Nictiz · Ashwin-nictiz · Jun 30, 2021 · Mar 9, 2023 · Mar 9, 2023 · Mar 16, 2023
diff --git a/known-issues.yml b/known-issues.yml
@@ -633,6 +633,24 @@ zib-TextResult.VisualResult:
     Media.content:
       - cardinality: 1..1 instead of 0..*
         reason: The use of the Media resource referenced in zib-TextResult DiagnosticReport.media.link is optional (0..*), but if the Media resource is used, Media.content should be present (1..1).
+
+zib-TNMTumorClassification:
+  zib deviations:
+    Observation.component:distantMetastasisLocalization.extension:anatomicalLocation.value[x]:
+      - cardinality: 0..* instead of 0..1
+        reason: The cardinality mismatch between the zib (0..1) and FHIR (0..*, effective) is explained by the missing DistantMetastasisLocalization container in FHIR. This container may exist 0..* times, thereby this mapping is still honoring the cardinality requirements of the zib.
+      - datatype: CodeableConcept instead of a reference
+        reason: The referenced zib AnatomicalLocation is profiled on a datatype level and not a resource. Therefore it cannot be referenced, rather its concepts and constraints are added inline. This element conforms to the zib AnatomicalLocation.
+    Observation.component:regionalLymphNodesLocalization.extension:anatomicalLocation.value[x]:
+      - cardinality: 0..* instead of 0..1
+        reason: The cardinality mismatch between the zib (0..1) and FHIR (0..*, effective) is explained by the missing RegionalLymphNodesLocalization container in FHIR. This container may exist 0..* times, thereby this mapping is still honoring the cardinality requirements of the zib.
+      - datatype: CodeableConcept instead of a reference
+        reason: The referenced zib AnatomicalLocation is profiled on a datatype level and not a resource. Therefore it cannot be referenced, rather its concepts and constraints are added inline. This element conforms to the zib AnatomicalLocation.
+    Observation.component:tumorLocalization.extension:anatomicalLocation.value[x]:
+      - cardinality: 0..* instead of 0..1
+        reason: The cardinality mismatch between the zib (0..1) and FHIR (0..*, effective) is explained by the missing TumorLocalization container in FHIR. This container may exist 0..* times, thereby this mapping is still honoring the cardinality requirements of the zib.
+      - datatype: CodeableConcept instead of a reference
+        reason: The referenced zib AnatomicalLocation is profiled on a datatype level and not a resource. Therefore it cannot be referenced, rather its concepts and constraints are added inline. This element conforms to the zib AnatomicalLocation.         
 
 zib-TreatmentDirective2:
   zib deviations:

diff --git a/release-notes.md b/release-notes.md
@@ -353,6 +353,9 @@ This document contains release notes per zib, indicating differences with their
 ## zib-TimeInterval
 * In the previous release, the concepts of this partial zib were mapped directly in the profiles where they are used. In this release the usage of this partial zib has been expanded and profiles have been created to aid the usage in profiles in the various situations that might occur.
 
+## zib-TNMTumorClassification
+* TNMTumorClassification is a newly added zib in the 2020 release. It has no previous profile and therefore no diff.
+
 ## zib-TextResult
 * New concept VisualResult mapped in additional profile zib-TextResult.VisualResult on `Media.content`. `DiagnosticReport.image.link` references this profile.
 

diff --git a/resources/nl-core/nl-core-TNMTumorClassification.RResidualTumor.xml b/resources/nl-core/nl-core-TNMTumorClassification.RResidualTumor.xml
@@ -0,0 +1,48 @@
+<?xml version="1.0" encoding="utf-8"?>
+<StructureDefinition xmlns="http://hl7.org/fhir">
+  <id value="nl-core-TNMTumorClassification.RResidualTumor" />
+  <url value="http://nictiz.nl/fhir/StructureDefinition/nl-core-TNMTumorClassification.RResidualTumor" />
+  <name value="NlcoreTNMTumorClassificationRResidualTumor" />
+  <title value="nl core TNMTumorClassification.RResidualTumor" />
+  <status value="draft" />
+  <publisher value="Nictiz" />
+  <contact>
+    <name value="Nictiz" />
+    <telecom>
+      <system value="url" />
+      <value value="https://www.nictiz.nl" />
+      <use value="work" />
+    </telecom>
+  </contact>
+  <description value="TNM Classification of Malignant Tumors (TNM) is the cancer staging system developed and is maintained by the Union for International Cancer Control (UICC). It is also used by the American Joint Committee on Cancer (AJCC) and the International Federation of Gynecology and Obstetrics (FIGO). In 1987, the UICC and AJCC staging systems were unified into the single TNM staging system. Nevertheless, there are still some differences between the two systems.&#xD;&#xA;The TNM-classification is developed for solid tumors. TNM is a notation system that describes the stage of a cancer, which originates from a solid tumor, using alphanumeric codes; T describes the size of the original (primary) tumor and whether it has invaded nearby tissue, N describes nearby (regional) lymph nodes that are involved, and M describes distant metastasis (spread of cancer from one part of the body to another). In addition to T, N and M, the classification also contains other parameters that may be relevant." />
