD-10-CM
SNOMED CT

FHIR Element

Condition.code

Status

Published (Experimental)

Notes

#TODO needs validation

Juvenile polyposis syndrome
Clinical Focus

Diagnosis codes for juvenile polyposis syndrome

Inclusions

Exclusions

Type

Direct Reference Code

Code/Value Set URI

code "Juvenile polyposis syndrome": '9273005' from SCT display 'Juvenile polyposis syndrome (disorder)'

Code System(s)

ICD-10-CM
SNOMED CT

FHIR Element

Status

Ready

Notes

No concept available in ICD-10-CM

Likely Pathogenic
Clinical Focus

Inclusions

Exclusions

Type

Code/Value Set URI

Code System(s)

FHIR Element

Status

#TODO

Notes

Lynch syndrome
Clinical Focus

Diagnosis codes for Lynch syndrome

Inclusions

Exclusions

Type

Direct Reference Code

Code/Value Set URI

code "Lynch Syndrome": ' 716318002 ' from "SCT" display 'Lynch syndrome (disorder)'

Code System(s)

ICD-10-CM
SNOMED CT

FHIR Element

Status

Ready

Notes

No concept available in ICD-10-CM

Lynch-syndrome associated variant status
Clinical Focus

Inclusions

Exclusions

Type

Code/Value Set URI

Code System(s)

FHIR Element

Status

#TODO

Notes

Microscopic Colitis
Clinical Focus

Concepts identifying conditions indicative of Microscopic Colitis

Inclusions

Exclusions

Type

TBD

Code/Value Set URI

Code System(s)

ICD-10-CM
SNOMED CT

FHIR Element

Condition.code

Status

#TODO

Notes

MUTYH-associated polyposis
Clinical Focus

Diagnosis codes for MUTYH-associated polyposis

Inclusions

Exclusions

Type

Direct Reference Code

Code/Value Set URI

code: "MAP SNOMED CT": '423471004' from SCT display 'MYH-associated polyposis (disorder)'

Code System(s)

ICD-10-CM
SNOMED CT

FHIR Element

Status

Ready

Notes

No concept in ICD-10-CM

MUYTH variant status
Clinical Focus

Inclusions

Exclusions

Type

Code/Value Set URI

Code System(s)

FHIR Element

Status

#TODO

Notes

Non-bleeding colorectal symptoms
Clinical Focus

Concepts for non-bleeding signs and symptoms often associated with colorectal cancer.

Inclusions

Diarrhea, constipation, tenesmus, abdominal pain or cramping, fatigue or weakness, unintended or unexplained weight loss, change in bowel habits or stool shape.

Exclusions

None.

Type

Value Set

Code/Value Set URI

http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1032.336

Code System(s)

ICD-10-CM
SNOMED CT

FHIR Element

Condition.code
Observation.codeableConcept

Status

Published (Experimental)

Notes

#TODO Include upper abdominal pain? Consider abdominal tenderness?
#TODO needs validation

Number of affected relatives
Clinical Focus

Number of first-degree relatives

Inclusions

Exclusions

Type

Direct Reference Code

Code/Value Set URI

code "Number of affected family members": "104899-0" from "LOINC" display 'Number of affected family members'

Code System(s)

LOINC

FHIR Element

Observation.code
Questionnaire.item.code

Status

Ready

Notes

Pathogenic
Clinical Focus

Inclusions

Exclusions

Type

Code/Value Set URI

Code System(s)

FHIR Element

Status

#TODO

Notes

Peutz-Jegher syndrome
Clinical Focus

Diagnosis codes for Peutz-Jegher syndrome

Inclusions

Exclusions

Type

Direct Reference Code

Code/Value Set URI

code "Peutz-Jegher syndrome": '54411001' from SCT display 'Peutz-Jeghers syndrome (disorder)'

Code System(s)

ICD-10-CM
SNOMED CT

FHIR Element

Status

Ready

Notes

Concept in ICD-10-CM is not sufficiently specific

Positive
Clinical Focus

Concepts for a positive finding.

Inclusions

Exclusions

None.

