TEMPLATE SampleMTB (SampleMTB)

TEMPLATE IDSampleMTB
ConceptSampleMTB
DescriptionTest of Archetypes for Evidence graduation
PurposeTest of Archetypes for Evidence graduation
References
Authorsdate: 2021-12-03; name: Aurelie Tomczak; organisation: Institute of Pathology, University Hospital Heidelberg, Germany; email: au.tomczak@yahoo.com
Other Details Languagedate: 2021-12-03; name: Aurelie Tomczak; organisation: Institute of Pathology, University Hospital Heidelberg, Germany; email: au.tomczak@yahoo.com
OtherDetails Language Independent{licence=This work is licensed under the Creative Commons Attribution-ShareAlike 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/4.0/., custodian_organisation=openEHR Foundation, PARENT:MD5-CAM-1.0.1=005501C1FA493A4838F5F1121F2870EC, original_language=ISO_639-1::de, MD5-CAM-1.0.1=25d6f0d7c74305d0d19e3305d25f91c6, sem_ver=1.0.0, build_uid=0d57b86c-aee7-4b4c-877a-cb1520313d24}
KeywordsMTB Empfehlung
Language useden
Citeable Identifier1246.169.2170
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  • Completed 
  • Aborted 
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  • Organtumorboard
  • Molekulares Tumorboard
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  • prätherapeutisch 
  • postoperativ 
  • posttherapeutisch 
  • Sonstiges 
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  • Zweitmeinung - Ja
  • Zweitmeinung - Nein
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  • Innere Medizin 
  • Geriatrie 
  • Kardiologie 
  • Nephrologie 
  • Hämatologie und internistische Onkologie 
  • Endokrinologie 
  • Gastroenterologie 
  • Pneumologie 
  • Rheumatologie 
  • Pädiatrie 
  • Kinderkardiologie 
  • Neonatologie 
  • Kinderchirurgie 
  • Lungen- und Bronchialheilkunde 
  • Allgemeine Chirurgie 
  • Unfallchirurgie 
  • Neurochirurgie 
  • Gefäßchirurgie 
  • Plastische Chirurgie 
  • Thoraxchirurgie 
  • Herzchirurgie 
  • Urologie 
  • Orthopädie 
  • Frauenheilkunde und Geburtshilfe 
  • davon Geburtshilfe 
  • Hals-, Nasen-, Ohrenheilkunde 
  • Augenheilkunde 
  • Neurologie 
  • Allgemeine Psychiatrie 
  • Kinder- und Jugendpsychiatrie 
  • Psychosomatik/Psychotherapie 
  • Nuklearmedizin 
  • Strahlenheilkunde 
  • Dermatologie 
  • Zahn- und Kieferheilkunde, Mund- und Kieferchirurgie 
  • Intensivmedizin 
  • Orthopädie und Unfallchirurgie 
  • Frauenheilkunde 
  • Sonstige Fachabteilung 
  • Innere Medizin/Schwerpunkt Geriatrie 
  • Innere Medizin/Schwerpunkt Kardiologie 
  • Innere Medizin/Schwerpunkt Nephrologie 
  • Innere Medizin/Schwerpunkt Hämatologie und internistische Onkologie 
  • Innere Medizin/Schwerpunkt Endokrinologie 
  • Innere Medizin/Schwerpunkt Gastroenterologie 
  • Innere Medizin/Schwerpunkt Pneumologie 
  • Innere Medizin/Schwerpunkt Rheumatologie 
  • Innere Medizin/Schwerpunkt Lungen- und Bronchialheilkunde 
  • Innere Medizin/Tumorforschung 
  • Innere Medizin/Schwerpunkt Coloproktologie 
  • Innere Medizin/Schwerpunkt Infektionskrankheiten 
  • Innere Medizin/Schwerpunkt Diabetes 
  • Innere Medizin/Schwerpunkt Naturheilkunde 
  • Innere Medizin/Schwerpunkt Schlaganfallpatienten 
  • Geriatrie/Schwerpunkt Frauenheilkunde 
  • Geriatrie/Tagesklinik (für teilstationäre Pflegesätze) 
  • Geriatrie/Nachtklinik (für teilstationäre Pflegesätze) 
  • Nephrologie/Schwerpunkt Pädiatrie 
  • Nephrologie/Intensivmedizin 
  • Hämatologie und internistische Onkologie/Schwerpunkt Pädiatrie 
  • Hämatologie und internistische Onkologie/Schwerpunkt Frauenheilkunde 
  • Hämatologie und internistische Onkologie/Schwerpunkt Strahlenheilkunde 
  • Endokrinologie/Schwerpunkt Gastroenterologie 
  • Endokrinologie/Schwerpunkt Pädiatrie 
  • Gastroenterologie/Schwerpunkt Endokrinologie 
  • Gastroenterologie/Schwerpunkt Pädiatrie 
  • Rheumatologie/Schwerpunkt Pädiatrie 
  • Pädiatrie/Schwerpunkt Nephrologie 
  • Pädiatrie/Schwerpunkt Hämatologie und internistische Onkologie 
  • Pädiatrie/Schwerpunkt Endokrinologie 
  • Pädiatrie/Schwerpunkt Gastroenterologie 
  • Pädiatrie/Schwerpunkt Rheumatologie 
  • Pädiatrie/Schwerpunkt Kinderkardiologie 
  • Pädiatrie/Schwerpunkt Neonatologie 
  • Pädiatrie/Schwerpunkt Lungen- und Bronchialheilkunde 
  • Pädiatrie/Schwerpunkt Kinderneurologie 
  • Pädiatrie/Schwerpunkt Perinatalmedizin 
  • Langzeitbereich Kinder 
  • Kinderkardiologie/Schwerpunkt Intensivmedizin 
  • Lungen- und Bronchialheilkunde/Schwerpunkt Pädiatrie 
  • Allgemeine Chirurgie/Schwerpunkt Kinderchirurgie 
  • Allgemeine Chirurgie/Schwerpunkt Unfallchirurgie 
  • Allgemeine Chirurgie/Schwerpunkt Gefäßchirurgie 
  • Allgemeine Chirurgie/Schwerpunkt Plastische Chirurgie 
  • Allgemeine Chirurgie/Schwerpunkt Thoraxchirurgie 
  • Chirurgie/Schwerpunkt Orthopädie 
  • Allgemeine Chirurgie/Intensivmedizin (§ 13 Abs. 2 Satz 3, 2. Halbs. BPflV in der am 31.12.2003 geltenden Fassung 
  • Allgemeine Chirurgie/Schwerpunkt Abdominal- und Gefäßchirurgie 
  • Allgemeine Chirurgie/Schwerpunkt Handchirurgie 
  • Thoraxchirurgie/Schwerpunkt Herzchirurgie 
  • Thoraxchirurgie/Intensivmedizin 
  • Thoraxchirurgie/Schwerpunkt Herzchirurgie Intensivmedizin 
  • Herzchirurgie/Schwerpunkt Gefäßchirurgie 
  • Herzchirurgie/Schwerpunkt Thoraxchirurgie 
  • Herzchirurgie/Intensivmedizin (§ 13 Abs. 2 Satz 3 2. Halbsatz BPflV in der am 31.12.2003 geltenden Fassung) 
  • Herzchirurgie/Schwerpunkt Thoraxchirurgie Intensivmedizin 
  • Orthopädie/Schwerpunkt Rheumatologie 
  • Orthopädie/Schwerpunkt Chirurgie 
  • Frauenheilkunde/Schwerpunkt Geriatrie 
  • Frauenheilkunde/Schwerpunkt Hämatologie und internistische Onkologie 
