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Source1

{
  "resourceType": "CodeSystem",
  "id": "mii-cs-onko-tnm-uicc",
  "meta": {
    "profile": [
      "http://hl7.org/fhir/StructureDefinition/shareablecodesystem",
      "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareablecodesystem",
      "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-publishablecodesystem"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability",
      "valueCode": "shareable"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability",
      "valueCode": "publishable"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/artifact-versionPolicy",
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/artifact-version-policy-codes",
            "code": "package",
            "display": "Package"
          }
        ]
      }
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/resource-approvalDate",
      "valueDate": "2026-09-15"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/artifact-topic",
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl",
            "code": "C3262"
          }
        ]
      }
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/artifact-author",
      "valueContactDetail": {
        "telecom": [
          {
            "system": "email",
            "value": "thomas.debertshaeuser@charite.de"
          }
        ]
      }
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/artifact-editor",
      "valueContactDetail": {
        "name": "Taskforce Core Data Set"
      }
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/artifact-reviewer",
      "valueContactDetail": {
        "name": "Interoperability Working Group",
        "telecom": [
          {
            "system": "url",
            "value": "https://www.medizininformatik-initiative.de/en/collaboration/interoperability-working-group"
          }
        ]
      }
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/artifact-reviewer",
      "valueContactDetail": {
        "name": "National Steering Committee",
        "telecom": [
          {
            "system": "url",
            "value": "https://www.medizininformatik-initiative.de/en/collaboration/national-steering-committee"
          }
        ]
      }
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/artifact-endorser",
      "valueContactDetail": {
        "name": "Interoperability Working Group",
        "telecom": [
          {
            "system": "url",
            "value": "https://www.medizininformatik-initiative.de/en/collaboration/interoperability-working-group"
          }
        ]
      }
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/artifact-endorser",
      "valueContactDetail": {
        "name": "National Steering Committee",
        "telecom": [
          {
            "system": "url",
            "value": "https://www.medizininformatik-initiative.de/en/collaboration/national-steering-committee"
          }
        ]
      }
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/artifact-versionAlgorithm",
      "valueCoding": {
        "system": "http://hl7.org/fhir/version-algorithm",
        "code": "semver",
        "display": "SemVer"
      }
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/resource-effectivePeriod",
      "valuePeriod": {
        "start": "2027"
      }
    }
  ],
  "url": "https://www.uicc.org/resources/tnm",
  "version": "2027.0.0-ballot.1",
  "name": "MII_CS_Onko_TNM_UICC",
  "title": "MII CS Onkologie TNM UICC",
  "status": "active",
  "experimental": false,
  "date": "2026-09-15T06:26:59+00:00",
  "publisher": "Medizininformatik Initiative",
  "contact": [
    {
      "name": "Medizininformatik Initiative",
      "telecom": [
        {
          "system": "url",
          "value": "https://www.medizininformatik-initiative.de/"
        }
      ]
    }
  ],
  "description": "Codes für TNM UICC Ausprägungen. HINWEIS zur Auflagen-Versionierung: Dieses CodeSystem ist bewusst eine auflagen-übergreifende Union (8. Auflage + Ergänzungen der 9. Auflage, z.B. T1b3/M1c1/M1c2); die verwendete Auflage wird als eigenes Datenelement (TNM-Version, oBDS 8.2) dokumentiert. Eine formal strengere, auflagen-versionierte Validierung (je Auflage ein CS-/VS-Stand nach dem Muster der ATC-/ICD-O-Jahresversionen) ist als spätere Ausbaustufe vorgesehen.",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "urn:iso:std:iso:3166",
          "code": "DE",
          "display": "Germany"
        }
      ]
    }
  ],
  "copyright": "Die TNM-Klassifikation maligner Tumoren ist urheberrechtlich geschuetzt: TNM Classification of Malignant Tumours © Union for International Cancer Control (UICC). Die hier gefuehrten Codes sind eine Zusammenstellung der im MII-Kerndatensatzmodul Onkologie verwendeten TNM-Kategorien und -Werte zum Zweck der FHIR-Validierung; sie ersetzen nicht die amtliche UICC-Ausgabe und begruenden keine eigenen Rechte an der Klassifikation. Nutzende benoetigen fuer den produktiven Einsatz die entsprechende UICC-Berechtigung.",
  "caseSensitive": true,
  "content": "complete",
  "count": 138,
  "concept": [
    {
      "code": "y",
      "display": "y",
      "definition": "Klassifikation erfolgte während oder nach initialer multimodaler Therapie"
    },
    {
      "code": "r",
      "display": "r",
      "definition": "Klassifikation erfolgte zur Beurteilung eines Rezidivs"
    },
    {
      "code": "a",
      "display": "a",
      "definition": "Klassifikation erfolgte durch Autopsie"
    },
    {
      "code": "c",
      "display": "c",
      "definition": "Kategorie wurde durch klinische Angaben festgestellt."
    },
    {
      "code": "p",
      "display": "p",
      "definition": "Feststellung der Kategorie erfolgte durch eine pathohistologische Untersuchung, mit der auch der höchste Grad der jeweiligen Kategorie hätte festgestellt werden können."