Type

Direct Reference Code

Code/Value Set URI

code "Positive": "10828004" from "SNOMED-CT" display 'Positive (qualifier value)'

Code System(s)

SNOMED CT

FHIR Element

Status

Ready

Notes

Potentially Precancerous Polyp(s) Condition
Clinical Focus

Concepts for conditions indicating current or past potentially precancerous polyps

Inclusions

Exclusions

Type

Value Set

Code/Value Set URI

http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1032.355

Code System(s)

ICD-10-CM
SNOMED CT

FHIR Element

Condition.code
FamilyMemberHistory.condition.code

Status

Published (Experimental)

Notes

Potentially Precancerous Polyp Finding(s)
Clinical Focus

Concepts for serrated polyps, adenomatous polyps, traditional serrated adenomas and hyperplastic polyps (if >=10 mm)

Inclusions

Exclusions

Type

Value Set

Code/Value Set URI

http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1032.353

Code System(s)

SNOMED CT

FHIR Element

Observation.valueCodeableConcept
QuestionnaireResponse.item.answer.valueCoding.code

Status

Published (Experimental)

Notes

SNOMED CT value set for Potentially Precancerous Polyp Condition

Primary Sclerosing Cholangitis
Clinical Focus

Concepts identifying conditions indicative of Primary Sclerosing Cholangitis

Inclusions

Exclusions

Type

TBD

Code/Value Set URI

Code System(s)

ICD-10-CM
SNOMED CT

FHIR Element

Condition.code

Status

#TODO

Notes

PTEN variant status
Clinical Focus

Inclusions

Exclusions

Type

Code/Value Set URI

Code System(s)

FHIR Element

Status

Notes

Recommended follow-up interval
Clinical Focus

Inclusions

Exclusions

Type

Direct Reference Code

Code/Value Set URI

code "Follow-up Plan": '470191000124102' from "SNOMED-CT" display 'Colorectal cancer screening follow-up planning (procedure)'

Code System(s)

SNOMED CT

FHIR Element

Observation.code

Status

Ready

Notes

#TODO consider LOINC code request

Second-degree relative
Clinical Focus

Inclusions

Exclusions

Type

Code/Value Set URI

Code System(s)

FHIR Element

Status

#TODO

Notes

Serrated polyposis syndrome
Clinical Focus

Diagnosis codes for serrated polyposis syndrome

Inclusions

Exclusions

Type

Direct Reference Code

Code/Value Set URI

code "Serrated polyposis syndrome": '763536006' from SCT display 'Hyperplastic polyposis syndrome (disorder)'

Code System(s)

ICD-10-CM
SNOMED CT

FHIR Element

Status

Ready

Notes

No concept in ICD-10-CM

SMAD4 variant status
Clinical Focus

Inclusions

Exclusions

Type

Code/Value Set URI

Code System(s)

FHIR Element

Status

#TODO

Notes

Stool DNA-FIT test
Clinical Focus

Concepts for a stool DNA-FIT test intended for routine screening purposes

Inclusions

Exclusions

Type

Value Set

Code/Value Set URI

http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.11.1145

Code System(s)

LOINC

FHIR Element

Status

Ready

Notes

STK variant status
Clinical Focus

Inclusions

Exclusions

Type

Code/Value Set URI

Code System(s)

FHIR Element

Status

#TODO

Notes

Total Colectomy
Clinical Focus

Surgical procedure of removing the entire colon

Inclusions

Exclusions

* partial

Type

Value Set

Code/Value Set URI

http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1019

Code System(s)

CPT
ICD-10-PCS
SNOMED CT

FHIR Element

Procedure.code

Status

Ready

Notes

* Reused from NCQA eCQMs

Complete Colonoscopy
Clinical Focus

Complete colonoscopy to cecum, with photo documentation of cecal landmarks, such as the appendiceal orifice, terminal ileum, or ileocecal valve

Inclusions

Exclusions

Type

TBD

Code/Value Set URI

Code System(s)

SNOMED CT

FHIR Element

Observation.valueCodeableConcept

Status

#TODO

Notes

Ulcerative Colitis
Clinical Focus

Concepts identifying conditions indicative of ulcerative colitis.