  • Frauenheilkunde/Schwerpunkt Endokrinologie 
  • Neurologie/Schwerpunkt Pädiatrie 
  • Neurologie/Schwerpunkt Gerontologie 
  • Neurologie/Schwerpunkt Schlaganfallpatienten 
  • Allgemeine Psychiatrie/Schwerpunkt Neurologie 
  • Allgemeine Psychiatrie/Schwerpunkt Kinder- und Jugendpsychiatrie 
  • Allgemeine Psychiatrie/Schwerpunkt Psychosomatik/Psychotherapie 
  • Allgemeine Psychiatrie/Schwerpunkt Suchtbehandlung 
  • Allgemeine Psychiatrie/Schwerpunkt Gerontopsychiatrie 
  • Allgemeine Psychiatrie/Schwerpunkt Forensische Behandlung 
  • Allgemeine Psychiatrie/Schwerpunkt Suchtbehandlung, Tagesklinik 
  • Allgemeine Psychiatrie/Schwerpunkt Suchtbehandlung, Nachtklinik 
  • Allgemeine Psychiatrie/Schwerpunkt Gerontopsychiatrie, Tagesklinik 
  • Allgemeine Psychiatrie/Schwerpunkt Gerontopsychiatrie, Nachtklinik 
  • Allgemeine Psychiatrie/Tagesklinik (für teilstationäre Pflegesätze) 
  • Allgemeine Psychiatrie/Nachtklinik (für teilstationäre Pflegesätze) 
  • Kinder- und Jugendpsychiatrie/Tagesklinik (für teilstationäre Pflegesätze) 
  • Kinder- und Jugendpsychiatrie/Nachtklinik (für teilstationäre Pflegesätze) 
  • Psychosomatik/Psychotherapie/Schwerpunkt Kinder- und Jugendpsychosomatik 
  • Psychosomatik/Psychotherapie/Tagesklinik (für teilstationäre Pflegesätze) 
  • Psychosomatik/Psychotherapie/Nachtklinik (für teilstationäre Pflegesätze) 
  • Nuklearmedizin/Schwerpunkt Strahlenheilkunde 
  • Strahlenheilkunde/Schwerpunkt Hämatologie und internistische Onkologie 
  • Strahlenheilkunde/Schwerpunkt Radiologie 
  • Dermatologie/Tagesklinik (für teilstationäre Pflegesätze) 
  • Intensivmedizin/Schwerpunkt Innere Medizin 
  • Intensivmedizin/Schwerpunkt Kardiologie 
  • Intensivmedizin/Schwerpunkt Pädiatrie 
  • Intensivmedizin/Schwerpunkt Neurochirurgie 
  • Intensivmedizin/Schwerpunkt Chirurgie 
  • Intensivmedizin/Herzchirurgie 
  • Intensivmedizin/Schwerpunkt Urologie 
  • Intensivmedizin/Schwerpunkt Frauenheilkunde und Geburtshilfe 
  • Intensivmedizin/Schwerpunkt Hals-, Nasen-, Ohrenheilkunde 
  • Intensivmedizin/Schwerpunkt Neurologie 
  • Operative Intensivmedizin/Schwerpunkt Chirurgie 
  • Intensivmedizin/Thorax-Herzchirurgie 
  • Intensivmedizin/Herz-Thoraxchirurgie 
  • Angiologie 
  • Radiologie 
  • Palliativmedizin 
  • Schmerztherapie 
  • Heiltherapeutische Abteilung 
  • Wirbelsäulenchirurgie 
  • Suchtmedizin 
  • Visceralchirurgie 
  • Weaningeinheit 
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For example: 'John Markham', 'Professor Sir John Markham', 'John Markham Jnr MP' or 'Neighbour in the house with the red door'., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-INSTRUCTION.service_request.v1]/activities[at0001]/description[at0009]/items[openEHR-EHR-CLUSTER.location.v1]/items[openEHR-EHR-CLUSTER.person.v0]/items[openEHR-EHR-CLUSTER.structured_name.v0], code=at0000, itemType=CLUSTER, level=7, text=Structured name, description=Details about the discrete components of a person's name, for use within a health record., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-INSTRUCTION.service_request.v1]/activities[at0001]/description[at0009]/items[openEHR-EHR-CLUSTER.location.v1]/items[openEHR-EHR-CLUSTER.person.v0]/items[openEHR-EHR-CLUSTER.structured_name.v0]/items[at0001], code=at0001, itemType=ELEMENT, level=8, text=Title, description=An honorific form of address placed before all other name components., comment=Coding with an external terminology is preferred, where possible. For example: 'Doctor'; 'Ms'; 'Mx'; or 'Professor Dr'., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-INSTRUCTION.service_request.v1]/activities[at0001]/description[at0009]/items[openEHR-EHR-CLUSTER.location.v1]/items[openEHR-EHR-CLUSTER.person.v0]/items[openEHR-EHR-CLUSTER.structured_name.v0]/items[at0002], code=at0002, itemType=ELEMENT, level=8, text=First name, description=The person's identifying first name(s) within the family group or by which they are uniquely socially identified., comment=Also known as a specific type of 'Given name'., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-INSTRUCTION.service_request.v1]/activities[at0001]/description[at0009]/items[openEHR-EHR-CLUSTER.location.v1]/items[openEHR-EHR-CLUSTER.person.v0]/items[openEHR-EHR-CLUSTER.structured_name.v0]/items[at0003], code=at0003, itemType=ELEMENT, level=8, text=Middle name, description=The person's identifying middle name(s) within the family group or by which they are uniquely socially identified., comment=Also known as a specific type of 'Given name'., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-INSTRUCTION.service_request.v1]/activities[at0001]/description[at0009]/items[openEHR-EHR-CLUSTER.location.v1]/items[openEHR-EHR-CLUSTER.person.v0]/items[openEHR-EHR-CLUSTER.structured_name.v0]/items[at0004], code=at0004, itemType=ELEMENT, level=8, text=Nickname, description=The person's identifying pet name or nickname(s) within the family group or by which they are uniquely socially identified., comment=Also known as a specific type of 'Given name'., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-INSTRUCTION.service_request.v1]/activities[at0001]/description[at0009]/items[openEHR-EHR-CLUSTER.location.v1]/items[openEHR-EHR-CLUSTER.person.v0]/items[openEHR-EHR-CLUSTER.structured_name.v0]/items[at0005], code=at0005, itemType=ELEMENT, level=8, text=Last name, description=The part of a name a person usually has in common with some other members of their family, as distinguished from their own given names., comment=Also known as 'Family name' or 