{
  "resourceType" : "CodeSystem",
  "id" : "mii-cs-onko-grading",
  "meta" : {
    "extension" : [{
      "url" : "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-license",
      "valueCode" : "CC-BY-4.0"
    },
    {
      "extension" : [{
        "url" : "packageId",
        "valueId" : "de.medizininformatikinitiative.kerndatensatz.onkologie"
      },
      {
        "url" : "version",
        "valueString" : "2027.0.0-ballot.1"
      },
      {
        "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/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" : "<div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem mii-cs-onko-grading</b></p><a name=\"mii-cs-onko-grading\"> </a><a name=\"hcmii-cs-onko-grading\"> </a><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\"/><p style=\"margin-bottom: 0px\">Profiles: <a href=\"http://hl7.org/fhir/uv/crmi/STU2/StructureDefinition-shareablecodesystem.html\">Shareable CodeSystem</a>, <a href=\"http://hl7.org/fhir/uv/crmi/STU2/StructureDefinition-crmi-shareablecodesystem.html\">CRMI Shareable CodeSystem</a>, <a href=\"http://hl7.org/fhir/uv/crmi/STU2/StructureDefinition-crmi-publishablecodesystem.html\">CRMI Publishable CodeSystem</a></p></div><p>This case-sensitive code system <code>https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-grading</code> defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style=\"white-space:nowrap\">0<a name=\"mii-cs-onko-grading-0\"> </a></td><td>primär erworbene Melanose ohne zelluläre Atypien</td><td>(nur beim malignen Melanom der Konjunktiva)</td></tr><tr><td style=\"white-space:nowrap\">1<a name=\"mii-cs-onko-grading-1\"> </a></td><td>gut differenziert</td><td/></tr><tr><td style=\"white-space:nowrap\">2<a name=\"mii-cs-onko-grading-2\"> </a></td><td>mäßig differenziert</td><td/></tr><tr><td style=\"white-space:nowrap\">3<a name=\"mii-cs-onko-grading-3\"> </a></td><td>schlecht differenziert</td><td/></tr><tr><td style=\"white-space:nowrap\">4<a name=\"mii-cs-onko-grading-4\"> </a></td><td>undifferenziert</td><td/></tr><tr><td style=\"white-space:nowrap\">5<a name=\"mii-cs-onko-grading-5\"> </a></td><td>nur für C61, TNM8</td><td/></tr><tr><td style=\"white-space:nowrap\">X<a name=\"mii-cs-onko-grading-X\"> </a></td><td>nicht bestimmbar</td><td/></tr><tr><td style=\"white-space:nowrap\">L<a name=\"mii-cs-onko-grading-L\"> </a></td><td>low grade (G1 oder G2)</td><td/></tr><tr><td style=\"white-space:nowrap\">M<a name=\"mii-cs-onko-grading-M\"> </a></td><td>intermediate grade (G2 oder G3)</td><td/></tr><tr><td style=\"white-space:nowrap\">H<a name=\"mii-cs-onko-grading-H\"> </a></td><td>high grade (G3 oder G4)</td><td/></tr><tr><td style=\"white-space:nowrap\">B<a name=\"mii-cs-onko-grading-B\"> </a></td><td>Borderline</td><td/></tr><tr><td style=\"white-space:nowrap\">U<a name=\"mii-cs-onko-grading-U\"> </a></td><td>unbekannt</td><td/></tr><tr><td style=\"white-space:nowrap\">T<a name=\"mii-cs-onko-grading-T\"> </a></td><td>trifft nicht zu</td><td/></tr></table></div>"
  },
  "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.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-grading",
  "version" : "2027.0.0-ballot.1",
  "name" : "MII_CS_Onko_Grading",
  "title" : "MII CS Onkologie Grading",
  "status" : "active",
  "experimental" : false,
  "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" : "Codes für Histologie Grading. Gibt den Differenzierungsgrad des Tumors entsprechend der aktuellen TNM-Auflage an.",
  "jurisdiction" : [{
    "coding" : [{
      "system" : "urn:iso:std:iso:3166",
      "code" : "DE",
      "display" : "Germany"
    }]
  }],
  "caseSensitive" : true,
  "valueSet" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/ValueSet/mii-vs-onko-grading",
  "content" : "complete",
  "count" : 13,
  "concept" : [{
    "code" : "0",
    "display" : "primär erworbene Melanose ohne zelluläre Atypien",
    "definition" : "(nur beim malignen Melanom der Konjunktiva)"
  },
  {
    "code" : "1",
    "display" : "gut differenziert"
  },
  {
    "code" : "2",
    "display" : "mäßig differenziert"
  },
  {
    "code" : "3",
    "display" : "schlecht differenziert"
  },
  {
    "code" : "4",
    "display" : "undifferenziert"
  },
  {
    "code" : "5",
    "display" : "nur für C61, TNM8"
  },
  {
    "code" : "X",
    "display" : "nicht bestimmbar"
  },
  {
    "code" : "L",
    "display" : "low grade (G1 oder G2)"
  },
  {
    "code" : "M",
    "display" : "intermediate grade (G2 oder G3)"
  },
  {
    "code" : "H",
    "display" : "high grade (G3 oder G4)"
  },
  {
    "code" : "B",
    "display" : "Borderline"
  },
  {
    "code" : "U",
    "display" : "unbekannt"
  },
  {
    "code" : "T",
    "display" : "trifft nicht zu"
  }]
}