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

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<Observation xmlns="http://hl7.org/fhir">
  <id value="example-tnm-ypT1bpN139snL0V0Pn1cM0R0"/>
  <meta>
    <profile
             value="https://www.vision-zero-oncology.de/fhir/StructureDefinition/uicc-tnm"/>
  </meta>
  <text>
    <status value="extensions"/>
    <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>
  </text>
  <status value="final"/>
  <code>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="258235000"/>
      <display value="International Union Against Cancer (tumor staging)"/>
    </coding>
    <coding>
      <system value="http://loinc.org"/>
      <code value="21902-2"/>
      <display value="Stage group.pathology Cancer"/>
    </coding>
  </code>
  <subject>🔗 
    <reference value="Patient/ExamplePatient"/>
  </subject>
  <effectiveDateTime value="2022-03-07"/>
  <valueCodeableConcept>
    <coding>
      <system value="urn:oid:2.16.840.1.113883.15.16"/>
      <code value="IIIB"/>
      <display value="Stage IIIB"/>
    </coding>
  </valueCodeableConcept>
  <hasMember>🔗 
    <reference value="Observation/example-tnm-R0"/>
  </hasMember>
  <component>
    <code>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="277649004"/>
        <display
                 value="y - During therapy/following treatment (tumor staging)"/>
      </coding>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="urn:oid:2.16.840.1.113883.15.16"/>
        <code value="y"/>
        <display value="y"/>
      </coding>
    </valueCodeableConcept>
  </component>
  <component>
    <extension
               url="https://www.vision-zero-oncology.de/fhir/StructureDefinition/uicc-tnm-prefix-cpu">
      <valueCodeableConcept>
        <coding>
          <system value="urn:oid:2.16.840.1.113883.15.16"/>
          <code value="p"/>
          <display value="p"/>
        </coding>
      </valueCodeableConcept>
    </extension>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="21899-0"/>
        <display value="Primary tumor.pathology Cancer"/>
      </coding>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="urn:oid:2.16.840.1.113883.15.16"/>
        <code value="T1b"/>
        <display value="T1b"/>
      </coding>
    </valueCodeableConcept>
  </component>
  <component>
    <extension
               url="https://www.vision-zero-oncology.de/fhir/StructureDefinition/uicc-tnm-prefix-cpu">
      <valueCodeableConcept>
        <coding>
          <system value="urn:oid:2.16.840.1.113883.15.16"/>
          <code value="p"/>
          <display value="p"/>
        </coding>
      </valueCodeableConcept>
    </extension>
    <extension
               url="https://www.vision-zero-oncology.de/fhir/StructureDefinition/uicc-tnm-suffix-itc-sn">
      <valueCodeableConcept>
        <coding>
          <system value="urn:oid:2.16.840.1.113883.15.16"/>
          <code value="sn"/>
          <display value="(sn)"/>
        </coding>
      </valueCodeableConcept>
    </extension>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="21900-6"/>
        <display value="Regional lymph nodes.pathology [Class] Cancer"/>
      </coding>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="urn:oid:2.16.840.1.113883.15.16"/>
        <code value="N1"/>
        <display value="N1"/>
      </coding>
    </valueCodeableConcept>
  </component>
  <component>
    <extension
               url="https://www.vision-zero-oncology.de/fhir/StructureDefinition/uicc-tnm-prefix-cpu">
      <valueCodeableConcept>
        <coding>
          <system value="urn:oid:2.16.840.1.113883.15.16"/>
          <code value="c"/>
          <display value="c"/>
        </coding>
      </valueCodeableConcept>
    </extension>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="21907-1"/>
        <display value="Distant metastases.clinical [Class] Cancer"/>
      </coding>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="urn:oid:2.16.840.1.113883.15.16"/>
        <code value="M0"/>
        <display value="M0"/>
      </coding>
    </valueCodeableConcept>
  </component>
  <component>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="33739-4"/>
        <display
                 value="Lymphatic.small vessel.invasion [Identifier] in Specimen by CAP cancer protocols"/>
      </coding>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="urn:oid:2.16.840.1.113883.15.16"/>
        <code value="L0"/>
        <display value="L0"/>
      </coding>
    </valueCodeableConcept>
  </component>
  <component>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="33740-2"/>
        <display
                 value="Venous.large vessel.invasion [Identifier] in Specimen by CAP cancer protocols"/>
      </coding>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="urn:oid:2.16.840.1.113883.15.16"/>
        <code value="V0"/>
        <display value="V0"/>
      </coding>
    </valueCodeableConcept>
  </component>
  <component>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="92837-4"/>
        <display value="Perineural invasion [Presence] in Cancer specimen"/>
      </coding>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="urn:oid:2.16.840.1.113883.15.16"/>
        <code value="Pn1"/>
        <display value="Pn1"/>
      </coding>
    </valueCodeableConcept>
  </component>
  <component>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="21893-3"/>
        <display value="Regional lymph nodes positive [#] Specimen"/>
      </coding>
    </code>
    <valueQuantity>
      <value value="3"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="1"/>
    </valueQuantity>
  </component>
  <component>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="21894-1"/>
        <display value="Regional lymph nodes examined [#] Specimen"/>
      </coding>
    </code>
    <valueQuantity>
      <value value="9"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="1"/>
    </valueQuantity>
  </component>
</Observation>