{ "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"] }, "language" : "en", "text" : { "status" : "generated", "div" : "

English

Generated Narrative: CodeSystem mii-cs-onko-tnm-uicc

Profiles: Shareable CodeSystem, CRMI Shareable CodeSystem, CRMI Publishable CodeSystem

This case-sensitive code system https://www.uicc.org/resources/tnm defines the following codes:

CodeDisplayDefinition
y yKlassifikation erfolgte während oder nach initialer multimodaler Therapie
r rKlassifikation erfolgte zur Beurteilung eines Rezidivs
a aKlassifikation erfolgte durch Autopsie
c cKategorie wurde durch klinische Angaben festgestellt.
p pFeststellung der Kategorie erfolgte durch eine pathohistologische Untersuchung, mit der auch der höchste Grad der jeweiligen Kategorie hätte festgestellt werden können.
u uFeststellung mit Ultraschall
TX TX
T0 T0
Ta Ta
Tis Tis
Tis(LAMN) Tis(LAMN)
Tis(DCIS) Tis(DCIS)
Tis(LCIS) Tis(LCIS)
Tis(Paget) Tis(Paget)
Tis(pu) Tis(pu)
Tis(pd) Tis(pd)
T1 T1
T1mi T1mi
T1a T1a
T1a1 T1a1
T1a2 T1a2
T1b T1b
T1b1 T1b1
T1b2 T1b2
T1b3 T1b3
T1c T1c
T1c1 T1c1
T1c2 T1c2
T1c3 T1c3
T1d T1d
T2 T2
T2a T2a
T2a1 T2a1
T2a2 T2a2
T2b T2b
T2c T2c
T2d T2d
T3 T3
T3a T3a
T3b T3b
T3c T3c
T3d T3d
T3e T3e
T4 T4
T4a T4a
T4b T4b
T4c T4c
T4d T4d
T4e T4e
m (m)
2 (2)
3 (3)
4 (4)
5 (5)
6 (6)
7 (7)
8 (8)
9 (9)
10 (10)
NX Nx
N0 N0
N1 N1
N1mi N1(mi)
N1a N1a
N1b N1b
N1c N1c
N2 N2
N2a N2a
N2b N2b
N2c N2c
N3 N3
N3a N3a
N3b N3b
N3c N3c
M0 M0
M1 M1
M1a M1a
M1b M1b
M1c M1c
M1c1 M1c1
M1c2 M1c2
M1d M1d
MX MX
i+ (i+)
i- (i-)
mol+ (mol+)
mol- (mol-)
sn (sn)
L0 L0Keine Lymphgefäßinvasion
L1 L1Lymphgefäßinvasion
LX LXLymphgefäßinvasion kann nicht beurteilt werden
V0 V0Keine Veneninvasion
V1 V1Mikroskopische Veneninvasion
V2 V2Makroskopische Veneninvasion
VX VXVeneninvasion kann nicht beurteilt werden
Pn0 Pn0Keine perineurale Invasion
Pn1 Pn1Perineurale Invasion
PnX PnXPerineurale Invasion kann nicht beurteilt werden
S0 S0Serumtumormarker innerhalb der normalen Grenzen
S1 S1
S2 S2
S3 S3
SX SXWerte der Serumtumormarker nicht verfügbar oder entspre- chende Untersuchungen nicht vorgenommen
okk Stadium X
0 Stadium 0
0a Stadium 0a
0is Stadium 0is
I Stadium I
IA Stadium IA
IA1 Stadium IA1
IA2 Stadium IA2
IA3 Stadium IA3
IB Stadium IB
IB1 Stadium IB1
IB2 Stadium IB2
IC Stadium IC
IS Stadium IS
II Stadium II
IIA Stadium IIA
IIA1 Stadium IIA1
IIA2 Stadium IIA2
IIB Stadium IIB
IIC Stadium IIC
III Stadium III
IIIA Stadium IIIA
IIIA1 Stadium IIIA1
IIIA2 Stadium IIIA2
IIIB Stadium IIIB
IIIC Stadium IIIC
IIIC1 Stadium IIIC1
IIIC2 Stadium IIIC2
IIID Stadium IIID
IV Stadium IV
IVA Stadium IVA
IVA1 Stadium IVA1
IVA2 Stadium IVA2
IVB Stadium IVB
IVC Stadium IVC
" }, "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" }] }