New Zealand Health Terminology Service (NZHTS) Implementation Guide
0.1.0 - ci-build

New Zealand Health Terminology Service (NZHTS) Implementation Guide, published by Health New Zealand | Te Whatu Ora. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/daniel-thomson/nzhts/ and changes regularly. See the Directory of published versions

: NZ cancer grade - TTL Representation

Active as of 2024-11-02

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@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:ValueSet ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "canshare-grade"] ; # 
  fhir:meta [
fhir:versionId [ fhir:v "1" ] ;
fhir:lastUpdated [ fhir:v "2024-11-05T17:15:33.200+13:00"^^xsd:dateTime ]
  ] ; # 
  fhir:language [ fhir:v "en-x-sctlang-23162100-0210105"] ; # 
  fhir:url [ fhir:v "https://nzhts.digital.health.nz/fhir/ValueSet/canshare-grade"^^xsd:anyURI] ; # 
  fhir:identifier ( [
fhir:system [ fhir:v "http://canshare.co.nz/fhir/NamingSystem/valuesets"^^xsd:anyURI ] ;
fhir:value [ fhir:v "canshare-grade" ]
  ] ) ; # 
  fhir:version [ fhir:v "0.1.0"] ; # 
  fhir:name [ fhir:v "canshare-grade"] ; # 
  fhir:title [ fhir:v "NZ cancer grade"] ; # 
  fhir:status [ fhir:v "active"] ; # 
  fhir:experimental [ fhir:v "false"^^xsd:boolean] ; # 
  fhir:date [ fhir:v "2024-11-02"^^xsd:date] ; # 
  fhir:publisher [ fhir:v "Health New Zealand | Te Whatu Ora"] ; # 
  fhir:contact ( [
fhir:name [ fhir:v "Health New Zealand | Te Whatu Ora" ] ;
    ( fhir:telecom [
fhir:system [ fhir:v "url" ] ;
fhir:value [ fhir:v "https://www.tewhatuora.govt.nz/" ]     ] )
  ] ) ; # 
  fhir:description [ fhir:v "The grade of a cancer"] ; # 
  fhir:compose [
    ( fhir:include [
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:version [ fhir:v "http://snomed.info/sct/21000210109" ] ;
      ( fhir:filter [
fhir:property [ fhir:v "constraint" ] ;
fhir:op [ fhir:v "=" ] ;
fhir:value [ fhir:v "< 384740007 |Finding of grade (finding)| OR < 370114008 |Histological grades (qualifier value)|" ]       ] )     ] )
  ] ; # 
  fhir:expansion [
fhir:identifier [ fhir:v "f0d547d1-cbe9-48b5-89e4-19782a4fbab6"^^xsd:anyURI ] ;
fhir:timestamp [ fhir:v "2024-11-11T13:49:30+13:00"^^xsd:dateTime ] ;
fhir:total [ fhir:v "100"^^xsd:integer ] ;
fhir:offset [ fhir:v "0"^^xsd:integer ] ;
    ( fhir:parameter [
fhir:name [ fhir:v "version" ] ;
fhir:value [ fhir:v "http://snomed.info/sct|http://snomed.info/sct/21000210109/version/20241001"^^xsd:anyURI ]     ] [
fhir:name [ fhir:v "count" ] ;
fhir:value [ fhir:v "2147483647"^^xsd:integer ]     ] [
fhir:name [ fhir:v "offset" ] ;
fhir:value [ fhir:v "0"^^xsd:integer ]     ] ) ;
    ( fhir:contains [
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "369781009" ] ;
fhir:display [ fhir:v "DCIS nuclear pleomorphism, grade 1: monotonous nuclei, 1.5 - 2.0 RBC diameters, with finely dispersed chromatin and only occasional nucleoli" ]     ] [
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "369782002" ] ;
fhir:display [ fhir:v "DCIS nuclear pleomorphism, grade 2: neither nuclear grade 1 nor nuclear grade 3" ]     ] [
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "369783007" ] ;
fhir:display [ fhir:v "DCIS nuclear pleomorphism, grade 3: Markedly pleomorphic nuclei, usually >2.5 RBC diameters, with coarse chromatin and multiple nucleoli" ]     ] [
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1290245004" ] ;
fhir:display [ fhir:v "Differentiating neuroblastoma" ]     ] [
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1290302009" ] ;
fhir:display [ fhir:v "FIGO (International Federation of Gynecology and Obstetrics) grading system grade 1" ]     ] [
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1290303004" ] ;
fhir:display [ fhir:v "FIGO (International Federation of Gynecology and Obstetrics) grading system grade 2" ]     ] [
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1290304005" ] ;
fhir:display [ fhir:v "FIGO (International Federation of Gynecology and Obstetrics) grading system grade 3" ]     ] [
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "396193002" ] ;
fhir:display [ fhir:v "Fuhrman nuclear grade finding" ]     ] [
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "54102005" ] ;
fhir:display [ fhir:v "G1 grade" ]     ] [
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "369724004" ] ;
fhir:display [ fhir:v "G1: 5 percent or less non-squamous solid growth" ]     ] [
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "369720008" ] ;
fhir:display [ fhir:v "G1: Nuclei round, uniform, approximately 10 µ; nucleoli inconspicuous or absent" ]     ] [
