HdBe-TNMTumorClassification

Profile	Status	URL
HdBe-TNMTumorClassification	draft	https://fhir.healthdata.be/StructureDefinition/LogicalModel/HdBe-TNMTumorClassification

TnmtumorClassification		TnmtumorClassification	There are no (further) constraints on this element Element Id TnmtumorClassification Short description TNMTumorClassification Definition Root concept of the TNMTumorClassification information model.This root concept contains all data elements of the TNMTumorClassification information model. Data Type TnmtumorClassification
PrimaryTumor	0..1	BackboneElement	There are no (further) constraints on this element Element Id TnmtumorClassification.PrimaryTumor Short description PrimaryTumor Definition Container of the PrimaryTumor concept.This container contains all data elements of the PrimaryTumor concept. Data Type BackboneElement
MNumberOfPrimaryTumors	0..1	CodeableConceptBinding	There are no (further) constraints on this element Element Id TnmtumorClassification.PrimaryTumor.MNumberOfPrimaryTumors Short description m_NumberOfPrimaryTumors Definition Data Type CodeableConcept Binding m-NumberOfPrimaryTumors codes https://fhir.healthdata.be/ValueSet/m_AantalPrimaireTumoren (extensible)
TPrimaryTumor	0..1	CodeableConcept	There are no (further) constraints on this element Element Id TnmtumorClassification.PrimaryTumor.TPrimaryTumor Short description T_PrimaryTumor Definition Staging result of the size extension of the primary tumor, the T-category of the TNM classification including the prefix and suffix. Data Type CodeableConcept
Abnormality	1..*	BackboneElement	There are no (further) constraints on this element Element Id TnmtumorClassification.PrimaryTumor.Abnormality Short description Abnormality Definition Container of the Abnormality concept.This container contains all data elements of the Abnormality concept. Data Type BackboneElement
AbnormalityNumber	0..1	Count	There are no (further) constraints on this element Element Id TnmtumorClassification.PrimaryTumor.Abnormality.AbnormalityNumber Short description AbnormalityNumber Definition The number assigned to the abnormality, which is necessary in order to be able to clearly indicate to which abnormality the information relates in various examinations. In the case of multiple primary tumors in one organ, the tumor with the highest T category should be classified. Data Type Count
Morphology	0..1	CodeableConceptBinding	There are no (further) constraints on this element Element Id TnmtumorClassification.PrimaryTumor.Abnormality.Morphology Short description Morphology Definition Behavior of a tumor and cell type expressed in ICD-O-3 morphological or histology code. Describes the cell type (or histology) of the tumor, together with the behavior (malignant or benign). This is determined by a pathologist. Data Type CodeableConcept Binding Morphology codes Morfologie (extensible)
GHistopathologicalGrading	0..1	CodeableConceptBinding	There are no (further) constraints on this element Element Id TnmtumorClassification.PrimaryTumor.Abnormality.GHistopathologicalGrading Short description G_HistopathologicalGrading Definition Staging result of the histopathological grading, the G-category of theTNM classification. The differentiation grade of a tumor is determined by a pathologist. Data Type CodeableConcept Binding G-HistopathologicalGrading codes https://fhir.healthdata.be/ValueSet/G_DifferentiatiegraadTumor (extensible)
TumorLocalization	0..*	Reference(HdBe AnatomicalLocation)	There are no (further) constraints on this element Element Id TnmtumorClassification.PrimaryTumor.Abnormality.TumorLocalization Short description TumorLocalization Definition Container of the TumorLocalization concept.This container contains all data elements of the TumorLocalization concept. Data Type Reference(HdBe AnatomicalLocation)
RegionalLymphnodes	0..1	BackboneElement	There are no (further) constraints on this element Element Id TnmtumorClassification.RegionalLymphnodes Short description RegionalLymphnodes Definition Container of the RegionalLymphnodes concept.This container contains all data elements of the RegionalLymphnodes concept. Data Type BackboneElement
NRegionalLymphnodes	0..1	CodeableConcept	There are no (further) constraints on this element Element Id TnmtumorClassification.RegionalLymphnodes.NRegionalLymphnodes Short description N_RegionalLymphnodes Definition Staging result of the presence or absence of regional lymph nodes metastasis, the N-category of the TNM classification. Data Type CodeableConcept
RegionalLymphNodesLocalization	0..*	Reference(HdBe AnatomicalLocation)	There are no (further) constraints on this element Element Id TnmtumorClassification.RegionalLymphnodes.RegionalLymphNodesLocalization Short description RegionalLymphNodesLocalization Definition Container of the RegionalLymphNodesLocalization concept.This container contains all data elements of the RegionalLymphNodesLocalization concept. Data Type Reference(HdBe AnatomicalLocation)
DistantMetastasis	0..1	BackboneElement	There are no (further) constraints on this element Element Id TnmtumorClassification.DistantMetastasis Short description DistantMetastasis Definition Container of the DistantMetastasis concept.This container contains all data elements of the DistantMetastasis concept. Data Type BackboneElement
MDistantMetastasis	0..1	CodeableConcept	There are no (further) constraints on this element Element Id TnmtumorClassification.DistantMetastasis.MDistantMetastasis Short description M_DistantMetastasis Definition Staging result of the presence or absence of distant metastasis, the M-category of the TNM classification. Data Type CodeableConcept
DistantMetastasisLocalization	0..*	Reference(HdBe AnatomicalLocation)	There are no (further) constraints on this element Element Id TnmtumorClassification.DistantMetastasis.DistantMetastasisLocalization Short description DistantMetastasisLocalization Definition Container of the DistantMetastasisLocalization concept.This container contains all data elements of the DistantMetastasisLocalization concept. Data Type Reference(HdBe AnatomicalLocation)
DateOfTnmclassification	0..1	dateTime	There are no (further) constraints on this element Element Id TnmtumorClassification.DateOfTnmclassification Short description DateOfTNMClassification Definition The date at which the TNM Classification (the value) has been assigned. Data Type dateTime
Tnmversion	0..1	CodeableConceptBinding	There are no (further) constraints on this element Element Id TnmtumorClassification.Tnmversion Short description TNMVersion Definition TNM classification version (AJCC or UICC) and edition used (7th, 8th etc.). Data Type CodeableConcept Binding TNMVersion codes TNMVersie (extensible)
IntegratedTnmvalue	0..1	string	There are no (further) constraints on this element Element Id TnmtumorClassification.IntegratedTnmvalue Short description IntegratedTNMValue Definition The assigned TNM classification (the value), based on each T, N and M category (optional incl. multiple primary tumors (m) and/or the localization of M). Data Type string
Explanation	0..1	string	There are no (further) constraints on this element Element Id TnmtumorClassification.Explanation Short description Explanation Definition Remark regarding interpretation of the integrated TNM value as is classified. Data Type string
TlLymphaticInvasion	0..1	CodeableConceptBinding	There are no (further) constraints on this element Element Id TnmtumorClassification.TlLymphaticInvasion Short description TL_LymphaticInvasion Definition Presence or absence of tissue invasion absence of lymphatic invasion, the L-category. It concerns an additional description within the TNM classification that is determined by a pathologist. Data Type CodeableConcept Binding TL-LymphaticInvasion codes https://fhir.healthdata.be/ValueSet/L_LymfatischeInvasie (extensible)
PnPerineuralInvasion	0..1	CodeableConceptBinding	There are no (further) constraints on this element Element Id TnmtumorClassification.PnPerineuralInvasion Short description Pn_PerineuralInvasion Definition Presence or absence of perineural invasion, the Pn-category. It concerns an additional description within the TNM classification that is determined by a pathologist. Data Type CodeableConcept Binding Pn-PerineuralInvasion codes https://fhir.healthdata.be/ValueSet/Pn_PerineuraleInvasie (extensible)
VVenousInvasion	0..1	CodeableConceptBinding	There are no (further) constraints on this element Element Id TnmtumorClassification.VVenousInvasion Short description V_VenousInvasion Definition Presence or absence of venous invasion, the V-category. It concerns an additional description within the TNM classification that is determined by a pathologist. Data Type CodeableConcept Binding V-VenousInvasion codes https://fhir.healthdata.be/ValueSet/V_VeneuzeInvasie (extensible)
AnatomicalStage	0..1	CodeableConceptBinding	There are no (further) constraints on this element Element Id TnmtumorClassification.AnatomicalStage Short description AnatomicalStage Definition The stage of the disease is the grouping based on the anatomical extent of the disease. Data Type CodeableConcept Binding AnatomicalStage codes AnatomischStadium (extensible)
PrognosticStage	0..1	CodeableConceptBinding	There are no (further) constraints on this element Element Id TnmtumorClassification.PrognosticStage Short description PrognosticStage Definition The Prognostic Stage group of the disease. Next to the anatomic extent of the disease additional prognostic factors are included in the grouping. Data Type CodeableConcept Binding PrognosticStage codes PrognostischStadium (extensible)
RResidualTumor	0..1	CodeableConceptBinding	There are no (further) constraints on this element Element Id TnmtumorClassification.RResidualTumor Short description R_ResidualTumor Definition Presence or absence of Residual Tumor after treatment, the R-category. Data Type CodeableConcept Binding R-ResidualTumor codes https://fhir.healthdata.be/ValueSet/R_ResidueleTumor (extensible)

