{
"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.",
"_filename": "CodeSystem-mii-cs-onko-tnm-uicc.json",
"package_name": "de.medizininformatikinitiative.kerndatensatz.onkologie",
"date": "2026-09-14T12:10:39+00:00",
"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" ]
},
"publisher": "Medizininformatik Initiative",
"jurisdiction": [ {
"coding": [ {
"code": "DE",
"system": "urn:iso:std:iso:3166",
"display": "Germany"
} ]
} ],
"content": "complete",
"name": "MII_CS_Onko_TNM_UICC",
"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.",
"type": null,
"experimental": "false",
"resourceType": "CodeSystem",
"title": "MII CS Onkologie TNM UICC",
"package_version": "2027.0.0-ballot",
"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": [ {
"code": "package",
"system": "http://terminology.hl7.org/CodeSystem/artifact-version-policy-codes",
"display": "Package"
} ]
}
}, {
"url": "http://hl7.org/fhir/StructureDefinition/resource-approvalDate",
"valueDate": "2026-09-15"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/artifact-topic",
"valueCodeableConcept": {
"coding": [ {
"code": "C3262",
"system": "http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl"
} ]
}
}, {
"url": "http://hl7.org/fhir/StructureDefinition/artifact-author",
"valueContactDetail": {
"telecom": [ {
"value": "thomas.debertshaeuser@charite.de",
"system": "email"
} ]
}
}, {
"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": [ {
"value": "https://www.medizininformatik-initiative.de/en/collaboration/interoperability-working-group",
"system": "url"
} ]
}
}, {
"url": "http://hl7.org/fhir/StructureDefinition/artifact-reviewer",
"valueContactDetail": {
"name": "National Steering Committee",
"telecom": [ {
"value": "https://www.medizininformatik-initiative.de/en/collaboration/national-steering-committee",
"system": "url"
} ]
}
}, {
"url": "http://hl7.org/fhir/StructureDefinition/artifact-endorser",
"valueContactDetail": {
"name": "Interoperability Working Group",
"telecom": [ {
"value": "https://www.medizininformatik-initiative.de/en/collaboration/interoperability-working-group",
"system": "url"
} ]
}
}, {
"url": "http://hl7.org/fhir/StructureDefinition/artifact-endorser",
"valueContactDetail": {
"name": "National Steering Committee",
"telecom": [ {
"value": "https://www.medizininformatik-initiative.de/en/collaboration/national-steering-committee",
"system": "url"
} ]
}
}, {
"url": "http://hl7.org/fhir/StructureDefinition/artifact-versionAlgorithm",
"valueCoding": {
"code": "semver",
"system": "http://hl7.org/fhir/version-algorithm",
"display": "SemVer"
}
}, {
"url": "http://hl7.org/fhir/StructureDefinition/resource-effectivePeriod",
"valuePeriod": {
"start": "2027"
}
} ],
"status": "active",
"id": "6394a919-6764-4de9-8cf4-f0501d282f2e",
"kind": null,
"count": 138,
"url": "https://www.uicc.org/resources/tnm",
"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"
} ],
"caseSensitive": true,
"version": "2027.0.0-ballot",
"contact": [ {
"name": "Medizininformatik Initiative",
"telecom": [ {
"value": "https://www.medizininformatik-initiative.de/",
"system": "url"
} ]
} ]
}