CH CRL (R4)
0.9.0 - Draft
CH CRL (R4)
0.9.0 - Draft
This page is part of the CH CRL (R4) (v0.9.0: STU Draft) based on FHIR R4. . For a full list of available versions, see the Directory of published versions 
@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .
# - resource -------------------------------------------------------------------
a fhir:CodeSystem;
fhir:nodeRole fhir:treeRoot;
fhir:Resource.id [ fhir:value "nkrs-torontotierIImanualstaging"];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>This code system http://fhir.ch/ig/ch-crl/CodeSystem/nkrs-torontotierIImanualstaging 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\">M0<a name=\"nkrs-torontotierIImanualstaging-M0\"> </a></td><td>M0</td><td>No visible disease on imaging (MRI brain and spine) beyond primary site of disease and no tumour cells in the cerebrospinal fluid (CSF)</td></tr><tr><td style=\"white-space:nowrap\">M1<a name=\"nkrs-torontotierIImanualstaging-M1\"> </a></td><td>M1</td><td>Tumour cells in the CSF</td></tr><tr><td style=\"white-space:nowrap\">M2<a name=\"nkrs-torontotierIImanualstaging-M2\"> </a></td><td>M2</td><td>Visible metastasis in brain</td></tr><tr><td style=\"white-space:nowrap\">M3<a name=\"nkrs-torontotierIImanualstaging-M3\"> </a></td><td>M3</td><td>Visible metastasis in spine or visible metastasis in cervicomedullary (junction)</td></tr><tr><td style=\"white-space:nowrap\">M4<a name=\"nkrs-torontotierIImanualstaging-M4\"> </a></td><td>M4</td><td>Metastasis outside of the central nervous system</td></tr><tr><td style=\"white-space:nowrap\">Localised<a name=\"nkrs-torontotierIImanualstaging-Localised\"> </a></td><td>Localised</td><td>Used for Ewing’s sarcoma or osteosarcoma : tumour confined to the area of origin including regional lymph nodes Although more detailed staging systems exist their clinical and prognostic value is limited, multi-tiered staging systems were not deemed appropriate</td></tr><tr><td style=\"white-space:nowrap\">Metastatic<a name=\"nkrs-torontotierIImanualstaging-Metastatic\"> </a></td><td>Metastatic</td><td>Used for Ewing’s sarcoma or osteosarcoma with distant metastases present at diagnosis. Although more detailed staging systems exist their clinical and prognostic value is limited, multi-tiered staging systems were not deemed appropriate</td></tr></table></div>"
];
fhir:CodeSystem.url [ fhir:value "http://fhir.ch/ig/ch-crl/CodeSystem/nkrs-torontotierIImanualstaging"];
fhir:CodeSystem.version [ fhir:value "0.9.0"];
fhir:CodeSystem.name [ fhir:value "NkrsTorontoTierIIManualStaging"];
fhir:CodeSystem.title [ fhir:value "NKRS - Toronto Tier II (Manual) Staging"];
fhir:CodeSystem.status [ fhir:value "active"];
fhir:CodeSystem.date [ fhir:value "2022-02-04T14:14:21+01:00"^^xsd:dateTime];
fhir:CodeSystem.publisher [ fhir:value "Bundesamt für Gesundheit BAG"];
fhir:CodeSystem.contact [
fhir:index 0;
fhir:ContactDetail.name [ fhir:value "Bundesamt für Gesundheit BAG" ];
fhir:ContactDetail.telecom [
fhir:index 0;
fhir:ContactPoint.system [ fhir:value "url" ];
fhir:ContactPoint.value [ fhir:value "https://www.bag.admin.ch/" ] ]
];