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1155701009" ] ;
fhir:display [ fhir:v "G1: Well differentiated" ]     ] [
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "369716009" ] ;
fhir:display [ fhir:v "G1: Well differentiated (greater than 95 percent gland forming)" ]     ] [
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1155706004" ] ;
fhir:display [ fhir:v "G1: Well differentiated neuroendocrine neoplasm" ]     ] [
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "476251000210106" ] ;
fhir:display [ fhir:v "G1: Well differentiated neuroendocrine neoplasm, typical carcinoid of thorax" ]     ] [
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1663004" ] ;
fhir:display [ fhir:v "G2 grade" ]     ] [
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "369725003" ] ;
fhir:display [ fhir:v "G2: 6-50 percent non-squamous solid growth" ]     ] [
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1155703007" ] ;
fhir:display [ fhir:v "G2: Moderately differentiated" ]     ] [
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "369717000" ] ;
fhir:display [ fhir:v "G2: Moderately differentiated (50-95 percent gland forming)" ]     ] [
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "369721007" ] ;
fhir:display [ fhir:v "G2: Nuclei slightly irregular, approximately 15 µ; nucleoli evident" ]     ] [
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1155710001" ] ;
fhir:display [ fhir:v "G2: Well differentiated neuroendocrine neoplasm" ]     ] [
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "476241000210108" ] ;
fhir:display [ fhir:v "G2: Well differentiated neuroendocrine neoplasm, atypical carcinoid of thorax" ]     ] [
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "61026006" ] ;
fhir:display [ fhir:v "G3 grade" ]     ] [
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "369726002" ] ;
fhir:display [ fhir:v "G3: More than 50 percent non-squamous solid growth" ]     ] [
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "369722000" ] ;
fhir:display [ fhir:v "G3: Nuclei very irregular, approximately 20 µ; nucleoli large and prominent" ]     ] [
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1155704001" ] ;
fhir:display [ fhir:v "G3: Poorly differentiated" ]     ] [
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "369718005" ] ;
fhir:display [ fhir:v "G3: Poorly differentiated (5-49 percent gland forming)" ]     ] [
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1155711002" ] ;
fhir:display [ fhir:v "G3: Well differentiated neuroendocrine neoplasm" ]     ] [
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "258245003" ] ;
fhir:display [ fhir:v "G4 grade" ]     ] [
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "369723005" ] ;
fhir:display [ fhir:v "G4: Nuclei bizarre and multilobated, 20 µ or greater, nucleoli prominent, chromatin clumped" ]     ] [
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1155702002" ] ;
fhir:display [ fhir:v "G4: Undifferentiated" ]     ] [
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "369719002" ] ;
fhir:display [ fhir:v "G4: Undifferentiated (less than 5 percent gland forming)" ]     ] [
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1268929003" ] ;
fhir:display [ fhir:v "GB: Borderline tumour" ]     ] [
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "384741006" ] ;
fhir:display [ fhir:v "Grade cannot be determined" ]     ] [
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "477281000210103" ] ;
fhir:display [ fhir:v "Grade determined" ]     ] [
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "60815008" ] ;
fhir:display [ fhir:v "Grade not determined" ]     ] [
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1155705000" ] ;
fhir:display [ fhir:v "GX: Histologic grade cannot be assessed" ]     ] [
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1155712009" ] ;
fhir:display [ fhir:v "GX: Neuroendocrine neoplasm grade cannot be assessed" ]     ] [
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "369767007" ] ;
fhir:display [ fhir:v "High grade (lymphoma)" ]     ] [
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "395530002" ] ;
fhir:display [ fhir:v "High grade (poorly differentiated to undifferentiated)" ]     ] [
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "399611001" ] ;
fhir:display [ fhir:v "High grade histologic differentiation" ]     ] [
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1155707008" ] ;
fhir:display [ fhir:v "High histologic grade" ]     ] [
