German Oncological Data Standard (GOLD)
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: Example TNM y pT1b pN1 (3/9) (sn) L0 V0 Pn1 cM0 R0 - 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-ypT1bpN139snL0V0Pn1cM0R0"] ; # 
  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-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>"
  ] ; # 
  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 "IIIB" ] ;
fhir:display [ fhir:v "Stage IIIB" ]     ] )
  ] ; # 
  fhir:hasMember ( [
fhir:reference [ fhir:v "Observation/example-tnm-R0" ]
  ] ) ; # 
  fhir:component ( [
fhir:code [
      ( fhir:coding [
a sct:277649004 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "277649004" ] ;
fhir:display [ fhir:v "y - During therapy/following treatment (tumor staging)" ]       ] )     ] ;
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 "y" ] ;
fhir:display [ fhir:v "y" ]       ] )     ]
  ] [
    ( 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:code [
      ( fhir:coding [
a loinc:21899-0 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "21899-0" ] ;
fhir:display [ fhir:v "Primary tumor.pathology 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 "T1b" ] ;
fhir:display [ fhir:v "T1b" ]       ] )     ]
  ] [
    ( 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-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 "N1" ] ;
fhir:display [ fhir:v "N1" ]       ] )     ]
  ] [
    ( 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 "M0" ] ;
fhir:display [ fhir:v "M0" ]       ] )     ]
  ] [
fhir:code [
      ( fhir:coding [
a loinc:33739-4 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "33739-4" ] ;
fhir:display [ fhir:v "Lymphatic.small vessel.invasion [Identifier] in Specimen by CAP cancer protocols" ]       ] )     ] ;
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 "L0" ] ;
fhir:display [ fhir:v "L0" ]       ] )     ]
  ] [
fhir:code [
      ( fhir:coding [
a loinc:33740-2 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "33740-2" ] ;
fhir:display [ fhir:v "Venous.large vessel.invasion [Identifier] in Specimen by CAP cancer protocols" ]       ] )     ] ;
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 "V0" ] ;
fhir:display [ fhir:v "V0" ]       ] )     ]
  ] [
fhir:code [
      ( fhir:coding [
a loinc:92837-4 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "92837-4" ] ;
fhir:display [ fhir:v "Perineural invasion [Presence] in Cancer specimen" ]       ] )     ] ;
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 "Pn1" ] ;
fhir:display [ fhir:v "Pn1" ]       ] )     ]
  ] [
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 "3"^^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 "9"^^xsd:decimal ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1" ]     ]
  ] ) . #