TnmtumorClassification		0..*
TnmtumorClassification.PrimaryTumor	BackboneElement	0..1
TnmtumorClassification.PrimaryTumor.MNumberOfPrimaryTumors	CodeableConcept	0..1
TnmtumorClassification.PrimaryTumor.TPrimaryTumor	CodeableConcept	0..1
TnmtumorClassification.PrimaryTumor.Abnormality	BackboneElement	1..*
TnmtumorClassification.PrimaryTumor.Abnormality.AbnormalityNumber	Count	0..1
TnmtumorClassification.PrimaryTumor.Abnormality.Morphology	CodeableConcept	0..1
TnmtumorClassification.PrimaryTumor.Abnormality.GHistopathologicalGrading	CodeableConcept	0..1
TnmtumorClassification.PrimaryTumor.Abnormality.TumorLocalization	Reference(HdBe AnatomicalLocation)	0..*
TnmtumorClassification.RegionalLymphnodes	BackboneElement	0..1
TnmtumorClassification.RegionalLymphnodes.NRegionalLymphnodes	CodeableConcept	0..1
TnmtumorClassification.RegionalLymphnodes.RegionalLymphNodesLocalization	Reference(HdBe AnatomicalLocation)	0..*
TnmtumorClassification.DistantMetastasis	BackboneElement	0..1
TnmtumorClassification.DistantMetastasis.MDistantMetastasis	CodeableConcept	0..1
TnmtumorClassification.DistantMetastasis.DistantMetastasisLocalization	Reference(HdBe AnatomicalLocation)	0..*
TnmtumorClassification.DateOfTnmclassification	dateTime	0..1
TnmtumorClassification.Tnmversion	CodeableConcept	0..1
TnmtumorClassification.IntegratedTnmvalue	string	0..1
TnmtumorClassification.Explanation	string	0..1
TnmtumorClassification.TlLymphaticInvasion	CodeableConcept	0..1
TnmtumorClassification.PnPerineuralInvasion	CodeableConcept	0..1
TnmtumorClassification.VVenousInvasion	CodeableConcept	0..1
TnmtumorClassification.AnatomicalStage	CodeableConcept	0..1
TnmtumorClassification.PrognosticStage	CodeableConcept	0..1
TnmtumorClassification.RResidualTumor	CodeableConcept	0..1