'Surname'., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-INSTRUCTION.service_request.v1]/activities[at0001]/description[at0009]/items[openEHR-EHR-CLUSTER.location.v1]/items[openEHR-EHR-CLUSTER.person.v0]/items[openEHR-EHR-CLUSTER.structured_name.v0]/items[at0006], code=at0006, itemType=ELEMENT, level=8, text=Suffix, description=An additional term placed after all other name components, usually to differentiate the individual from a family member with identical name components., comment=Coding with an external terminology is preferred, where possible. For example: 'Junior (Jr)'; 'Senior (Sr)'; 'Second (II)'., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-INSTRUCTION.service_request.v1]/activities[at0001]/description[at0009]/items[openEHR-EHR-CLUSTER.location.v1]/items[openEHR-EHR-CLUSTER.person.v0]/items[at0003], code=at0003, itemType=ELEMENT, level=7, text=Identifier, description=Identifier associated with the person., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_IDENTIFIER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-INSTRUCTION.service_request.v1]/activities[at0001]/description[at0009]/items[openEHR-EHR-CLUSTER.location.v1]/items[openEHR-EHR-CLUSTER.person.v0]/items[at0004], code=at0004, itemType=ELEMENT, level=7, text=Role, description=The relationship or role of the person to the individual or subject of care., comment=For example: Witness; member of a care team; relative; contact person; neighbour or guardian., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-INSTRUCTION.service_request.v1]/activities[at0001]/description[at0009]/items[openEHR-EHR-CLUSTER.location.v1]/items[openEHR-EHR-CLUSTER.person.v0]/items[at0006], code=at0006, itemType=CLUSTER, level=7, text=Electronic communication, description=Details about a specific type of electronic communication for the person., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-INSTRUCTION.service_request.v1]/activities[at0001]/description[at0009]/items[openEHR-EHR-CLUSTER.location.v1]/items[openEHR-EHR-CLUSTER.person.v0]/items[at0006]/items[at0007], code=at0007, itemType=ELEMENT, level=8, text=Type, description=The type or medium for electronic communication., comment=The range of electronic communication mediums includes, but is not limited to use of : telephone, cellular phone, email, pager, fax, conferencing tool or social media., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=
  •  Coded Text
    • Mobile (cellular) telephone 
    • Telephone (excluding mobile telephone) 
    • Email 
    • Pager 
  •  Text
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-INSTRUCTION.service_request.v1]/activities[at0001]/description[at0009]/items[openEHR-EHR-CLUSTER.location.v1]/items[openEHR-EHR-CLUSTER.person.v0]/items[at0006]/items[at0016], code=at0016, itemType=ELEMENT, level=8, text=Value, description=The unique combination of alphanumeric characters, meaningful for the identified type or medium of electronic communication., comment=For example: area code + landline phone/pager number; country code + mobile phone number; email address; or skype contact name., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=
  •  Text
  •  URI
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-INSTRUCTION.service_request.v1]/activities[at0001]/description[at0009]/items[openEHR-EHR-CLUSTER.location.v1]/items[openEHR-EHR-CLUSTER.person.v0]/items[at0006]/items[at0012], code=at0012, itemType=ELEMENT, level=8, text=Purpose, description=The purpose or use for the identified type of electronic communication., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=
  •  Coded Text
    • Business use 
    • Personal use 
    • Both business and personal use 
  •  Text
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-INSTRUCTION.service_request.v1]/activities[at0001]/description[at0009]/items[openEHR-EHR-CLUSTER.location.v1]/items[openEHR-EHR-CLUSTER.person.v0]/items[at0006]/items[at0018], code=at0018, itemType=ELEMENT, level=8, text=Comment, description=Additional narrative about the electronic communication not captured in other fields., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-INSTRUCTION.service_request.v1]/activities[at0001]/description[at0009]/items[openEHR-EHR-CLUSTER.location.v1]/items[openEHR-EHR-CLUSTER.person.v0]/items[at0019], code=at0019, itemType=ELEMENT, level=7, text=Comment, description=Additional narrative about the person not captured in other fields., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-INSTRUCTION.service_request.v1]/activities[at0001]/description[at0009]/items[openEHR-EHR-CLUSTER.location.v1]/items[openEHR-EHR-CLUSTER.person_name.v0], code=at0000, itemType=CLUSTER, level=6, text=Vorstellender Arzt, description=Details of personal name of an individual, provider or third party., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-INSTRUCTION.service_request.v1]/activities[at0001]/description[at0009]/items[openEHR-EHR-CLUSTER.location.v1]/items[openEHR-EHR-CLUSTER.person_name.v0]/items[at0002], code=at0002, itemType=CLUSTER, level=7, text=Structured name, description=Name in structured format., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-INSTRUCTION.service_request.v1]/activities[at0001]/description[at0009]/items[openEHR-EHR-CLUSTER.location.v1]/items[openEHR-EHR-CLUSTER.person_name.v0]/items[at0002]/items[at0017], code=at0017, itemType=ELEMENT, level=8, text=Title, description=The prefix or title used by the subject., comment=e.g. 'Mr', 'Mrs', 'Ms', 'Dr', 'Lord', uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Dr. med.
