Nictiz · Ashwin-nictiz · May 1, 2023 · May 1, 2023 · Jul 31, 2023 · Aug 1, 2023
diff --git a/known-issues.yml b/known-issues.yml
@@ -668,7 +668,33 @@ zib-TextResult.VisualResult:
   zib deviations:
     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).
+        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:
+  ignored issues:
+    "Observation.hasMember:*":
+      - message: "Rule sd-zpg-03: 'References to other resource profiles should be added next to the HL7  base references.'"
+        reason: "The restriction only applies to, and defines, this slice. The slicing is open so the base references can still be used."
+      - message: "Rule sd-pg-13: 'Slice names should be camelCased starting with a lowercase letter.'"
+        reason: Because this is for medical reasons relevant, the slice names are written in lowercase.
+
+zib-TNMTumorClassification.DistantMetastasisLocalization:
+  zib deviations:
+    Observation.bodySite:
+      - 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-TNMTumorClassification.LLymphaticInvasion:
+  zib deviations:
+    Observation.value[x]:valueCodeableConcept:
+      - short: L_LymphaticInvasion instead of TL_LymphaticInvasion
+        reason: The zib concept name "TL_LymphaticInvasion" is an incorrect translation of the Dutch name into English.     
+
+zib-TNMTumorClassification.RegionalLymphNodesLocalization:
+  zib deviations:
+    Observation.bodySite:
+      - 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
@@ -356,6 +356,9 @@ This document contains release notes per zib, indicating differences with their
 ## zib-TextResult
 * New concept VisualResult mapped in additional profile zib-TextResult.VisualResult on `Media.content`. `DiagnosticReport.image.link` references this profile.
 
+# zib-TNMTumorClassification
+* There is no previous profile for TNMTumorClassification in STU3 and therefore no diff.
+
 # zib-TobaccoUse
 * StartDate and EndDate are placed on a type slice of `Observation.effective[x]` adhering to the open world modelling principle.
 * TobaccoUseStatus is placed on a type slice of `Observation.value[x]` adhering to the open world modelling principle.

diff --git a/resources/nl-core/nl-core-TNMTumorClassification.DistantMetastasisLocalization.xml b/resources/nl-core/nl-core-TNMTumorClassification.DistantMetastasisLocalization.xml
@@ -0,0 +1,55 @@
+<?xml version="1.0" encoding="utf-8"?>
+<StructureDefinition xmlns="http://hl7.org/fhir">
+  <id value="nl-core-TNMTumorClassification.DistantMetastasisLocalization" />
+  <url value="http://nictiz.nl/fhir/StructureDefinition/nl-core-TNMTumorClassification.DistantMetastasisLocalization" />
+  <name value="NlcoreTNMTumorClassificationDistantMetastasisLocalization" />
+  <title value="nl core TNMTumorClassification.DistantMetastasisLocalization" />
+  <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.DistantMetastasisLocalization](http://nictiz.nl/fhir/StructureDefinition/zib-TNMTumorClassification.DistantMetastasisLocalization) 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.DistantMetastasisLocalization" />
+  <derivation value="constraint" />
+  <differential>
+    <element id="Observation">
+      <path value="Observation" />
+      <alias value="nl-core-TNMTumorClassification.DistantMetastasisLocalization" />
+    </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.bodySite">
+      <path value="Observation.bodySite" />
+      <type>
+        <code value="CodeableConcept" />
+        <profile value="http://nictiz.nl/fhir/StructureDefinition/nl-core-AnatomicalLocation" />
+      </type>
+    </element>
+  </differential>
+</StructureDefinition>
diff --git a/resources/nl-core/nl-core-TNMTumorClassification.GHistopathologicalGrading.xml b/resources/nl-core/nl-core-TNMTumorClassification.GHistopathologicalGrading.xml
@@ -0,0 +1,45 @@
+<?xml version="1.0" encoding="utf-8"?>
+<StructureDefinition xmlns="http://hl7.org/fhir">
+  <id value="nl-core-TNMTumorClassification.GHistopathologicalGrading" />
+  <url value="http://nictiz.nl/fhir/StructureDefinition/nl-core-TNMTumorClassification.GHistopathologicalGrading" />
+  <name value="NlcoreTNMTumorClassificationGHistopathologicalGrading" />
+  <title value="nl core TNMTumorClassification.GHistopathologicalGrading" />
+  <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.GHistopathologicalGrading](http://nictiz.nl/fhir/StructureDefinition/zib-TNMTumorClassification.GHistopathologicalGrading) 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.GHistopathologicalGrading" />
+  <derivation value="constraint" />
+  <differential>
+    <element id="Observation">
+      <path value="Observation" />
+      <alias value="nl-core-TNMTumorClassification.GHistopathologicalGrading" />
+    </element>
+    <element id="Observation.subject">
+      <path value="Observation.subject" />
+      <type>
+        <code value="Reference" />
+        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient" />
+        <targetProfile value="http://nictiz.nl/fhir/StructureDefinition/nl-core-Patient" />
+      </type>
+    </element>
+  </differential>
+</StructureDefinition>
diff --git a/resources/nl-core/nl-core-TNMTumorClassification.LLymphaticInvasion.xml b/resources/nl-core/nl-core-TNMTumorClassification.LLymphaticInvasion.xml
@@ -0,0 +1,48 @@
+<?xml version="1.0" encoding="utf-8"?>
+<StructureDefinition xmlns="http://hl7.org/fhir">
+  <id value="nl-core-TNMTumorClassification.LLymphaticInvasion" />
+  <url value="http://nictiz.nl/fhir/StructureDefinition/nl-core-TNMTumorClassification.LLymphaticInvasion" />
+  <name value="NlcoreTNMTumorClassificationLLymphaticInvasion" />
+  <title value="nl core TNMTumorClassification.LLymphaticInvasion" />
+  <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.LLymphaticInvasion](http://nictiz.nl/fhir/StructureDefinition/zib-TNMTumorClassification.LLymphaticInvasion) 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.LLymphaticInvasion" />
+  <derivation value="constraint" />
+  <differential>
+    <element id="Observation">
+      <path value="Observation" />
+      <alias value="nl-core-TNMTumorClassification.LLymphaticInvasion" />
+    </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.MDistantMetastasis.xml b/resources/nl-core/nl-core-TNMTumorClassification.MDistantMetastasis.xml
@@ -0,0 +1,45 @@
+<?xml version="1.0" encoding="utf-8"?>
+<StructureDefinition xmlns="http://hl7.org/fhir">
+  <id value="nl-core-TNMTumorClassification.MDistantMetastasis" />
+  <url value="http://nictiz.nl/fhir/StructureDefinition/nl-core-TNMTumorClassification.MDistantMetastasis" />
+  <name value="NlcoreTNMTumorClassificationMDistantMetastasis" />
+  <title value="nl core TNMTumorClassification.MDistantMetastasis" />
+  <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.MDistantMetastasis](http://nictiz.nl/fhir/StructureDefinition/zib-TNMTumorClassification.MDistantMetastasis) 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.MDistantMetastasis" />
+  <derivation value="constraint" />
+  <differential>
+    <element id="Observation">
+      <path value="Observation" />
+      <alias value="nl-core-TNMTumorClassification.MDistantMetastasis" />
+    </element>
+    <element id="Observation.subject">
+      <path value="Observation.subject" />
+      <type>
+        <code value="Reference" />
+        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient" />
+        <targetProfile value="http://nictiz.nl/fhir/StructureDefinition/nl-core-Patient" />
+      </type>
+    </element>
+  </differential>
+</StructureDefinition>