    },
    {
      "code": "u",
      "display": "u",
      "definition": "Feststellung mit Ultraschall"
    },
    {
      "code": "TX",
      "display": "TX"
    },
    {
      "code": "T0",
      "display": "T0"
    },
    {
      "code": "Ta",
      "display": "Ta"
    },
    {
      "code": "Tis",
      "display": "Tis"
    },
    {
      "code": "Tis(LAMN)",
      "display": "Tis(LAMN)"
    },
    {
      "code": "Tis(DCIS)",
      "display": "Tis(DCIS)"
    },
    {
      "code": "Tis(LCIS)",
      "display": "Tis(LCIS)"
    },
    {
      "code": "Tis(Paget)",
      "display": "Tis(Paget)"
    },
    {
      "code": "Tis(pu)",
      "display": "Tis(pu)"
    },
    {
      "code": "Tis(pd)",
      "display": "Tis(pd)"
    },
    {
      "code": "T1",
      "display": "T1"
    },
    {
      "code": "T1mi",
      "display": "T1mi"
    },
    {
      "code": "T1a",
      "display": "T1a"
    },
    {
      "code": "T1a1",
      "display": "T1a1"
    },
    {
      "code": "T1a2",
      "display": "T1a2"
    },
    {
      "code": "T1b",
      "display": "T1b"
    },
    {
      "code": "T1b1",
      "display": "T1b1"
    },
    {
      "code": "T1b2",
      "display": "T1b2"
    },
    {
      "code": "T1b3",
      "display": "T1b3"
    },
    {
      "code": "T1c",
      "display": "T1c"
    },
    {
      "code": "T1c1",
      "display": "T1c1"
    },
    {
      "code": "T1c2",
      "display": "T1c2"
    },
    {
      "code": "T1c3",
      "display": "T1c3"
    },
    {
      "code": "T1d",
      "display": "T1d"
    },
    {
      "code": "T2",
      "display": "T2"
    },
    {
      "code": "T2a",
      "display": "T2a"
    },
    {
      "code": "T2a1",
      "display": "T2a1"
    },
    {
      "code": "T2a2",
      "display": "T2a2"
    },
    {
      "code": "T2b",
      "display": "T2b"
    },
    {
      "code": "T2c",
      "display": "T2c"
    },
    {
      "code": "T2d",
      "display": "T2d"
    },
    {
      "code": "T3",
      "display": "T3"
    },
    {
      "code": "T3a",
      "display": "T3a"
    },
    {
      "code": "T3b",
      "display": "T3b"
    },
    {
      "code": "T3c",
      "display": "T3c"
    },
    {
      "code": "T3d",
      "display": "T3d"
    },
    {
      "code": "T3e",
      "display": "T3e"
    },
    {
      "code": "T4",
      "display": "T4"
    },
    {
      "code": "T4a",
      "display": "T4a"
    },
    {
      "code": "T4b",
      "display": "T4b"
    },
    {
      "code": "T4c",
      "display": "T4c"
    },
    {
      "code": "T4d",
      "display": "T4d"
    },
    {
      "code": "T4e",
      "display": "T4e"
    },
    {
      "code": "m",
      "display": "(m)"
    },
    {
      "code": "2",
      "display": "(2)"
    },
    {
      "code": "3",
      "display": "(3)"
    },
    {
      "code": "4",
      "display": "(4)"
    },
    {
      "code": "5",
      "display": "(5)"
    },
    {
      "code": "6",
      "display": "(6)"
    },
    {
      "code": "7",
      "display": "(7)"
    },
    {
      "code": "8",
      "display": "(8)"
    },
    {
      "code": "9",
      "display": "(9)"
    },
    {
      "code": "10",
      "display": "(10)"
    },
    {
      "code": "NX",
      "display": "Nx"
    },
    {
      "code": "N0",
      "display": "N0"
    },
    {
      "code": "N1",
      "display": "N1"
    },
    {
      "code": "N1mi",
      "display": "N1(mi)"
    },
    {
      "code": "N1a",
      "display": "N1a"
    },
    {
      "code": "N1b",
      "display": "N1b"
    },
    {
      "code": "N1c",
      "display": "N1c"
    },
    {
      "code": "N2",
      "display": "N2"
    },
    {
      "code": "N2a",
      "display": "N2a"
    },
    {
      "code": "N2b",
      "display": "N2b"
    },
    {
      "code": "N2c",
      "display": "N2c"
    },
    {
      "code": "N3",
      "display": "N3"
    },
    {
      "code": "N3a",
      "display": "N3a"
    },
    {
      "code": "N3b",
      "display": "N3b"
    },
    {
      "code": "N3c",
      "display": "N3c"
    },
    {
      "code": "M0",
      "display": "M0"
    },
    {
      "code": "M1",
      "display": "M1"
    },
    {
      "code": "M1a",
      "display": "M1a"
    },
    {
      "code": "M1b",
      "display": "M1b"
    },
    {
      "code": "M1c",
      "display": "M1c"
    },
    {
      "code": "M1c1",