+  <purpose value="A derived profile from [zib-TNMTumorClassification.RResidualTumor](http://nictiz.nl/fhir/StructureDefinition/zib-TNMTumorClassification.RResidualTumor) to provide a version better suited for implementation purposes. This profile augments the base profile with elements found in the various use cases that have adopted the zib." />
+  <copyright value="Copyright and related rights waived via CC0, https://creativecommons.org/publicdomain/zero/1.0/. This does not apply to information from third parties, for example a medical terminology system. The implementer alone is responsible for identifying and obtaining any necessary licenses or authorizations to utilize third party IP in connection with the specification or otherwise." />
+  <fhirVersion value="4.0.1" />
+  <mapping>
+    <identity value="zib-tnmtumorclassification-v1.0-2020EN" />
+    <uri value="https://zibs.nl/wiki/TNMTumorClassification-v1.0(2020EN)" />
+    <name value="zib TNMTumorClassification-v1.0(2020EN)" />
+  </mapping>
+  <kind value="resource" />
+  <abstract value="false" />
+  <type value="Observation" />
+  <baseDefinition value="http://nictiz.nl/fhir/StructureDefinition/zib-TNMTumorClassification.RResidualTumor" />
+  <derivation value="constraint" />
+  <differential>
+    <element id="Observation">
+      <path value="Observation" />
+      <alias value="nl-core-TNMTumorClassification.RResidualTumor" />
+    </element>
+    <element id="Observation.subject">
+      <path value="Observation.subject" />
+      <type>
+        <code value="Reference" />
+        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient" />
+        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group" />
+        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device" />
+        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Location" />
+        <targetProfile value="http://nictiz.nl/fhir/StructureDefinition/nl-core-Patient" />
+      </type>
+    </element>
+  </differential>
+</StructureDefinition>
diff --git a/resources/nl-core/nl-core-TNMTumorClassification.xml b/resources/nl-core/nl-core-TNMTumorClassification.xml
@@ -0,0 +1,109 @@
+<?xml version="1.0" encoding="utf-8"?>
+<StructureDefinition xmlns="http://hl7.org/fhir">
+  <id value="nl-core-TNMTumorClassification" />
+  <url value="http://nictiz.nl/fhir/StructureDefinition/nl-core-TNMTumorClassification" />
+  <name value="NlcoreTNMTumorClassification" />
+  <title value="nl core TNMTumorClassification" />
+  <status value="draft" />
+  <publisher value="Nictiz" />
+  <contact>
+    <name value="Nictiz" />
+    <telecom>
+      <system value="url" />
+      <value value="https://www.nictiz.nl" />
+      <use value="work" />
+    </telecom>
+  </contact>
+  <description value="TNM Classification of Malignant Tumors (TNM) is the cancer staging system developed and is maintained by the Union for International Cancer Control (UICC). It is also used by the American Joint Committee on Cancer (AJCC) and the International Federation of Gynecology and Obstetrics (FIGO). In 1987, the UICC and AJCC staging systems were unified into the single TNM staging system. Nevertheless, there are still some differences between the two systems.&#xD;&#xA;The TNM-classification is developed for solid tumors. TNM is a notation system that describes the stage of a cancer, which originates from a solid tumor, using alphanumeric codes; T describes the size of the original (primary) tumor and whether it has invaded nearby tissue, N describes nearby (regional) lymph nodes that are involved, and M describes distant metastasis (spread of cancer from one part of the body to another). In addition to T, N and M, the classification also contains other parameters that may be relevant." />
+  <purpose value="A derived profile from [zib-TNMTumorClassification](http://nictiz.nl/fhir/StructureDefinition/zib-TNMTumorClassification) to provide a version better suited for implementation purposes. This profile augments the base profile with elements found in the various use cases that have adopted the zib." />
+  <copyright value="Copyright and related rights waived via CC0, https://creativecommons.org/publicdomain/zero/1.0/. This does not apply to information from third parties, for example a medical terminology system. The implementer alone is responsible for identifying and obtaining any necessary licenses or authorizations to utilize third party IP in connection with the specification or otherwise." />
+  <fhirVersion value="4.0.1" />
+  <mapping>