TNMTumorClassification
Definition	Base definition for all elements in a resource.
Cardinality	0...*
Invariants	ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim:n/a
TNMTumorClassification.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	System.String
Mappings	rim:n/a
TNMTumorClassification.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim:n/a rim:N/A
TNMTumorClassification.TnmtumorClassification
Definition	Root concept of the TNMTumorClassification information model.This root concept contains all data elements of the TNMTumorClassification information model.
Cardinality	0...*

Example instances

[CBB name]
[Concept name ]	[example value]

// example of NameInformation

## Example instances

| NameInformation      |                   |
|----------------------|-------------------|
| FirstNames | Johanna Petronella Maria   
| Initials | J.P.M. 
| GivenName | Jo 
| NameUsage | Geslachtsnaam partner gevolgd door eigen geslachtsnaam
| LastName.Prefix | van
| LastName.LastName | Putten
| LastNamePartner.PartnerPrefix | van der
| LastNamePartner.PartnerLastName | Giessen
| Titles |

zib [zib name + version](https://zibs.nl/wiki/[zib name + version(release)]) difference

Concept	Category	Description
`[element.path]`	[category of change]	[Description of change]([Reference to ticket/issue/zulip chat using MarkDown link])

Terminology Bindings

Path	Name	Strength	URL
PrimaryTumor.MNumberOfPrimaryTumors	m_AantalPrimaireTumoren	extensible	https://fhir.healthdata.be/ValueSet/m_AantalPrimaireTumoren
PrimaryTumor.Abnormality.Morphology	Morfologie	extensible	https://fhir.healthdata.be/ValueSet/Morfologie
PrimaryTumor.Abnormality.GHistopathologicalGrading	G_DifferentiatiegraadTumor	extensible	https://fhir.healthdata.be/ValueSet/G_DifferentiatiegraadTumor
Tnmversion	TNMVersie	extensible	https://fhir.healthdata.be/ValueSet/TNMVersie
TlLymphaticInvasion	L_LymfatischeInvasie	extensible	https://fhir.healthdata.be/ValueSet/L_LymfatischeInvasie
PnPerineuralInvasion	Pn_PerineuraleInvasie	extensible	https://fhir.healthdata.be/ValueSet/Pn_PerineuraleInvasie
VVenousInvasion	V_VeneuzeInvasie	extensible	https://fhir.healthdata.be/ValueSet/V_VeneuzeInvasie
AnatomicalStage	AnatomischStadium	extensible	https://fhir.healthdata.be/ValueSet/AnatomischStadium
PrognosticStage	PrognostischStadium	extensible	https://fhir.healthdata.be/ValueSet/PrognostischStadium
RResidualTumor	R_ResidueleTumor	extensible	https://fhir.healthdata.be/ValueSet/R_ResidueleTumor