  • Prof. Dr. med.
  • PD Dr. med.
  • Dipl.-Med.
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-INSTRUCTION.service_request.v1]/activities[at0001]/description[at0009]/items[openEHR-EHR-CLUSTER.location.v1]/items[openEHR-EHR-CLUSTER.person_name.v0]/items[at0002]/items[at0003], code=at0003, itemType=ELEMENT, level=8, text=Given name, description=Given / personal / first name., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-INSTRUCTION.service_request.v1]/activities[at0001]/description[at0009]/items[openEHR-EHR-CLUSTER.location.v1]/items[openEHR-EHR-CLUSTER.person_name.v0]/items[at0002]/items[at0004], code=at0004, itemType=ELEMENT, level=8, text=Middle name, description=Middle name or names., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-INSTRUCTION.service_request.v1]/activities[at0001]/description[at0009]/items[openEHR-EHR-CLUSTER.location.v1]/items[openEHR-EHR-CLUSTER.person_name.v0]/items[at0002]/items[at0005], code=at0005, itemType=ELEMENT, level=8, text=Family name, description=Family name or Surname., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-INSTRUCTION.service_request.v1]/activities[at0001]/description[at0009]/items[at0076], code=at0076, itemType=ELEMENT, level=5, text=Liegt bereits eine Empfehlung durch ein (Organ)-Tumorboard vor?, description=Supplementary information will be following request., comment=Record as TRUE if additional information has been identified and will be forwarded when available. For example: pending test results., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-INSTRUCTION.service_request.v1]/activities[at0001]/description[at0009]/items[at0078], code=at0078, itemType=ELEMENT, level=5, text=Primärfall (optional), description=Description of the supplementary information., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Primärfall - Ja
  • Primärfall - Nein
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-INSTRUCTION.service_request.v1]/activities[at0001]/description[at0009]/items[at0150], code=at0150, itemType=ELEMENT, level=5, text=Anmerkungen, description=Additional narrative about the service request not captured in other fields., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-INSTRUCTION.service_request.v1]/protocol[at0008], code=at0008, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=3, text=Protocol, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-INSTRUCTION.service_request.v1]/protocol[at0008]/items[openEHR-EHR-CLUSTER.person_name.v0], code=at0000, itemType=CLUSTER, level=4, text=Anmeldender Arzt, description=Details of personal name of an individual, provider or third party., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-INSTRUCTION.service_request.v1]/protocol[at0008]/items[openEHR-EHR-CLUSTER.person_name.v0]/items[at0002], code=at0002, itemType=CLUSTER, level=5, text=Structured name, description=Name in structured format., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-INSTRUCTION.service_request.v1]/protocol[at0008]/items[openEHR-EHR-CLUSTER.person_name.v0]/items[at0002]/items[at0017], code=at0017, itemType=ELEMENT, level=6, text=Title, description=The prefix or title used by the subject., comment=e.g. 'Mr', 'Mrs', 'Ms', 'Dr', 'Lord', uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Dr. med.
  • Prof. Dr. med.
  • PD Dr. med.
  • Dipl.-Med.
  • [...]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-INSTRUCTION.service_request.v1]/protocol[at0008]/items[openEHR-EHR-CLUSTER.person_name.v0]/items[at0002]/items[at0003], code=at0003, itemType=ELEMENT, level=6, text=Given name, description=Given / personal / first name., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-INSTRUCTION.service_request.v1]/protocol[at0008]/items[openEHR-EHR-CLUSTER.person_name.v0]/items[at0002]/items[at0004], code=at0004, itemType=ELEMENT, level=6, text=Middle name, description=Middle name or names., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-INSTRUCTION.service_request.v1]/protocol[at0008]/items[openEHR-EHR-CLUSTER.person_name.v0]/items[at0002]/items[at0005], code=at0005, itemType=ELEMENT, level=6, text=Family name, description=Family name or Surname., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-INSTRUCTION.service_request.v1]/protocol[at0008]/items[openEHR-EHR-CLUSTER.professional_role.v0], code=at0000, itemType=CLUSTER, level=4, text=Erforderliche Fachdisziplinen, description=Role of a professional in care of an individual., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-INSTRUCTION.service_request.v1]/protocol[at0008]/items[openEHR-EHR-CLUSTER.professional_role.v0]/items[at0001], code=at0001, itemType=ELEMENT, level=5, text=Fachdisziplinen, description=Unstructured description of the role., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • (Translationale) Onkologie
  • Molekularpathologie
  • Pathologie
  • Biologie
  • Bioinformatik
  • Humangenetik
  • Radiologie
  • Chirurgie
  • Radioonkologie
  • Nuklearmedizin
  • Allgemein-, Viszeral- und Transplantationschirurgie
  • Gastroenterologie, Hepatologie und Endokrinologie
  • Diagnostische und Interventionelle Radiologie
  • Strahlentherapie
  • Hämatologie
  • Internistische Onkologie
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-INSTRUCTION.service_request.v1]/protocol[at0008]/items[openEHR-EHR-CLUSTER.case_identification.v0], code=at0000, itemType=CLUSTER, level=4, text=Case identification, description=To record case identification details for public health purposes., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-INSTRUCTION.service_request.v1]/protocol[at0008]/items[openEHR-EHR-CLUSTER.case_identification.v0]/items[at0001], code=at0001, itemType=ELEMENT, level=5, text=Laufende Fallnummer, description=The identifier of this case., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.problem_list.v0], code=at0000, itemType=SECTION, level=1, text=Tumordiagnose_section, description=Framework for consistent modelling of content within a template for a Problem list., comment=Intended to be used within the COMPOSITION.problem_list., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=SECTION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.problem_list.v0]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='Tumordiagnose'], code=at0000, itemType=EVALUATION, level=2, text=Tumordiagnose, description=Details about a single identified health condition, injury, disability or any other issue which impacts on the physical, mental and/or social well-being of an individual., comment=Clear delineation between the scope of a problem versus a diagnosis is not easy to achieve in practice. For the purposes of clinical documentation with this archetype, problem and