fhir:CodeSystem.description [ fhir:value "The Toronto Paediatric Cancer Stage Guidelines recommend the malignancy-specific staging system most suitable \r\nfor use by population registries for 16 of the most common childhood malignancies. The Guidelines include a two-tiered \r\napproach that provides less detailed criteria for registries with limited resources and/or limited data access (Tier 1) \r\nbased on collapsing of the more detailed criteria (Tier 2). \r\n\r\n**Toronto Tier II (manual) staging (Variable number: 4.33.2)** \r\nin \\'NATIONAL CANCER DATA DICTIONARY, V 1.1, Part A, BASIC VARIABLES for Adults, Adolescents, and Children (23.12.2019)\\'\r\n([EN](https://www.nacr.ch/assets/files/uploads/a-datadictionary-basicvariables-v1.1.pdf), \r\n[DE](https://www.nkrs.ch/assets/files/uploads/a-datenstruktur-variablen-der-basisdaten-v1.1.pdf), \r\n[FR](https://www.onec.ch/assets/files/uploads/a-dict-des-donnees-variables-de-base-v1.1.pdf), \r\n[IT](https://www.snrt.ch/assets/files/uploads/a-dati-oncologici-variabili-di-base-v1.1.pdf))"];
fhir:CodeSystem.jurisdiction [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "urn:iso:std:iso:3166" ];
fhir:Coding.code [ fhir:value "CH" ] ]
];
fhir:CodeSystem.copyright [ fhir:value "CC-BY-SA-4.0"];
fhir:CodeSystem.caseSensitive [ fhir:value "true"^^xsd:boolean];
fhir:CodeSystem.valueSet [
fhir:value "http://fhir.ch/ig/ch-crl/ValueSet/nkrs-torontotierIImanualstaging";
fhir:link <http://fhir.ch/ig/ch-crl/ValueSet/nkrs-torontotierIImanualstaging>
];
fhir:CodeSystem.content [ fhir:value "complete"];
fhir:CodeSystem.count [ fhir:value "7"^^xsd:nonNegativeInteger];
fhir:CodeSystem.concept [
fhir:index 0;
fhir:CodeSystem.concept.code [ fhir:value "M0" ];
fhir:CodeSystem.concept.display [ fhir:value "M0" ];
fhir:CodeSystem.concept.definition [ fhir:value "No visible disease on imaging (MRI brain and spine) beyond primary site of disease and no tumour cells in the cerebrospinal fluid (CSF)" ]
], [
fhir:index 1;
fhir:CodeSystem.concept.code [ fhir:value "M1" ];
fhir:CodeSystem.concept.display [ fhir:value "M1" ];
fhir:CodeSystem.concept.definition [ fhir:value "Tumour cells in the CSF" ]
], [
fhir:index 2;
fhir:CodeSystem.concept.code [ fhir:value "M2" ];
fhir:CodeSystem.concept.display [ fhir:value "M2" ];
fhir:CodeSystem.concept.definition [ fhir:value "Visible metastasis in brain" ]
], [
fhir:index 3;
fhir:CodeSystem.concept.code [ fhir:value "M3" ];
fhir:CodeSystem.concept.display [ fhir:value "M3" ];
fhir:CodeSystem.concept.definition [ fhir:value "Visible metastasis in spine or visible metastasis in cervicomedullary (junction)" ]
], [
fhir:index 4;
fhir:CodeSystem.concept.code [ fhir:value "M4" ];
fhir:CodeSystem.concept.display [ fhir:value "M4" ];
fhir:CodeSystem.concept.definition [ fhir:value "Metastasis outside of the central nervous system" ]
], [
fhir:index 5;
fhir:CodeSystem.concept.code [ fhir:value "Localised" ];
fhir:CodeSystem.concept.display [ fhir:value "Localised" ];
fhir:CodeSystem.concept.definition [ fhir:value "Used for Ewing’s sarcoma or osteosarcoma : tumour confined to the area of origin including regional lymph nodes Although more detailed staging systems exist their clinical and prognostic value is limited, multi-tiered staging systems were not deemed appropriate" ]
], [
fhir:index 6;
fhir:CodeSystem.concept.code [ fhir:value "Metastatic" ];
fhir:CodeSystem.concept.display [ fhir:value "Metastatic" ];
fhir:CodeSystem.concept.definition [ fhir:value "Used for Ewing’s sarcoma or osteosarcoma with distant metastases present at diagnosis. Although more detailed staging systems exist their clinical and prognostic value is limited, multi-tiered staging systems were not deemed appropriate" ]
].
# - ontology header ------------------------------------------------------------
a owl:Ontology;
owl:imports fhir:fhir.ttl.