German Oncological Data Standard (GOLD)
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: Example TNM y pT1b pN1 (3/9) (sn) L0 V0 Pn1 cM0 R0 - JSON Representation

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{
  "resourceType" : "Observation",
  "id" : "example-tnm-ypT1bpN139snL0V0Pn1cM0R0",
  "meta" : {
    "profile" : [
      🔗 "https://www.vision-zero-oncology.de/fhir/StructureDefinition/uicc-tnm"
    ]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b><a name=\"example-tnm-ypT1bpN139snL0V0Pn1cM0R0\"> </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-ypT1bpN139snL0V0Pn1cM0R0&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 IIIB <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (unknown#IIIB)</span></p><p><b>hasMember</b>: <a href=\"Observation-example-tnm-R0.html\">Observation/example-tnm-R0</a></p><blockquote><p><b>component</b></p><p><b>code</b>: y - During therapy/following treatment (tumor staging) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#277649004)</span></p><p><b>value</b>: y <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (unknown#y)</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>code</b>: Primary tumor.pathology Cancer <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#21899-0)</span></p><p><b>value</b>: T1b <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (unknown#T1b)</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 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>: N1 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (unknown#N1)</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>: M0 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (unknown#M0)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Lymphatic.small vessel.invasion [Identifier] in Specimen by CAP cancer protocols <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#33739-4)</span></p><p><b>value</b>: L0 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (unknown#L0)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Venous.large vessel.invasion [Identifier] in Specimen by CAP cancer protocols <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#33740-2)</span></p><p><b>value</b>: V0 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (unknown#V0)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Perineural invasion [Presence] in Cancer specimen <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#92837-4)</span></p><p><b>value</b>: Pn1 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (unknown#Pn1)</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>: 3 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>: 9 1<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code 1 = '1')</span></p></blockquote></div>"
  },
  "status" : "final",
  "code" : {
    "coding" : [
      {
        "system" : "http://snomed.info/sct",
        "code" : "258235000",
        "display" : "International Union Against Cancer (tumor staging)"
      },
      {
        "system" : "http://loinc.org",
        "code" : "21902-2",
        "display" : "Stage group.pathology Cancer"
      }
    ]
  },
  "subject" : {
    🔗 "reference" : "Patient/ExamplePatient"
  },
  "effectiveDateTime" : "2022-03-07",
  "valueCodeableConcept" : {
    "coding" : [
      {
        "system" : "urn:oid:2.16.840.1.113883.15.16",
        "code" : "IIIB",
        "display" : "Stage IIIB"
      }
    ]
  },
  "hasMember" : [
    {
      🔗 "reference" : "Observation/example-tnm-R0"
    }
  ],
  "component" : [
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "277649004",
            "display" : "y - During therapy/following treatment (tumor staging)"
          }
        ]
      },
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "urn:oid:2.16.840.1.113883.15.16",
            "code" : "y",
            "display" : "y"
          }
        ]
      }
    },
    {
      "extension" : [
        {
          "url" : "https://www.vision-zero-oncology.de/fhir/StructureDefinition/uicc-tnm-prefix-cpu",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "urn:oid:2.16.840.1.113883.15.16",
                "code" : "p",
                "display" : "p"
              }
            ]
          }
        }
      ],
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "21899-0",
            "display" : "Primary tumor.pathology Cancer"
          }
        ]
      },
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "urn:oid:2.16.840.1.113883.15.16",
            "code" : "T1b",
            "display" : "T1b"
          }
        ]
      }
    },
    {
      "extension" : [
        {
          "url" : "https://www.vision-zero-oncology.de/fhir/StructureDefinition/uicc-tnm-prefix-cpu",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "urn:oid:2.16.840.1.113883.15.16",
                "code" : "p",
                "display" : "p"
              }
            ]
          }
        },
        {
          "url" : "https://www.vision-zero-oncology.de/fhir/StructureDefinition/uicc-tnm-suffix-itc-sn",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "urn:oid:2.16.840.1.113883.15.16",
                "code" : "sn",
                "display" : "(sn)"
              }
            ]
          }
        }
      ],
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "21900-6",
            "display" : "Regional lymph nodes.pathology [Class] Cancer"
          }
        ]
      },
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "urn:oid:2.16.840.1.113883.15.16",
            "code" : "N1",
            "display" : "N1"
          }
        ]
      }
    },
    {
      "extension" : [
        {
          "url" : "https://www.vision-zero-oncology.de/fhir/StructureDefinition/uicc-tnm-prefix-cpu",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "urn:oid:2.16.840.1.113883.15.16",
                "code" : "c",
                "display" : "c"
              }
            ]
          }
        }
      ],
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "21907-1",
            "display" : "Distant metastases.clinical [Class] Cancer"
          }
        ]
      },
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "urn:oid:2.16.840.1.113883.15.16",
            "code" : "M0",
            "display" : "M0"
          }
        ]
      }
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "33739-4",
            "display" : "Lymphatic.small vessel.invasion [Identifier] in Specimen by CAP cancer protocols"
          }
        ]
      },
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "urn:oid:2.16.840.1.113883.15.16",
            "code" : "L0",
            "display" : "L0"
          }
        ]
      }
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "33740-2",
            "display" : "Venous.large vessel.invasion [Identifier] in Specimen by CAP cancer protocols"
          }
        ]
      },
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "urn:oid:2.16.840.1.113883.15.16",
            "code" : "V0",
            "display" : "V0"
          }
        ]
      }
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "92837-4",
            "display" : "Perineural invasion [Presence] in Cancer specimen"
          }
        ]
      },
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "urn:oid:2.16.840.1.113883.15.16",
            "code" : "Pn1",
            "display" : "Pn1"
          }
        ]
      }
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "21893-3",
            "display" : "Regional lymph nodes positive [#] Specimen"
          }
        ]
      },
      "valueQuantity" : {
        "value" : 3,
        "system" : "http://unitsofmeasure.org",
        "code" : "1"
      }
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "21894-1",
            "display" : "Regional lymph nodes examined [#] Specimen"
          }
        ]
      },
      "valueQuantity" : {
        "value" : 9,
        "system" : "http://unitsofmeasure.org",
        "code" : "1"
      }
    }
  ]
}