+    <identity value="zib-tnmtumorclassification-v1.0-2020EN" />
+    <uri value="https://zibs.nl/wiki/TNMTumorClassification-v1.0(2020EN)" />
+    <name value="zib TNMTumorClassification-v1.0(2020EN)" />
+  </mapping>
+  <kind value="resource" />
+  <abstract value="false" />
+  <type value="Observation" />
+  <baseDefinition value="http://nictiz.nl/fhir/StructureDefinition/zib-TNMTumorClassification" />
+  <derivation value="constraint" />
+  <differential>
+    <element id="Observation">
+      <path value="Observation" />
+      <alias value="nl-core-TNMTumorClassification" />
+    </element>
+    <element id="Observation.subject">
+      <path value="Observation.subject" />
+      <type>
+        <code value="Reference" />
+        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient" />
+        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group" />
+        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device" />
+        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Location" />
+        <targetProfile value="http://nictiz.nl/fhir/StructureDefinition/nl-core-Patient" />
+      </type>
+    </element>
+    <element id="Observation.hasMember">
+      <path value="Observation.hasMember" />
+      <type>
+        <code value="Reference" />
+        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation" />
+        <targetProfile value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse" />
+        <targetProfile value="http://hl7.org/fhir/StructureDefinition/MolecularSequence" />
+        <targetProfile value="http://nictiz.nl/fhir/StructureDefinition/nl-core-TNMTumorClassification.RResidualTumor" />
+      </type>
+    </element>
+    <element id="Observation.component">
+      <path value="Observation.component" />
+      <slicing>
+        <rules value="open" />
+      </slicing>
+    </element>
+    <element id="Observation.component:distantMetastasisLocalization">
+      <path value="Observation.component" />
+      <sliceName value="distantMetastasisLocalization" />
+    </element>
+    <element id="Observation.component:distantMetastasisLocalization.extension:anatomicalLocation">
+      <path value="Observation.component.extension" />
+      <sliceName value="anatomicalLocation" />
+    </element>
+    <element id="Observation.component:distantMetastasisLocalization.extension:anatomicalLocation.value[x]">
+      <path value="Observation.component.extension.value[x]" />
+      <type>
+        <code value="CodeableConcept" />
+        <profile value="http://nictiz.nl/fhir/StructureDefinition/nl-core-AnatomicalLocation" />
+      </type>
+    </element>
+    <element id="Observation.component:regionalLymphNodesLocalization">
+      <path value="Observation.component" />
+      <sliceName value="regionalLymphNodesLocalization" />
+    </element>
+    <element id="Observation.component:regionalLymphNodesLocalization.extension:anatomicalLocation">
+      <path value="Observation.component.extension" />
+      <sliceName value="anatomicalLocation" />
+    </element>
+    <element id="Observation.component:regionalLymphNodesLocalization.extension:anatomicalLocation.value[x]">
+      <path value="Observation.component.extension.value[x]" />
+      <type>
+        <code value="CodeableConcept" />
+        <profile value="http://nictiz.nl/fhir/StructureDefinition/nl-core-AnatomicalLocation" />
+      </type>
+    </element>
+    <element id="Observation.component:tumorLocalization">
+      <path value="Observation.component" />
+      <sliceName value="tumorLocalization" />
+    </element>
+    <element id="Observation.component:tumorLocalization.extension:anatomicalLocation">
+      <path value="Observation.component.extension" />
+      <sliceName value="anatomicalLocation" />
+    </element>
+    <element id="Observation.component:tumorLocalization.extension:anatomicalLocation.value[x]">
+      <path value="Observation.component.extension.value[x]" />
+      <type>
+        <code value="CodeableConcept" />
+        <profile value="http://nictiz.nl/fhir/StructureDefinition/nl-core-AnatomicalLocation" />
+      </type>
+    </element>
+  </differential>
+</StructureDefinition>
diff --git a/resources/zib/ext-TNMTumorClassification.AbnormalityNumber.xml b/resources/zib/ext-TNMTumorClassification.AbnormalityNumber.xml
@@ -0,0 +1,55 @@
+<?xml version="1.0" encoding="utf-8"?>
+<StructureDefinition xmlns="http://hl7.org/fhir">
+  <id value="ext-TNMTumorClassification.AbnormalityNumber" />
+  <url value="http://nictiz.nl/fhir/StructureDefinition/ext-TNMTumorClassification.AbnormalityNumber" />
+  <name value="ExtTNMTumorClassificationAbnormalityNumber" />
+  <title value="ext TNMTumorClassification.AbnormalityNumber" />
+  <status value="draft" />
+  <publisher value="Nictiz" />
+  <contact>
+    <name value="Nictiz" />
+    <telecom>
+      <system value="url" />
+      <value value="https://www.nictiz.nl" />
