German Oncological Data Standard (GOLD)
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: Example TNM uT2a2 pN0 (0/23) (i-)(sn) cM1 - TTL Representation

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <https://loinc.org/rdf/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix sct: <http://snomed.info/id/> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:Observation ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "example-tnm-uT2a2pN0023i-sncM1"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "https://www.vision-zero-oncology.de/fhir/StructureDefinition/uicc-tnm"^^xsd:anyURI ;
fhir:link <https://www.vision-zero-oncology.de/fhir/StructureDefinition/uicc-tnm>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "extensions" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b><a name=\"example-tnm-uT2a2pN0023i-sncM1\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Observation &quot;example-tnm-uT2a2pN0023i-sncM1&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-uicc-tnm.html\">Profile UICC TNM</a></p></div><p><b>status</b>: final</p><p><b>code</b>: International Union Against Cancer (tumor staging) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#258235000; <a href=\"https://loinc.org/\">LOINC</a>#21902-2 &quot;Stage group.pathology Cancer&quot;)</span></p><p><b>subject</b>: <a href=\"Patient-ExamplePatient.html\">Patient/ExamplePatient</a> &quot; BACH&quot;</p><p><b>effective</b>: 2022-03-07</p><p><b>value</b>: Stage IVC <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (unknown#IVC)</span></p><blockquote><p><b>component</b></p><p><b>Extension UICC TNM Prefix CPU</b>: u <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (unknown#u)</span></p><p><b>code</b>: Primary tumor.clinical [Class] Cancer <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#21905-5)</span></p><p><b>value</b>: T2a2 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (unknown#T2a2)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>Extension UICC TNM Prefix CPU</b>: p <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (unknown#p)</span></p><p><b>Extension UICC TNM Suffix ITC</b>: (i-) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (unknown#i-)</span></p><p><b>Extension UICC TNM Suffix ITC SN</b>: (sn) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (unknown#sn)</span></p><p><b>code</b>: Regional lymph nodes.pathology [Class] Cancer <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#21900-6)</span></p><p><b>value</b>: N0 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (unknown#N0)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>Extension UICC TNM Prefix CPU</b>: c <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (unknown#c)</span></p><p><b>code</b>: Distant metastases.clinical [Class] Cancer <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#21907-1)</span></p><p><b>value</b>: M1 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (unknown#M1)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Regional lymph nodes positive [#] Specimen <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#21893-3)</span></p><p><b>value</b>: 0 1<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code 1 = '1')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Regional lymph nodes examined [#] Specimen <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#21894-1)</span></p><p><b>value</b>: 23 1<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code 1 = '1')</span></p></blockquote></div>"
  ] ; # 
  fhir:status [ fhir:v "final"] ; # 
  fhir:code [
    ( fhir:coding [
a sct:258235000 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "258235000" ] ;
fhir:display [ fhir:v "International Union Against Cancer (tumor staging)" ]     ] [
a loinc:21902-2 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "21902-2" ] ;
fhir:display [ fhir:v "Stage group.pathology Cancer" ]     ] )
  ] ; # 
  fhir:subject [
fhir:reference [ fhir:v "Patient/ExamplePatient" ]