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "476601000210107" ] ;
fhir:display [ fhir:v "High poorly differentiated histologic grade" ]     ] [
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "373372005" ] ;
fhir:display [ fhir:v "Histological grade finding" ]     ] [
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "405986005" ] ;
fhir:display [ fhir:v "Intermediate grade histologic differentiation" ]     ] [
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1286893008" ] ;
fhir:display [ fhir:v "Intermediate histologic grade" ]     ] [
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "332391000210102" ] ;
fhir:display [ fhir:v "International Federation of Gynecology and Obstetrics grade 1" ]     ] [
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "332401000210104" ] ;
fhir:display [ fhir:v "International Federation of Gynecology and Obstetrics grade 2" ]     ] [
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "332411000210102" ] ;
fhir:display [ fhir:v "International Federation of Gynecology and Obstetrics grade 3" ]     ] [
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "332381000210104" ] ;
fhir:display [ fhir:v "International Federation of Gynecology and Obstetrics grade finding" ]     ] [
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1290294004" ] ;
fhir:display [ fhir:v "International Federation of Gynecology and Obstetrics grading system" ]     ] [
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1279715000" ] ;
fhir:display [ fhir:v "International Society of Urological Pathology grade group 1 (Gleason score 3 + 3 = 6)" ]     ] [
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1279714001" ] ;
fhir:display [ fhir:v "International Society of Urological Pathology grade group 2 (Gleason score 3 + 4 = 7)" ]     ] [
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1279716004" ] ;
fhir:display [ fhir:v "International Society of Urological Pathology grade group 3 (Gleason score 4 + 3 = 7)" ]     ] [
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1279718003" ] ;
fhir:display [ fhir:v "International Society of Urological Pathology grade group 4 (Gleason score 3 + 5 = 8)" ]     ] [
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1279717008" ] ;
fhir:display [ fhir:v "International Society of Urological Pathology grade group 4 (Gleason score 4 + 4 = 8)" ]     ] [
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1279719006" ] ;
fhir:display [ fhir:v "International Society of Urological Pathology grade group 4 (Gleason score 5 + 3 = 8)" ]     ] [
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1279720000" ] ;
fhir:display [ fhir:v "International Society of Urological Pathology grade group 5 (Gleason score 4 + 5 = 9)" ]     ] [
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1279721001" ] ;
fhir:display [ fhir:v "International Society of Urological Pathology grade group 5 (Gleason score 5 + 4 = 9)" ]     ] [
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1279722008" ] ;
fhir:display [ fhir:v "International Society of Urological Pathology grade group 5 (Gleason score 5 + 5 = 10)" ]     ] [
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1515521000004104" ] ;
fhir:display [ fhir:v "International Society of Urological Pathology histologic grade group" ]     ] [
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1525761000004109" ] ;
fhir:display [ fhir:v "International Society of Urological Pathology histologic grade group 1" ]     ] [
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1525771000004101" ] ;
fhir:display [ fhir:v "International Society of Urological Pathology histologic grade group 2" ]     ] [
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1525781000004103" ] ;
fhir:display [ fhir:v "International Society of Urological Pathology histologic grade group 3" ]     ] [
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1525791000004100" ] ;
fhir:display [ fhir:v "International Society of Urological Pathology histologic grade group 4" ]     ] [
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1525801000004104" ] ;
fhir:display [ fhir:v "International Society of Urological Pathology histologic grade group 5" ]     ] [
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "369766003" ] ;
fhir:display [ fhir:v "Low grade (lymphoma)" ]     ] [
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "395529007" ] ;
fhir:display [ fhir:v "Low grade (well to moderately differentiated)" ]     ] [
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "399415002" ] ;
fhir:display [ fhir:v "Low grade histologic differentiation" ]     ] [
