ACT-NOW Implementation Guide
0.5.0 - ci-build

ACT-NOW Implementation Guide, published by Te aho o te kahu - Cancer Control Agency. This guide is not an authorized publication; it is the continuous build for version 0.5.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/tewhatuora/actnow/ and changes regularly. See the Directory of published versions

## : Clinical N score - JSON Representation

Draft as of 2026-06-15

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    {
      "resourceType" : "ValueSet",
      "id" : "an-tnm-cn",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ValueSet an-tnm-cn</b></p><a name=\"an-tnm-cn\"> </a><a name=\"hcan-tnm-cn\"> </a><ul><li>Include these codes as defined in <code>http://snomed.info/sct/21000210109</code><span title=\"Version is not explicitly stated. No matching Code System found\"> version Not Stated (use latest from terminology server)</span><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td></tr><tr><td>1229967007</td><td>cN0</td></tr><tr><td>1229971005</td><td>cN0(i+)</td></tr><tr><td>1229968002</td><td>cN0a</td></tr><tr><td>1229969005</td><td>cN0b</td></tr><tr><td>1229973008</td><td>cN1</td></tr><tr><td>1229975001</td><td>cN1a</td></tr><tr><td>1229976000</td><td>cN1b</td></tr><tr><td>1229977009</td><td>cN1c</td></tr><tr><td>1229974002</td><td>cN1mi</td></tr><tr><td>1229978004</td><td>cN2</td></tr><tr><td>1229981009</td><td>cN2a</td></tr><tr><td>1229982002</td><td>cN2b</td></tr><tr><td>1229983007</td><td>cN2c</td></tr><tr><td>1229980005</td><td>cN2mi</td></tr><tr><td>1229984001</td><td>cN3</td></tr><tr><td>1229985000</td><td>cN3a</td></tr><tr><td>1229986004</td><td>cN3b</td></tr><tr><td>1229987008</td><td>cN3c</td></tr><tr><td>1229966003</td><td>cNX</td></tr></table></li></ul></div>"
      },
      "url" : "https://nzhts.digital.health.nz/fhir/ValueSet/canshare-tnm-cn",
      "version" : "0.5.0",
      "name" : "AnCN",
      "title" : "Clinical N score",
      "status" : "draft",
      "experimental" : false,
      "date" : "2026-06-15T22:12:46+00:00",
      "publisher" : "Te aho o te kahu - Cancer Control Agency",
      "contact" : [
        {
          "name" : "Te aho o te kahu - Cancer Control Agency",
          "telecom" : [
            {
              "system" : "email",
              "value" : "mailto:david.hay25@gmail.com"
            }
          ]
        }
      ],
      "description" : "The clincial N score",
      "jurisdiction" : [
        {
          "coding" : [
            {
              "system" : "urn:iso:std:iso:3166",
              "code" : "NZ",
              "display" : "New Zealand"
            }
          ]
        }
      ],
      "compose" : {
        "include" : [
          {
            "system" : "http://snomed.info/sct/21000210109",
            "concept" : [
              {
                "code" : "1229967007",
                "display" : "cN0"
              },
              {
                "code" : "1229971005",
                "display" : "cN0(i+)"
              },
              {
                "code" : "1229968002",
                "display" : "cN0a"
              },
              {
                "code" : "1229969005",
                "display" : "cN0b"
              },
              {
                "code" : "1229973008",
                "display" : "cN1"
              },
              {
                "code" : "1229975001",
                "display" : "cN1a"
              },
              {
                "code" : "1229976000",
                "display" : "cN1b"
              },
              {
                "code" : "1229977009",
                "display" : "cN1c"
              },
              {
                "code" : "1229974002",
                "display" : "cN1mi"
              },
              {
                "code" : "1229978004",
                "display" : "cN2"
              },
              {
                "code" : "1229981009",
                "display" : "cN2a"
              },
              {
                "code" : "1229982002",
                "display" : "cN2b"
              },
              {
                "code" : "1229983007",
                "display" : "cN2c"
              },
              {
                "code" : "1229980005",
                "display" : "cN2mi"
              },
              {
                "code" : "1229984001",
                "display" : "cN3"
              },
              {
                "code" : "1229985000",
                "display" : "cN3a"
              },
              {
                "code" : "1229986004",
                "display" : "cN3b"
              },
              {
                "code" : "1229987008",
                "display" : "cN3c"
              },
              {
                "code" : "1229966003",
                "display" : "cNX"
              }
            ]
          }
        ]
      }
    }