diagnosis are regarded as a continuum, with increasing levels of detail and supportive evidence usually providing weight towards the label of 'diagnosis'., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVALUATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.problem_list.v0]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='Tumordiagnose']/data[at0001], code=at0001, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=3, text=Data, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.problem_list.v0]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='Tumordiagnose']/data[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=4, text=Diagnose Name (ICD-10), description=Identification of the problem or diagnosis, by name., comment=Coding of the name of the problem or diagnosis with a terminology is preferred, where possible., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.problem_list.v0]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='Tumordiagnose']/data[at0001]/items[at0009], code=at0009, itemType=ELEMENT, level=4, text=Diagnose Beschreibung, description=Narrative description about the problem or diagnosis., comment=Use to provide background and context, including evolution, episodes or exacerbations, progress and any other relevant details, about the problem or diagnosis., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.problem_list.v0]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='Tumordiagnose']/data[at0001]/items[at0012], code=at0012, itemType=ELEMENT, level=4, text=Seitenlokalisation, description=Identification of a simple body site for the location of the problem or diagnosis., comment=Coding of the name of the anatomical location with a terminology is preferred, where possible. Use this data element to record precoordinated anatomical locations. If the requirements for recording the anatomical location are determined at run-time by the application or require more complex modelling such as relative locations then use the CLUSTER.anatomical_location or CLUSTER.relative_location within the 'Structured anatomical location' SLOT in this archetype. Occurrences for this data element are unbounded to allow for clinical scenarios such as describing a rash in multiple locations but where all of the other attributes are identical. If the anatomical location is included in the Problem/diagnosis name via precoordinated codes, this data element becomes redundant., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Links (L)
  • Rechts (R)
  • Beidseitig (B)
  • Mittellinie/ Mittig (M)
  • Unbekannt (U)
  • Trifft nicht zu (T; Seitenangabe nicht sinnvoll, einschließlich Systemerkrankungen)
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.problem_list.v0]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='Tumordiagnose']/data[at0001]/items[at0077], code=at0077, itemType=ELEMENT, level=4, text=Erstdiagnosedatum, description=Estimated or actual date/time that signs or symptoms of the problem/diagnosis were first observed., comment=Data captured/imported as "Age at onset" should be converted to a date using the subject's date of birth., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.problem_list.v0]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='Tumordiagnose']/data[at0001]/items[openEHR-EHR-CLUSTER.tumor_icdo.v0], code=at0000, itemType=CLUSTER, level=4, text=Tumor classification ICD-O, description=International Classification of Diseases for Oncology. ICD-O-3 is a dual classification. It contains both a topographical code and a histological code for each neoplasm. The topographical describes the site of the neoplasm; in general, it uses the same three- or four-character codes as used in ICD-10 for malignant neoplasms. This results in a greater accuracy in the encoding of the topography of benign tumors than achieved in ICD-10. The morphological code describes the cell type of the neoplasm and its biological behaviour. It thus characterises the neoplasm itself., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.problem_list.v0]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='Tumordiagnose']/data[at0001]/items[openEHR-EHR-CLUSTER.tumor_icdo.v0]/items[at0001], code=at0001, itemType=ELEMENT, level=5, text=Morphological Code ICD-O, description=To record the type of cell that has become neoplastic and its biologic activity with the morphology code according to the International classification of diseases for oncology (‎‎ICD-O)‎‎., comment=There are three parts to a complete morphology code: 4 digits – Cell type (histology) 1 digit – Behavior 1 digit – Grade, differentiation or phenotype In ICD-O morphology codes, a common root codes the cell type of a given tumor, while an additional digit codes the behavior. The grade, differentiation, or phenotype code provides supplementary information about the tumor., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.problem_list.v0]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='Tumordiagnose']/data[at0001]/items[openEHR-EHR-CLUSTER.tumor_icdo.v0]/items[at0003], code=at0003, itemType=ELEMENT, level=5, text=Morphologie Beschreibung, description=To record the term (narrative description/synonyms) of the morphology code according to the International classification of diseases for oncology (‎‎ICD-O)‎‎., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.problem_list.v0]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='Tumordiagnose']/data[at0001]/items[openEHR-EHR-CLUSTER.tumor_icdo.v0]/items[at0009], code=at0009, itemType=ELEMENT, level=5, text=Topography Code ICD-O, description=The topographical describes the site of the neoplasm., comment=In general, it uses the same three- or four-character codes as used in ICD-10 for malignant neoplasms., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.problem_list.v0]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='Tumordiagnose']/data[at0001]/items[openEHR-EHR-CLUSTER.tumor_icdo.v0]/items[at0014], code=at0014, itemType=ELEMENT, level=5, text=Topographie Beschreibung, description=To record the term (narrative description/synonyms) of the topography code according to the "International classification of diseases for oncology (ICD-O-3)"., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.problem_list.v0]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='Tumordiagnose']/data[at0001]/items[openEHR-EHR-CLUSTER.tnm.v1], code=at0000, itemType=CLUSTER, level=4, text=TNM clinical classification, description=A framework for the clinical classification and stage grouping of malignancies using the TNM system., comment=Designated as TNM or cTNM., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.problem_list.v0]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='Tumordiagnose']/data[at0001]/items[openEHR-EHR-CLUSTER.tnm.v1]/items[at0003], code=at0003, itemType=ELEMENT, level=5, text=Primary tumour (T), description=Assessment of the the extent of the primary tumour., comment=Coding with a T code appropriate for the tumour type and anatomical site is expected. For example: 'T1'; or 'cT3'. Represented as 'T' or 'cT' in the 'TNM assessment'., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • 0