      "display": "M1c1"
    },
    {
      "code": "M1c2",
      "display": "M1c2"
    },
    {
      "code": "M1d",
      "display": "M1d"
    },
    {
      "code": "MX",
      "display": "MX"
    },
    {
      "code": "i+",
      "display": "(i+)"
    },
    {
      "code": "i-",
      "display": "(i-)"
    },
    {
      "code": "mol+",
      "display": "(mol+)"
    },
    {
      "code": "mol-",
      "display": "(mol-)"
    },
    {
      "code": "sn",
      "display": "(sn)"
    },
    {
      "code": "L0",
      "display": "L0",
      "definition": "Keine Lymphgefäßinvasion"
    },
    {
      "code": "L1",
      "display": "L1",
      "definition": "Lymphgefäßinvasion"
    },
    {
      "code": "LX",
      "display": "LX",
      "definition": "Lymphgefäßinvasion kann nicht beurteilt werden"
    },
    {
      "code": "V0",
      "display": "V0",
      "definition": "Keine Veneninvasion"
    },
    {
      "code": "V1",
      "display": "V1",
      "definition": "Mikroskopische Veneninvasion"
    },
    {
      "code": "V2",
      "display": "V2",
      "definition": "Makroskopische Veneninvasion"
    },
    {
      "code": "VX",
      "display": "VX",
      "definition": "Veneninvasion kann nicht beurteilt werden"
    },
    {
      "code": "Pn0",
      "display": "Pn0",
      "definition": "Keine perineurale Invasion"
    },
    {
      "code": "Pn1",
      "display": "Pn1",
      "definition": "Perineurale Invasion"
    },
    {
      "code": "PnX",
      "display": "PnX",
      "definition": "Perineurale Invasion kann nicht beurteilt werden"
    },
    {
      "code": "S0",
      "display": "S0",
      "definition": "Serumtumormarker innerhalb der normalen Grenzen"
    },
    {
      "code": "S1",
      "display": "S1"
    },
    {
      "code": "S2",
      "display": "S2"
    },
    {
      "code": "S3",
      "display": "S3"
    },
    {
      "code": "SX",
      "display": "SX",
      "definition": "Werte der Serumtumormarker nicht verfügbar oder entspre- chende Untersuchungen nicht vorgenommen"
    },
    {
      "code": "okk",
      "display": "Stadium X"
    },
    {
      "code": "0",
      "display": "Stadium 0"
    },
    {
      "code": "0a",
      "display": "Stadium 0a"
    },
    {
      "code": "0is",
      "display": "Stadium 0is"
    },
    {
      "code": "I",
      "display": "Stadium I"
    },
    {
      "code": "IA",
      "display": "Stadium IA"
    },
    {
      "code": "IA1",
      "display": "Stadium IA1"
    },
    {
      "code": "IA2",
      "display": "Stadium IA2"
    },
    {
      "code": "IA3",
      "display": "Stadium IA3"
    },
    {
      "code": "IB",
      "display": "Stadium IB"
    },
    {
      "code": "IB1",
      "display": "Stadium IB1"
    },
    {
      "code": "IB2",
      "display": "Stadium IB2"
    },
    {
      "code": "IC",
      "display": "Stadium IC"
    },
    {
      "code": "IS",
      "display": "Stadium IS"
    },
    {
      "code": "II",
      "display": "Stadium II"
    },
    {
      "code": "IIA",
      "display": "Stadium IIA"
    },
    {
      "code": "IIA1",
      "display": "Stadium IIA1"
    },
    {
      "code": "IIA2",
      "display": "Stadium IIA2"
    },
    {
      "code": "IIB",
      "display": "Stadium IIB"
    },
    {
      "code": "IIC",
      "display": "Stadium IIC"
    },
    {
      "code": "III",
      "display": "Stadium III"
    },
    {
      "code": "IIIA",
      "display": "Stadium IIIA"
    },
    {
      "code": "IIIA1",
      "display": "Stadium IIIA1"
    },
    {
      "code": "IIIA2",
      "display": "Stadium IIIA2"
    },
    {
      "code": "IIIB",
      "display": "Stadium IIIB"
    },
    {
      "code": "IIIC",
      "display": "Stadium IIIC"
    },
    {
      "code": "IIIC1",
      "display": "Stadium IIIC1"
    },
    {
      "code": "IIIC2",
      "display": "Stadium IIIC2"
    },
    {
      "code": "IIID",
      "display": "Stadium IIID"
    },
    {
      "code": "IV",
      "display": "Stadium IV"
    },
    {
      "code": "IVA",
      "display": "Stadium IVA"
    },
    {
      "code": "IVA1",
      "display": "Stadium IVA1"
    },
    {
      "code": "IVA2",
      "display": "Stadium IVA2"
    },
    {
      "code": "IVB",
      "display": "Stadium IVB"
    },
    {
      "code": "IVC",
      "display": "Stadium IVC"
    }
  ]
}