+      <use value="work" />
+    </telecom>
+  </contact>
+  <description value="The AbnormalityNumber concept of zib TNMTumorClassification." />
+  <purpose value="This extension represents the AbnormalityNumber concept from Dutch [zib ('Zorginformatiebouwsteen', i.e. Health and Care Information Model) TNMTumorClassification-v1.0(2020EN)](https://zibs.nl/wiki/TNMTumorClassification-v1.0(2020EN))." />
+  <copyright value="Copyright and related rights waived via CC0, https://creativecommons.org/publicdomain/zero/1.0/. This does not apply to information from third parties, for example a medical terminology system. The implementer alone is responsible for identifying and obtaining any necessary licenses or authorizations to utilize third party IP in connection with the specification or otherwise." />
+  <fhirVersion value="4.0.1" />
+  <mapping>
+    <identity value="zib-tnmtumorclassification-v1.0-2020EN" />
+    <uri value="https://zibs.nl/wiki/TNMTumorClassification-v1.0(2020EN)" />
+    <name value="zib TNMTumorClassification-v1.0(2020EN)" />
+  </mapping>
+  <kind value="complex-type" />
+  <abstract value="false" />
+  <context>
+    <type value="element" />
+    <expression value="Observation.component" />
+  </context>
+  <type value="Extension" />
+  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension" />
+  <derivation value="constraint" />
+  <differential>
+    <element id="Extension.url">
+      <path value="Extension.url" />
+      <fixedUri value="http://nictiz.nl/fhir/StructureDefinition/ext-TNMTumorClassification.AbnormalityNumber" />
+    </element>
+    <element id="Extension.value[x]">
+      <path value="Extension.value[x]" />
+      <short value="AbnormalityNumber" />
+      <definition value="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.&#xD;&#xA;In the case of multiple primary tumors in one organ, the tumor with the highest T category should be classified." />
+      <alias value="AfwijkingNummer" />
+      <type>
+        <code value="integer" />
+      </type>
+      <mapping>
+        <identity value="zib-tnmtumorclassification-v1.0-2020EN" />
+        <map value="NL-CM:4.27.16" />
+        <comment value="AbnormalityNumber" />
+      </mapping>
+    </element>
+  </differential>
+</StructureDefinition>
diff --git a/resources/zib/ext-TNMTumorClassification.AnatomicalLocation.xml b/resources/zib/ext-TNMTumorClassification.AnatomicalLocation.xml
@@ -0,0 +1,48 @@
+<?xml version="1.0" encoding="utf-8"?>
+<StructureDefinition xmlns="http://hl7.org/fhir">
+  <id value="ext-TNMTumorClassification.AnatomicalLocation" />
+  <url value="http://nictiz.nl/fhir/StructureDefinition/ext-TNMTumorClassification.AnatomicalLocation" />
+  <name value="ExtTNMTumorClassificationAnatomicalLocation" />
+  <title value="ext TNMTumorClassification.AnatomicalLocation" />
+  <status value="draft" />
+  <publisher value="Nictiz" />
+  <contact>
+    <name value="Nictiz" />
+    <telecom>
+      <system value="url" />
+      <value value="https://www.nictiz.nl" />
+      <use value="work" />
+    </telecom>
+  </contact>
+  <description value="The AnatomicalLocation concept of zib TNMTumorClassification." />
+  <purpose value="This extension represents the AnatomicalLocation concept of the Dutch [zib ('Zorginformatiebouwsteen', i.e. Health and Care Information Model) TNMTumorClassification v1.0 (2020)](https://zibs.nl/wiki/TNMTumorClassification-v1.0(2020EN))." />
+  <copyright value="Copyright and related rights waived via CC0, https://creativecommons.org/publicdomain/zero/1.0/. This does not apply to information from third parties, for example a medical terminology system. The implementer alone is responsible for identifying and obtaining any necessary licenses or authorizations to utilize third party IP in connection with the specification or otherwise." />
+  <fhirVersion value="4.0.1" />
+  <mapping>
+    <identity value="zib-tnmtumorclassification-v1.0-2020EN" />
+    <uri value="https://zibs.nl/wiki/TNMTumorClassification-v1.0(2020EN)" />
+    <name value="zib TNMTumorClassification-v1.0(2020EN)" />
+  </mapping>
+  <kind value="complex-type" />
+  <abstract value="false" />
+  <context>
+    <type value="element" />
+    <expression value="Observation.component" />
+  </context>
+  <type value="Extension" />
+  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension" />
+  <derivation value="constraint" />
+  <differential>
+    <element id="Extension.url">
+      <path value="Extension.url" />
+      <fixedUri value="http://nictiz.nl/fhir/StructureDefinition/ext-TNMTumorClassification.AnatomicalLocation" />
+    </element>
+    <element id="Extension.value[x]">
+      <path value="Extension.value[x]" />
+      <type>
+        <code value="CodeableConcept" />
+        <profile value="http://nictiz.nl/fhir/StructureDefinition/zib-AnatomicalLocation" />
+      </type>
+    </element>
+  </differential>
+</StructureDefinition>