  • 1
  • 1a
  • 1a1
  • 1a2
  • 1b
  • 1b1
  • 1b2
  • 1c
  • 1c1
  • 1c2
  • 1c3
  • 1d
  • 1mic
  • 2
  • 2a
  • 2a1
  • 2a2
  • 2b
  • 2c
  • 2d
  • 3
  • 3a
  • 3b
  • 3c
  • 3d
  • 3e
  • 4
  • 4a
  • 4b
  • 4c
  • 4d
  • 4e
  • a
  • is
  • is(DCIS)
  • is(LAMN)
  • is(LCIS)
  • is(Paget)
  • is(pd)
  • is(pu)
  • X
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.problem_list.v0]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='Tumordiagnose']/data[at0001]/items[openEHR-EHR-CLUSTER.tnm.v1]/items[at0004], code=at0004, itemType=ELEMENT, level=5, text=Regional lymph nodes (N), description=Assessment of the the absence or presence and extent of regional lymph node metastasis., comment=Coding with an N code appropriate for the tumour type and anatomical site is expected. For example: 'NX'; or 'cN2'. Represented as 'N' or 'cN' within the 'TNM assessment'., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • 0
  • 0(i+)
  • 0(i-)
  • 0(i-)(sn)
  • 0(mol+)
  • 0(mol-)
  • 1
  • 1a
  • 1a(sn)
  • 1b
  • 1b a)
  • 1b b)
  • 1b c)
  • 1b d)
  • 1c
  • 1mi
  • 2
  • 2a
  • 2b
  • 2c
  • 3
  • 3a
  • 3b
  • 3c
  • 4
  • X
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.problem_list.v0]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='Tumordiagnose']/data[at0001]/items[openEHR-EHR-CLUSTER.tnm.v1]/items[at0005], code=at0005, itemType=ELEMENT, level=5, text=Distant metastasis (M), description=Assessment of the absence or presence of distant metastasis., comment=Coding with an M code appropriate for the tumour type and anatomical site is expected. For example: 'M1'; 'cM1a'; 'M1 PUL'; or 'cM0'. Represented as 'M' or 'cM' within the 'TNM assessment'., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • X
  • 0
  • 1
  • 1a
  • 1b
  • 1bi
  • 1bii
  • 1biii
  • 1biv
  • 1c
  • 1d
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.problem_list.v0]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='Tumordiagnose']/data[at0001]/items[openEHR-EHR-CLUSTER.tnm.v1]/items[at0007], code=at0007, itemType=ELEMENT, level=5, text=Residual tumour (R), description=Assessment of the presence of residual tumour after treatment., comment=For example: 'R2 (Macroscopic residual tumour)'. Represented as 'R' within the 'TNM assessment'., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • RX 
  • R0 
  • R1 
  • R2 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.problem_list.v0]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='Tumordiagnose']/data[at0001]/items[openEHR-EHR-CLUSTER.tnm.v1]/items[at0012], code=at0012, itemType=ELEMENT, level=5, text=Lymphatic invasion (L), description=Assessment of invasion into the lymphatic system., comment=For example: 'L0 (No lymphatic invasion)'. Represented as 'L' within the 'TNM assessment'., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • LX 
  • L0 
  • L1 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.problem_list.v0]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='Tumordiagnose']/data[at0001]/items[openEHR-EHR-CLUSTER.tnm.v1]/items[at0016], code=at0016, itemType=ELEMENT, level=5, text=Venous invasion (V), description=Assessment of invasion into the venous system., comment=For example: 'V1 (Microscopic venous invasion)'. Represented as 'V' within the 'TNM assessment'., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • VX 
  • V0 
  • V1 
  • V2 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.problem_list.v0]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='Tumordiagnose']/data[at0001]/items[openEHR-EHR-CLUSTER.tnm.v1]/items[at0021], code=at0021, itemType=ELEMENT, level=5, text=Perineural invasion (Pn), description=Assessment of invasion into the space surrounding nerves., comment=For example: 'Pn0 (No perineural invasion)'. Represented as 'Pn' within the 'TNM assessment'., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • PnX 
  • Pn0 
  • Pn1 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.problem_list.v0]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='Tumordiagnose']/data[at0001]/items[openEHR-EHR-CLUSTER.tnm.v1]/items[at0025], code=at0025, itemType=ELEMENT, level=5, text=Multiple primary tumours (m), description=Presence of multiple simultaneous primary tumours at a single site., comment=Represented by the suffix, either as '(m)' or the number of primary tumours added to the T code in brackets . For example: 'T2(m)' or 'cT2(4)'., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=
  •  Count
  •  Boolean
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.problem_list.v0]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='Tumordiagnose']/data[at0001]/items[openEHR-EHR-CLUSTER.tnm.v1]/items[at0026], code=at0026, itemType=ELEMENT, level=5, text=Multimodality therapy (y), description=Record as True if assessment is performed during or following initial multimodal therapy., comment=Represented by the prefix 'y' added to the 'TNM assessment'., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.problem_list.v0]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='Tumordiagnose']/data[at0001]/items[openEHR-EHR-CLUSTER.tnm.v1]/items[at0027], code=at0027, itemType=ELEMENT, level=5, text=Recurrent (r), description=Record as True if assessment is performed for a recurring cancer after a disease-free interval., comment=Represented by the prefix 'r' added to the 'TNM assessment'., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.problem_list.v0]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='Tumordiagnose']/data[at0001]/items[openEHR-EHR-CLUSTER.tnm.v1]/items[at0029], code=at0029, itemType=ELEMENT, level=5, text=Carcinoma in situ (is), description=Record as True if presence of carcinoma in situ associated with the primary tumour., comment=Represented by the prefix 'is' added to the 'TNM assessment'., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.problem_list.v0]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='Tumordiagnose']/data[at0001]/items[openEHR-EHR-CLUSTER.tnm.v1]/items[at0030], code=at0030, itemType=ELEMENT, level=5, text=TNM assessment, description=Concatenation of 'T', 'N' and 'M' assessments plus any optional assessments of 'G', 'R', 'L', 'V', prefixes and/or suffixes, as applicable., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.problem_list.v0]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='Tumordiagnose']/data[at0001]/items[openEHR-EHR-CLUSTER.tnm.v1]/items[at0031], code=at0031, itemType=ELEMENT, level=5, text=Stage grouping, description=The categorisation of the anatomical stage of the tumour, usually based on TNM assessment., comment=For example: carcinoma in situ is categorised as stage 0; or tumours with distant metastasis are categorised as stage IV., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • 0