  ] ; # 
  fhir:effective [ fhir:v "2022-03-07"^^xsd:date] ; # 
  fhir:value [
a fhir:CodeableConcept ;
    ( fhir:coding [
fhir:system [ fhir:v "urn:oid:2.16.840.1.113883.15.16"^^xsd:anyURI ] ;
fhir:code [ fhir:v "IVC" ] ;
fhir:display [ fhir:v "Stage IVC" ]     ] )
  ] ; # 
  fhir:component ( [
    ( fhir:extension [
fhir:url [ fhir:v "https://www.vision-zero-oncology.de/fhir/StructureDefinition/uicc-tnm-prefix-cpu"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
        ( fhir:coding [
fhir:system [ fhir:v "urn:oid:2.16.840.1.113883.15.16"^^xsd:anyURI ] ;
fhir:code [ fhir:v "u" ] ;
fhir:display [ fhir:v "u" ]         ] )       ]     ] ) ;
fhir:code [
      ( fhir:coding [
a loinc:21905-5 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "21905-5" ] ;
fhir:display [ fhir:v "Primary tumor.clinical [Class] Cancer" ]       ] )     ] ;
fhir:value [
a fhir:CodeableConcept ;
      ( fhir:coding [
fhir:system [ fhir:v "urn:oid:2.16.840.1.113883.15.16"^^xsd:anyURI ] ;
fhir:code [ fhir:v "T2a2" ] ;
fhir:display [ fhir:v "T2a2" ]       ] )     ]
  ] [
    ( fhir:extension [
fhir:url [ fhir:v "https://www.vision-zero-oncology.de/fhir/StructureDefinition/uicc-tnm-prefix-cpu"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
        ( fhir:coding [
fhir:system [ fhir:v "urn:oid:2.16.840.1.113883.15.16"^^xsd:anyURI ] ;
fhir:code [ fhir:v "p" ] ;
fhir:display [ fhir:v "p" ]         ] )       ]     ] [
fhir:url [ fhir:v "https://www.vision-zero-oncology.de/fhir/StructureDefinition/uicc-tnm-suffix-itc"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
        ( fhir:coding [
fhir:system [ fhir:v "urn:oid:2.16.840.1.113883.15.16"^^xsd:anyURI ] ;
fhir:code [ fhir:v "i-" ] ;
fhir:display [ fhir:v "(i-)" ]         ] )       ]     ] [
fhir:url [ fhir:v "https://www.vision-zero-oncology.de/fhir/StructureDefinition/uicc-tnm-suffix-itc-sn"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
        ( fhir:coding [
fhir:system [ fhir:v "urn:oid:2.16.840.1.113883.15.16"^^xsd:anyURI ] ;
fhir:code [ fhir:v "sn" ] ;
fhir:display [ fhir:v "(sn)" ]         ] )       ]     ] ) ;
fhir:code [
      ( fhir:coding [
a loinc:21900-6 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "21900-6" ] ;
fhir:display [ fhir:v "Regional lymph nodes.pathology [Class] Cancer" ]       ] )     ] ;
fhir:value [
a fhir:CodeableConcept ;
      ( fhir:coding [
fhir:system [ fhir:v "urn:oid:2.16.840.1.113883.15.16"^^xsd:anyURI ] ;
fhir:code [ fhir:v "N0" ] ;
fhir:display [ fhir:v "N0" ]       ] )     ]
  ] [
    ( fhir:extension [
fhir:url [ fhir:v "https://www.vision-zero-oncology.de/fhir/StructureDefinition/uicc-tnm-prefix-cpu"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
        ( fhir:coding [
fhir:system [ fhir:v "urn:oid:2.16.840.1.113883.15.16"^^xsd:anyURI ] ;
fhir:code [ fhir:v "c" ] ;
fhir:display [ fhir:v "c" ]         ] )       ]     ] ) ;
fhir:code [
      ( fhir:coding [
a loinc:21907-1 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "21907-1" ] ;
fhir:display [ fhir:v "Distant metastases.clinical [Class] Cancer" ]       ] )     ] ;
fhir:value [
a fhir:CodeableConcept ;
      ( fhir:coding [
fhir:system [ fhir:v "urn:oid:2.16.840.1.113883.15.16"^^xsd:anyURI ] ;
fhir:code [ fhir:v "M1" ] ;
fhir:display [ fhir:v "M1" ]       ] )     ]
  ] [
fhir:code [
      ( fhir:coding [
a loinc:21893-3 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "21893-3" ] ;
fhir:display [ fhir:v "Regional lymph nodes positive [#] Specimen" ]       ] )     ] ;
fhir:value [
a fhir:Quantity ;
fhir:value [ fhir:v "0"^^xsd:decimal ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1" ]     ]
  ] [
fhir:code [
      ( fhir:coding [
a loinc:21894-1 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "21894-1" ] ;
fhir:display [ fhir:v "Regional lymph nodes examined [#] Specimen" ]       ] )     ] ;
fhir:value [
a fhir:Quantity ;
fhir:value [ fhir:v "23"^^xsd:decimal ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1" ]     ]
  ] ) . #