Inclusions

* Chronic
* Acute or exacerbation
* Complications documented as due to UC
* Mild, moderate or severe

Exclusions

* Ulcerative Colitis in remission

Type

Value Set

Code/Value Set URI

http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1078.879

Code System(s)

ICD-10-CM
SNOMED CT

FHIR Element

http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1032.345

Status

Published (Experimental)

Notes

Hospice Intervention
Clinical Focus

Codes from HEDIS measure denominator exclusions

Inclusions

Exclusions

Type

Value Set

Code/Value Set URI

http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.1003

Code System(s)

FHIR Element

Encounter.code

Status

Ready

Notes

Hospice Encounter
Clinical Focus

The purpose of this value set is to represent concepts for encounters for hospice care services.

Inclusions

Exclusions

Type

Value Set

Code/Value Set URI

http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.1003

Code System(s)

HCPCS
SNOMED CT

FHIR Element

Encounter.code

Status

Ready

Notes

* Reused from NCQA eCQMs

Palliative Care Diagnosis
Clinical Focus

The purpose of this value set is to represent concepts that indicate a patient is receiving palliative care or services.

Inclusions

Includes concepts that represent palliative care or services.

Exclusions

Type

Value Set

Code/Value Set URI

http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.1167

Code System(s)

ICD-10-CM
SNOMED CT

FHIR Element

Condition.code

Status

Ready

Notes

Reused from NCQA eCQMs

Palliative Care Intervention
Clinical Focus

Codes from HEDIS measure denominator exclusions

Inclusions

Exclusions

Type

Value Set

Code/Value Set URI

http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1135

Code System(s)

FHIR Element

Procedure.code

Status

Ready

Notes

Palliative Care Encounter
Clinical Focus

The purpose of this value set is to represent concepts for encounters for palliative care services.

Inclusions

Exclusions

Type

Value Set

Code/Value Set URI

http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1090

Code System(s)

SNOMED CT
HCPCS

FHIR Element

Encounter.code

Status

Ready

Notes

* Reused from NCQA eCQMs

Frailty Encounter
Clinical Focus

Codes from HEDIS measure denominator exclusions

Inclusions

Exclusions

Type

Value Set

Code/Value Set URI

http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1088

Code System(s)

CPT
HCPCS

FHIR Element

Encounter.code

Status

Ready

Notes

* Reused from NCQA eCQMs

Frailty Symptoms
Clinical Focus

Codes from HEDIS measure denominator exclusions

Inclusions

Exclusions

Type

Value Set

Code/Value Set URI

http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.113.12.1075

Code System(s)

FHIR Element

Condition.code

Status

Ready

Notes

Frailty Device
Clinical Focus

Codes from HEDIS measure denominator exclusions

Inclusions

Exclusions

Type

Value Set

Code/Value Set URI

http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.118.12.1300

Code System(s)

SNOMED CT

FHIR Element

Device.code

Status

Ready

Notes

Frailty Diagnosis
Clinical Focus

The purpose of this value set is to represent concepts for a diagnosis of potential indicators of frailty.

Inclusions

Exclusions

Type

Value Set

Code/Value Set URI

http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.113.12.1074

Code System(s)

ICD-10-CM
SNOMED CT

FHIR Element

Condition.code

Status

Ready

Notes

Dementia Medications
Clinical Focus

The purpose of this value set is to represent concepts for dementia medications.

Inclusions

Exclusions

Type

Value Set

Code/Value Set URI

http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.196.11.1517

Code System(s)

RxNorm

FHIR Element

Status

Ready

Notes

* Reused from NCQA eCQMs. The eCQMs use this value set to identify active meds.

Advanced Illness
Clinical Focus

Codes from HEDIS measure denominator exclusions

Inclusions

Exclusions

Type

Value Set

Code/Value Set URI

http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1082

Code System(s)

ICD-10-CM
SNOMED CT

FHIR Element

Condition.code

Status

Ready

Notes

Hospice Diagnosis
Clinical Focus

Codes from HEDIS measure denominator exclusions

Inclusions

Exclusions

Type

Value Set

Code/Value Set URI

http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.1165

Code System(s)

ICD-10-CM
SNOMED CT

FHIR Element

Condition.code

Status

Ready

Notes