{
  "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).",
  "_filename": "Library-mii-lib-onko-synthesize-tnm.json",
  "package_name": "de.medizininformatikinitiative.kerndatensatz.onkologie",
  "date": "2026-09-14T12:10:39+00:00",
  "meta": {
    "profile": [ "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareablelibrary", "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-publishablelibrary" ],
    "extension": [ {
      "url": "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-license",
      "valueCode": "CC-BY-4.0"
    }, {
      "url": "http://hl7.org/fhir/StructureDefinition/package-source",
      "extension": [ {
        "url": "packageId",
        "valueId": "de.medizininformatikinitiative.kerndatensatz.onkologie"
      }, {
        "url": "version",
        "valueString": "2027.0.0-ballot"
      }, {
        "url": "uri",
        "valueUri": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko"
      } ]
    } ]
  },
  "endorser": [ {
    "name": "Interoperability Working Group",
    "telecom": [ {
      "value": "https://www.medizininformatik-initiative.de/en/collaboration/interoperability-working-group",
      "system": "url"
    } ]
  }, {
    "name": "National Steering Committee",
    "telecom": [ {
      "value": "https://www.medizininformatik-initiative.de/en/collaboration/national-steering-committee",
      "system": "url"
    } ]
  } ],
  "publisher": "Medizininformatik Initiative",
  "approvalDate": "2026-09-15",
  "jurisdiction": [ {
    "coding": [ {
      "code": "DE",
      "system": "urn:iso:std:iso:3166",
      "display": "Germany"
    } ]
  } ],
  "name": "MIIOnkoSynthesizeTNM",
  "type": "{:coding [{:system \\\"http://terminology.hl7.org/CodeSystem/library-type\\\", :code \\\"logic-library\\\"}]}",
  "experimental": "false",
  "topic": [ {
    "coding": [ {
      "code": "C3262",
      "system": "http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl"
    } ]
  } ],
  "resourceType": "Library",
  "title": "MII Onkologie TNM-Synthese Algorithmus",
  "package_version": "2027.0.0-ballot",
  "author": [ {
    "telecom": [ {
      "value": "thomas.debertshaeuser@charite.de",
      "system": "email"
    } ]
  } ],
  "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/artifact-versionAlgorithm",
    "valueCoding": {
      "code": "semver",
      "system": "http://hl7.org/fhir/version-algorithm",
      "display": "SemVer"
    }
  } ],
  "status": "active",
  "id": "e860afa1-897c-4a19-bcc7-24f7e5dcbecd",
  "kind": null,
  "url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/Library/mii-lib-onko-synthesize-tnm",
  "editor": [ {
    "name": "Taskforce Core Data Set"
  } ],
  "reviewer": [ {
    "name": "Interoperability Working Group",
    "telecom": [ {
      "value": "https://www.medizininformatik-initiative.de/en/collaboration/interoperability-working-group",
      "system": "url"
    } ]
  }, {
    "name": "National Steering Committee",
    "telecom": [ {
      "value": "https://www.medizininformatik-initiative.de/en/collaboration/national-steering-committee",
      "system": "url"
    } ]
  } ],
  "version": "2027.0.0-ballot",
  "relatedArtifact": [ {
    "url": "https://github.com/medizininformatik-initiative/kerndatensatzmodul-onkologie/blob/main/.claude/scripts/synthesize_tnm/README.md",
    "type": "documentation",
    "label": "README mit Algorithmus-Doku, ETL-Integration und Performance-Notes",
    "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."
  } ],
  "contact": [ {
    "name": "Medizininformatik Initiative",
    "telecom": [ {
      "value": "https://www.medizininformatik-initiative.de/",
      "system": "url"
    } ]
  } ]
}