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "425037004" ] ;
fhir:display [ fhir:v "Low grade lymphoma, stage 1" ]     ] [
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1155708003" ] ;
fhir:display [ fhir:v "Low histologic grade" ]     ] [
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "476591000210102" ] ;
fhir:display [ fhir:v "Low well-moderately differentiated histologic grade" ]     ] [
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "384812005" ] ;
fhir:display [ fhir:v "Moderately differentiated" ]     ] [
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "373377004" ] ;
fhir:display [ fhir:v "Moderately differentiated histological grade finding" ]     ] [
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "384668003" ] ;
fhir:display [ fhir:v "Nottingham Combined Grade cannot be determined" ]     ] [
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "373378009" ] ;
fhir:display [ fhir:v "Nottingham Combined Grade finding" ]     ] [
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "369790002" ] ;
fhir:display [ fhir:v "Nottingham Combined Grade I: 3-5 points" ]     ] [
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "369791003" ] ;
fhir:display [ fhir:v "Nottingham Combined Grade II: 6-7 points" ]     ] [
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "369792005" ] ;
fhir:display [ fhir:v "Nottingham Combined Grade III: 8-9 points" ]     ] [
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1287024003" ] ;
fhir:display [ fhir:v "Nottingham combined histologic grade 1" ]     ] [
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1287025002" ] ;
fhir:display [ fhir:v "Nottingham combined histologic grade 2" ]     ] [
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1287026001" ] ;
fhir:display [ fhir:v "Nottingham combined histologic grade 3" ]     ] [
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1287020007" ] ;
fhir:display [ fhir:v "Nottingham grade system for primary malignant neoplasm of breast" ]     ] [
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1287460004" ] ;
fhir:display [ fhir:v "Nottingham scoring system for primary malignant neoplasm of breast" ]     ] [
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1287021006" ] ;
fhir:display [ fhir:v "Nottingham scoring system for primary malignant neoplasm of breast score 1" ]     ] [
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1287022004" ] ;
fhir:display [ fhir:v "Nottingham scoring system for primary malignant neoplasm of breast score 2" ]     ] [
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1287023009" ] ;
fhir:display [ fhir:v "Nottingham scoring system for primary malignant neoplasm of breast score 3" ]     ] [
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "384736003" ] ;
fhir:display [ fhir:v "Nuclear grade finding" ]     ] [
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "263843001" ] ;
fhir:display [ fhir:v "Poorly differentiated" ]     ] [
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "373373000" ] ;
fhir:display [ fhir:v "Poorly differentiated histological grade finding" ]     ] [
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "313147000" ] ;
fhir:display [ fhir:v "Tumour grade G0" ]     ] [
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "263918006" ] ;
fhir:display [ fhir:v "Undifferentiated" ]     ] [
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "373374006" ] ;
fhir:display [ fhir:v "Undifferentiated histological grade finding" ]     ] [
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "263933003" ] ;
fhir:display [ fhir:v "Well differentiated" ]     ] [
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "373375007" ] ;
fhir:display [ fhir:v "Well differentiated histological grade finding" ]     ] [
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "396921005" ] ;
fhir:display [ fhir:v "WHO grade finding for central nervous system tumour" ]     ] [
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "396922003" ] ;
fhir:display [ fhir:v "WHO grade I (central nervous system tumour)" ]     ] [
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "396923008" ] ;
fhir:display [ fhir:v "WHO grade II (central nervous system tumour)" ]     ] [
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "396924002" ] ;
fhir:display [ fhir:v "WHO grade III (central nervous system tumour)" ]     ] [
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "396925001" ] ;
fhir:display [ fhir:v "WHO grade IV (central nervous system tumour)" ]     ] )
  ] . #