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Since 1997, EVS has worked with many partners to build shared content and services, so that information can be effectively exchanged, interpreted and analyzed while minimizing overall effort and cost. Much of this content has been created and published using NCI Thesaurus and NCI Metathesaurus, as outlined in the following sections and described in more detail in the individual user profiles later, where other shared development efforts are also described.

NCI Thesaurus (NCIt)

NCI Thesaurus (NCIt) is NCI's core reference terminology. It has also been adopted by FDA, CDISC, NCPDP and other partners as a shared standards development and coding environment, allowing participants to compare and harmonize with each other's content while taking advantage of full-text definitions, codes, and other features.

About 125,000 out of the 178,080 current NCIt concepts have terms from both EVS and from one or more of these other sources. The chart below gives a detailed breakdown of the main areas of overlapping tagged content. Note that some partners have used NCI terms rather than tagging their own, so these figures understate the true extent of cross-source sharing.

NCIt concepts with terms from tagged outside sources (25.01d: January 2025)


NCIt concepts with tagged synonyms from each outside source (25.01d: January 2025)

NCIt Concepts

Source

3ACC
1182ACC/AHA
2016

BRIDG

408CareLex
56CBDD
268

CCPS

30030CDISC
841CDISC-GLOSS
2478Cellosaurus
3653CPTAC
406CRCH
8924CTCAE
280CTDC
426CTEP
29314CTRP
636DIPG/DMG
1083EDQM-HC
29152FDA
239GAIA
12744GDC
1673HemOnc
723HL7
106ICD-10
664ICDC
216ICH
215INC
5660mCode
1281MedDRA
152MRCT-Ctr
23NAACCR
246NCCN
480NCPDP
6NDC
4783NICHD
826OORO
71ORCHESTRA
1861PCDC
40PI-RADS
211PRO-CTCAE
377SEER
662SeroNet
344UBERON
286UCUM

NCI Metathesaurus (NCIm)

NCI Metathesaurus (NCIm) was started in the late 1990s to gather up, translate between, and publish the many terminologies used by NCI, including some created in part or whole within NCI. Development of NCI Thesaurus started within NCIm as NewPDQ, an effort to extend and restructure the PDQ Terminology long used to code cancer clinical trial, research and public information resources. NCIm continues to provide a vital environment for EVS collaboration with NCI and other partners to develop, map and publish terminologies of shared interest, and responds to the requirements of a broad range of stakeholders within the cancer research and biomedical community.

NCIt tagged content from outside sources is imported into NCIm with separate source tags. NCIt-derived sources are grouped separately below. 

NCIm sources and the number of concepts to which each contributes (202408: August 2024)

NCIm concepts

Source Label - NCIt-derived

Source Name

1177ACC-AHAAmerican College of Cardiology/American Heart Association Clinical Data Terminology, 2025_02D
334BioCBioCarta online maps of molecular pathways, adapted for NCI use, 2025_02D
27BRIDGBiomedical Research Integrated Domain Group Model, 2025_02D
1148BRIDG_3_0_3Biomedical Research Integrated Domain Group Model, 3.0.3, 2025_02D
1658BRIDG_5_3Biomedical Research Integrated Domain Group Model, 5.3, 2025_02D
23588caDSRCancer Data Standards Registry and Repository, 2025_02D
407CARELEXContent Archive Resource Exchange Lexicon, 2025_02D
53CBDDChemical Biology and Drug Development Vocabulary, 2025_02D
265CCPSChildhood Cancer Predisposition Study, 2025_02D
923CDCU.S. Centers for Disease Control and Prevention, 2025_02D
31240CDISCClinical Data Interchange Standards Consortium, 2025_02D
842CDISC-GLOSSClinical Data Interchange Standards Consortium Glossary Terms, 2025_02D

2503

CELLOSAURUSCellosaurus, 2025_02D
3677CPTACClinical Proteomic Tumor Analysis Consortium, 2025_02D
406CRCHCancer Research Center of Hawaii Nutrition Terminology, 2025_02D
775CTCAECommon Terminology Criteria for Adverse Events, 2025_02D
5599CTCAE_3Common Terminology Criteria for Adverse Events 3.0, 2025_02D
4022CTCAE_5Common Terminology Criteria for Adverse Events 5.0, 2025_02D
276CTDCClinical Trial Data Commons, 2025_02D
373CTEP-SDCCancer Therapy Evaluation Program - Simple Disease Classification, 2025_02D
29493CTRPClinical Trials Reporting Program, 2025_02D
905DCPNCI Division of Cancer Prevention Program, 2025_02D
114DICOMDigital Imaging Communications in Medicine, 2025_02D
627DIPG_DMGDiffuse Intrinsic Pontine Glioma/Diffuse Midline Glioma Terminology, 2025_02D
694DTPNCI Developmental Therapeutics Program, 2025_02D
1084EDQM-HCEuropean Directorate for the Quality of Medicines & Healthcare, 2025_02D
28210FDAU.S. Food and Drug Administration, 2025_02D
207GAIAGlobal Alignment of Immunization Safety Assessment in pregnancy, 2025_02D
6146GDCNCI Genomic Data Commons, 2025_02D
281GENCGeopolitical Entities, Names, and Codes Standard, 2025_02D
1647HemOncHematology-Oncology (HemOnc) Chemotherapy Regimen Vocabulary, 2025_02D
106ICD-10International Classification of Diseases, 10th Edition, 2025_02D
693ICDCNCI Integrated Canine Data Commons, 2025_02D
215ICHInternational Conference on Harmonization, 2025_02D
215INCInternational Neonatal Consortium, 2025_02D
156JAXJackson Laboratories Mouse Terminology, adapted for NCI use, 2025_02D
245KEGGKEGG Pathway Database, 2025_02D
5660mCodeMinimal Common Oncology Data Elements, 2025_02D
193649NCINational Cancer Institute Thesaurus, 2025_02D
171MRCT-CtrMRCT Center Clinical Research Plain Language Glossary, 2025_02D
5083NCI-GLOSSNCI Dictionary of Cancer Terms, 2025_02D
6130NCI-HGNCNCI HUGO Gene Nomenclature Committee, 2025_02D
725NCI-HL7NCI Health Level 7, 2025_02D
489NCPDPNational Council for Prescription Drug Programs, 2025_02D
5NDCNational Drug Code, 2025_02D
4779NICHDNational Institute of Child Health and Human Development, 2025_02D
825OOROOperational Ontology for Radiation Oncology, 2025_02D
70ORCHESTRAORCHESTRA, 2025_02D
1829PCDCPediatric Cancer Data Commons, 2025_02D
39PI-RADSProstate Imaging Reporting and Data System, 2025_02D
169PIDNational Cancer Institute Nature Pathway Interaction Database, 2025_02D
210PRO-CTCAEPatient Reported Outcomes version of Common Terminology Criteria for Adverse Events, 2025_02D
310RENIRegistry Nomenclature Information System, 2025_02D
659SeroNetSerological Sciences Network Terminology, 2025_02D
343UBERONUBERON Ontology, 2025_02D
1629UCUMUnified Code for Units of Measure, 2025_02D
110WHOWorld Health Organization (WHO) Terminology, 2025_02D
25ZFINZebrafish Model Organism Database, 2025_02D