  • 0a
  • 0is
  • I
  • IA
  • IA1
  • IA2
  • IA3
  • IB
  • IS
  • II
  • IIA
  • IIB
  • IIC
  • III
  • IIIA
  • IIIB
  • IIIC
  • IIID
  • IV
  • IVA
  • IVB
  • IVC
  • kein Stadtium ermittelbar
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.problem_list.v0]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='Tumordiagnose']/data[at0001]/items[openEHR-EHR-CLUSTER.tnm.v1]/items[at0032], code=at0032, itemType=ELEMENT, level=5, text=TNM Edition, description=The edition of the TNM classification system used for the assessment., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Auflage 8
  • Auflage 7
  • Auflage 6
  • Auflage 5
  • Auflage 4
  • Auflage 3
  • Auflage 2
  • Auflage 1
Default value: Auflage 8, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.problem_list.v0]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='Tumordiagnose']/data[at0001]/items[openEHR-EHR-CLUSTER.tnm-pathological.v1], code=at0000.1, itemType=CLUSTER, level=4, text=TNM pathological classification, description=A framework for the pathological classification and stage grouping of malignancies using the TNM system., comment=Designated as pTNM., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.problem_list.v0]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='Tumordiagnose']/data[at0001]/items[openEHR-EHR-CLUSTER.tnm-pathological.v1]/items[at0003.1], code=at0003.1, itemType=ELEMENT, level=5, text=Primary tumour (pT), description=Assessment of the extent of the primary tumour., comment=Coding with a T code appropriate for the tumour type and anatomical site is expected. For example: 'pT1'; or 'pT3'. Represented as 'pT' in the 'TNM assessment'., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • 0
  • 1
  • 1a
  • 1a1
  • 1a2
  • 1b
  • 1b1
  • 1b2
  • 1c
  • 1c1
  • 1c2
  • 1c3
  • 1d
  • 1mic
  • 2
  • 2a
  • 2a1
  • 2a2
  • 2b
  • 2c
  • 2d
  • 3
  • 3a
  • 3b
  • 3c
  • 3d
  • 3e
  • 4
  • 4a
  • 4b
  • 4c
  • 4d
  • 4e
  • a
  • is
  • is(DCIS)
  • is(LAMN)
  • is(LCIS)
  • is(Paget)
  • is(pd)
  • is(pu)
  • X
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.problem_list.v0]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='Tumordiagnose']/data[at0001]/items[openEHR-EHR-CLUSTER.tnm-pathological.v1]/items[at0004.1], code=at0004.1, itemType=ELEMENT, level=5, text=Regional lymph nodes (pN), description=Assessment of the absence or presence and extent of regional lymph node metastasis., comment=Coding with an N code appropriate for the tumour type and anatomical site is expected. For example: 'pNX'; or 'pN2'. Represented as 'pN' in the 'TNM assessment'., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • 0
  • 0(i+)
  • 0(i-)
  • 0(i-)(sn)
  • 0(mol+)
  • 0(mol-)
  • 1
  • 1a
  • 1a(sn)
  • 1b
  • 1b a)
  • 1b b)
  • 1b c)
  • 1b d)
  • 1c
  • 1mi
  • 2
  • 2a
  • 2b
  • 2c
  • 3
  • 3a
  • 3b
  • 3c
  • 4
  • X
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.problem_list.v0]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='Tumordiagnose']/data[at0001]/items[openEHR-EHR-CLUSTER.tnm-pathological.v1]/items[at0005.1], code=at0005.1, itemType=ELEMENT, level=5, text=Distant metastasis (pM), description=Assessment of the absence or presence of distant metastasis., comment=Coding with an M code appropriate for the tumour type and anatomical site is expected. For example: 'pM1'. Represented as 'pM' in the 'TNM assessment'., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • X
  • 0
  • 1
  • 1a
  • 1b
  • 1bi
  • 1bii
  • 1biii
  • 1biv
  • 1c
  • 1d
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.problem_list.v0]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='Tumordiagnose']/data[at0001]/items[openEHR-EHR-CLUSTER.tnm-pathological.v1]/items[at0006], code=at0006, itemType=ELEMENT, level=5, text=Histopathological grade (G), description=Histopathological grading of the tumour., comment=Pretreatment histopathological assessment may be determined from a limited biopsy prior to formal resection. Coding with a G code appropriate for the identified tumour type and anatomical site is expected. For example: 'G2'; 'GX'; or 'low grade' for bone and soft tissue sarcoma classification. Represented as 'G' within the 'TNM assessment'., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • 0
  • 1
  • 2
  • 3
  • 4
  • Differenzierungsgrad nicht bestimmbar
  • Niedriggradig maligne
  • Mittelgradig maligne
  • Hochgradig maligne
  • Trifft nicht zu
  • Borderline
  • Unbekannt
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.problem_list.v0]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='Tumordiagnose']/data[at0001]/items[openEHR-EHR-CLUSTER.tnm-pathological.v1]/items[at0007], code=at0007, itemType=ELEMENT, level=5, text=Residual tumour (R), description=Assessment of the presence of residual tumour after treatment., comment=For example: 'R2 (Macroscopic residual tumour)'. Represented as 'R' within the 'TNM assessment'., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • RX 
  • R0 
  • R1 
  • R2 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.problem_list.v0]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='Tumordiagnose']/data[at0001]/items[openEHR-EHR-CLUSTER.tnm-pathological.v1]/items[at0012], code=at0012, itemType=ELEMENT, level=5, text=Lymphatic invasion (L), description=Assessment of invasion into the lymphatic system., comment=For example: 'L0 (No lymphatic invasion)'. Represented as 'L' within the 'TNM assessment'., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • LX 
  • L0 
  • L1 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.problem_list.v0]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='Tumordiagnose']/data[at0001]/items[openEHR-EHR-CLUSTER.tnm-pathological.v1]/items[at0016], code=at0016, itemType=ELEMENT, level=5, text=Venous invasion (V), description=Assessment of invasion into the venous system., comment=For example: 'V1 (Microscopic venous invasion)'. Represented as 'V' within the 'TNM assessment'., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • VX 
  • V0 
  • V1 
