{
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  "meta" : {
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      {
        "url" : "uri",
        "valueUri" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/package-source"
    }],
    "profile" : ["http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareablelibrary",
    "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-publishablelibrary"]
  },
  "language" : "de",
  "text" : {
    "status" : "extensions",
    "div" : "<div xml:lang=\"de\" lang=\"de\"><hr/><p><b>German</b></p><hr/><p><b style=\"color: maroon\">Exception parsing generated Narrative (see /tmp/liquid-36cee841-f01f-44cb-a958-64896f0ca59d.html): unexpected non-end of element null::a  at line 134 column 50</b></p></div>"
  },
  "extension" : [{
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  {
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    "valueCodeableConcept" : {
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        "code" : "package",
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  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/artifact-versionAlgorithm",
    "valueCoding" : {
      "system" : "http://hl7.org/fhir/version-algorithm",
      "code" : "semver",
      "display" : "SemVer"
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  }],
  "url" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Library/mii-lib-onko-synthesize-tnm",
  "version" : "2027.0.0-ballot.1",
  "name" : "MIIOnkoSynthesizeTNM",
  "title" : "MII Onkologie TNM-Synthese Algorithmus",
  "status" : "active",
  "experimental" : false,
  "type" : {
    "coding" : [{
      "system" : "http://terminology.hl7.org/CodeSystem/library-type",
      "code" : "logic-library"
    }]
  },
  "date" : "2026-09-15T07:11:34+00:00",
  "publisher" : "Medizininformatik Initiative",
  "contact" : [{
    "name" : "Medizininformatik Initiative",
    "telecom" : [{
      "system" : "url",
      "value" : "https://www.medizininformatik-initiative.de/"
    }]
  }],
  "description" : "Deterministischer Algorithmus zur Synthese einer TNM-Klassifikation aus mehreren Meldungs-bezogenen Quell-Klassifikationen. Implementiert UICC General Rules nach Manual der Krebsregistrierung Kap. 6 (Stegmaier 2019). Drei Phasen: primary (kein y/r), post-neoadjuvant (y), recurrence (r). Symbol-Lesen aus hasMember (mii-pr-onko-tnm-{y,r,a,m}-symbol). Pre-therapeutic intentional NICHT Phase: nicht aus TNM-Daten ableitbar (Biopsien können pTNM ergeben), gehört in Workflow-Kontext (Tumorkonferenz.category=praeth).",
  "jurisdiction" : [{
    "coding" : [{
      "system" : "urn:iso:std:iso:3166",
      "code" : "DE",
      "display" : "Germany"
    }]
  }],
  "approvalDate" : "2026-09-15",
  "topic" : [{
    "coding" : [{
      "system" : "http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl",
      "code" : "C3262"
    }]
  }],
  "author" : [{
    "telecom" : [{
      "system" : "email",
      "value" : "thomas.debertshaeuser@charite.de"
    }]
  }],
  "editor" : [{
    "name" : "Taskforce Core Data Set"
  }],
  "reviewer" : [{
    "name" : "Interoperability Working Group",
    "telecom" : [{
      "system" : "url",
      "value" : "https://www.medizininformatik-initiative.de/en/collaboration/interoperability-working-group"
    }]
  },
  {
    "name" : "National Steering Committee",
    "telecom" : [{
      "system" : "url",
      "value" : "https://www.medizininformatik-initiative.de/en/collaboration/national-steering-committee"
    }]
  }],
  "endorser" : [{
    "name" : "Interoperability Working Group",
    "telecom" : [{
      "system" : "url",
      "value" : "https://www.medizininformatik-initiative.de/en/collaboration/interoperability-working-group"
    }]
  },
  {
    "name" : "National Steering Committee",
    "telecom" : [{
      "system" : "url",
      "value" : "https://www.medizininformatik-initiative.de/en/collaboration/national-steering-committee"
    }]
  }],
  "relatedArtifact" : [{
    "type" : "documentation",
    "label" : "README mit Algorithmus-Doku, ETL-Integration und Performance-Notes",
    "url" : "https://github.com/medizininformatik-initiative/kerndatensatzmodul-onkologie/blob/main/.claude/scripts/synthesize_tnm/README.md",
    "document" : {
      "url" : "https://github.com/medizininformatik-initiative/kerndatensatzmodul-onkologie/blob/main/.claude/scripts/synthesize_tnm/README.md"
    }
  },
  {
    "type" : "depends-on",
    "label" : "UICC General Rules / Best-of-Prozess",
    "citation" : "Stegmaier C, Hentschel S, Hofstädter F, Katalinic A, Tillack A, Klinkhammer-Schalke M (Hg.). Das Manual der Krebsregistrierung. W. Zuckschwerdt Verlag, München. 2019. ISBN 978-3-86371-165-8. Kap. 6 'Datenzusammenführung, -speicherung und Best-of-Prozess'."
  },
  {
    "type" : "depends-on",
    "label" : "UICC TNM 8th Edition",
    "citation" : "Brierley JD, Gospodarowicz MK, Wittekind C (Hg.). TNM Classification of Malignant Tumours, 8th Edition. Wiley-Blackwell, Oxford. 2017. ISBN 978-1-119-26357-9."
  }]
}