NCIm concepts

Source Label - Other

Source Name

15884AODAlcohol and Other Drug Thesaurus, 2000
276AOTAuthorized Osteopathic Thesaurus, 2003
13257CBOClinical Bioinformatics Ontology, 2011_02
544CCSR_ICD10CMClinical Classifications Software Refined for ICD-10-CM, 2024
357CCSR_ICD10PCSClinical Classifications Software Refined for ICD-10-PCS, 2024
962CDCRECRace & Ethnicity - CDC, 1.2
3081COSTARCOSTAR, 1989-1995
16480CSPCRISP Thesaurus, 2006
3839CSTCOSTART, 1995
318CTEPCancer Therapy Evaluation Program, 2004
659CVXVaccines Administered, 2024_08_14
13157DRUGBANKDrugBank, 5.0_2024_08_09
7293DXPDXplain, 1994
102544FMAFoundational Model of Anatomy Ontology, 4_15
7475GARDGenetic and Rare Diseases Information Center, 2015_04
69780GOGene Ontology, 2024_03_28
8457HCPCSHealthcare Common Procedure Coding System, 2024
43827HGNCHUGO Gene Nomenclature Committee, 2024_04
9066HL7V3.0HL7 Vocabulary Version 3.0, 2024_07
20560HPOHuman Phenotype Ontology, 2024_07_01
17416ICD10ICD10, 2016
105808ICD10CMInternational Classification of Diseases, 10th Edition, Clinical Modification, 2025
192108ICD10PCSICD-10-PCS, 2025
20885ICD9CMInternational Classification of Diseases, Ninth Revision, Clinical Modification, 2014
2854ICDOInternational Classification of Disease for Oncology, 3_2
748ICPCInternational Classification of Primary Care, 1993
5055ISO3166-2International Organization for Standardization 3166-2, 2012
179706LNCLOINC, 278
41MCMMcMaster University Epidemiology Terms, 1992
332MDBCACMitelman Database of Chromosome Aberrations in Cancer, 2005_12
63241MDRMedical Dictionary for Regulatory Activities Terminology (MedDRA), 27_1
3561MED-RTMedication Reference Terminology, 2024_09_03
2118MEDLINEPLUSMedlinePlus Health Topics, 20231101
901MGEDMGED Ontology, 131
457757MSHMedical Subject Headings, 2025_2024_08_19
221920MTHUMLS Metathesaurus, 2024AB
11MTHCMSFRFMetathesaurus CMS Formulary Reference File, MTHCMSFRF_2020
19006MTHICD9International Classification of Diseases, Ninth Revision, Clinical Modification, Metathesaurus additional entry terms, 2014
1633MTHMSTMetathesaurus Version of Minimal Standard Terminology Digestive Endoscopy, 2001
59867MTHSPLMetathesaurus FDA Structured Product Labels, 2024_02_24
88MVXManufacturers of Vaccines, 2024_09_03
736861NCBINCBI Taxonomy, 2024_04_02
10724NCIMTHNCIMTH
1885NPONPO: NanoParticle Ontology for Cancer Nanotechnology Research, 2011_12_08
106351OMIMOnline Mendelian Inheritance in Man, 2024_08_09
12394PDQPhysician Data Query, 2016_07_31
2040PMAPortfolio Management Application, 2010
279PNDSPerioperative Nursing Data Set, 2024
940QMRQuick Medical Reference (QMR), 1996
45786RADLEXRadLex, 4_1
220744RXNORMRxNorm Vocabulary, 20AA_240903F
366446SNOMEDCT_USUS Edition of SNOMED CT, 2024_09_01
167SOPSource of Payment Typology, 9.2
4811SPNStandard Product Nomenclature, 2003
234SRCMetathesaurus Source Terminology Names
29104UMDUMDNS: product category thesaurus, 2023
5021USPUSP Compendial Nomenclature, 2024_07_10
1688USPMGUSP Medicare Model Guidelines, 2023
61105UWDAUniversity of Washington Digital Anatomist, 1.7.3
39112VANDFVeterans Health Administration National Drug File, 2024_01_31

Overall Counts (August 2024)

ConceptsRelationships Attributes Total Number of Terms
2,727,276

24,009,206

 26,737,4777,264,248



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