  • V2 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.problem_list.v0]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='Tumordiagnose']/data[at0001]/items[openEHR-EHR-CLUSTER.tnm-pathological.v1]/items[at0021], code=at0021, itemType=ELEMENT, level=5, text=Perineural invasion (Pn), description=Assessment of invasion into the space surrounding nerves., comment=For example: 'Pn0 (No perineural invasion)'. Represented as 'Pn' within the 'TNM assessment'., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • PnX 
  • Pn0 
  • Pn1 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.problem_list.v0]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='Tumordiagnose']/data[at0001]/items[openEHR-EHR-CLUSTER.tnm-pathological.v1]/items[at0025.1], code=at0025.1, itemType=ELEMENT, level=5, text=Multiple primary tumours (m), description=Presence of multiple simultaneous primary tumours at a single site., comment=Represented by the suffix, either as '(m)' or the number of primary tumours added to the T code. For example: 'pT2(m)' or 'pT2(4)'. Represented as 'pm' within the 'TNM assessment'., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=
  •  Count
  •  Boolean
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.problem_list.v0]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='Tumordiagnose']/data[at0001]/items[openEHR-EHR-CLUSTER.tnm-pathological.v1]/items[at0026], code=at0026, itemType=ELEMENT, level=5, text=Multimodality therapy (y), description=Record as True if assessment is performed during or following initial multimodal therapy., comment=Represented by the prefix 'y' added to the 'TNM assessment'., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.problem_list.v0]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='Tumordiagnose']/data[at0001]/items[openEHR-EHR-CLUSTER.tnm-pathological.v1]/items[at0027], code=at0027, itemType=ELEMENT, level=5, text=Recurrent (r), description=Record as True if assessment is performed for a recurring cancer after a disease-free interval., comment=Represented by the prefix 'r' added to the 'TNM assessment'., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.problem_list.v0]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='Tumordiagnose']/data[at0001]/items[openEHR-EHR-CLUSTER.tnm-pathological.v1]/items[at0028], code=at0028, itemType=ELEMENT, level=5, text=Autopsy (a), description=Record as True if assessment is performed at postmortem examination., comment=Represented by the prefix 'a' added to the 'TNM assessment'., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.problem_list.v0]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='Tumordiagnose']/data[at0001]/items[openEHR-EHR-CLUSTER.tnm-pathological.v1]/items[at0029], code=at0029, itemType=ELEMENT, level=5, text=Carcinoma in situ (is), description=Record as True if presence of carcinoma in situ associated with the primary tumour., comment=Represented by the prefix 'is' added to the 'TNM assessment'., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.problem_list.v0]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='Tumordiagnose']/data[at0001]/items[openEHR-EHR-CLUSTER.tnm-pathological.v1]/items[at0030.1], code=at0030.1, itemType=ELEMENT, level=5, text=pTNM assessment, description=Concatenation of 'pT', 'pN' and 'pM' assessments plus any optional assessments of 'G', 'R', 'L', 'V', prefixes and/or suffixes, as applicable., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.problem_list.v0]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='Tumordiagnose']/data[at0001]/items[openEHR-EHR-CLUSTER.tnm-pathological.v1]/items[at0031.1], code=at0031.1, itemType=ELEMENT, level=5, text=Stage grouping, description=The categorisation of the anatomical stage of the tumour, usually based on pTNM assessment., comment=For example: carcinoma in situ is categorised as stage 0; or tumours with distant metastasis are categorised as stage IV., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • 0
  • 0a
  • 0is
  • I
  • IA
  • IA1
  • IA2
  • IA3
  • IB
  • IS
  • II
  • IIA
  • IIB
  • IIC
  • III
  • IIIA
  • IIIB
  • IIIC
  • IIID
  • IV
  • IVA
  • IVB
  • IVC
  • kein Stadium ermittelbar
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.problem_list.v0]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='Tumordiagnose']/data[at0001]/items[openEHR-EHR-CLUSTER.tnm-pathological.v1]/items[at0032], code=at0032, itemType=ELEMENT, level=5, text=TNM Edition, description=The edition of the TNM classification system used for the assessment., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Auflage 8
  • Auflage 7
  • Auflage 6
  • Auflage 5
  • Auflage 4
  • Auflage 3
  • Auflage 2
  • Auflage 1
Default value: Auflage 8, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.problem_list.v0]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='Tumordiagnose']/data[at0001]/items[openEHR-EHR-CLUSTER.tnm-pathological.v1]/items[at0.1], code=at0.1, itemType=ELEMENT, level=5, text=Sentinel node (sn), description=Record as True if presence of metastasis within one or more sentinel node(s)., comment=Represented by the suffix 'sn' added to the 'TNM assessment'., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.problem_list.v0]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='Tumordiagnose']/data[at0001]/items[openEHR-EHR-CLUSTER.tnm-pathological.v1]/items[at0.2], code=at0.2, itemType=ELEMENT, level=5, text=Micrometastases (mi), description=Record as True if presence of micrometastases in the regional lymph drainage area of the primary tumour., comment=Represented by the suffix 'mi' added to the 'TNM assessment'., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.problem_list.v0]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='Tumordiagnose']/data[at0001]/items[openEHR-EHR-CLUSTER.tnm-pathological.v1]/items[at0.3], code=at0.3, itemType=ELEMENT, level=5, text=Regional lymph node ITC, description=Presence of isolated tumour cells (ITC) detected by H&E stains or immunohistochemistry in regional lymph nodes., comment=For example 'pN0(i-) No regional lymph node metastasis histologically, negative morphological findings for ITC'; 'pN0(mol+) No regional lymph node metastasis histologically, positive non morphological findings for ITC'; or 'pN0(i+)(sn) No sentinel lymph node metastasis histologically, positive morphological findings for ITC'., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • i- 
  • i+ 
  • mol- 
  • mol+ 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.problem_list.v0]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='Tumordiagnose']/data[at0001]/items[openEHR-EHR-CLUSTER.tnm-pathological.v1]/items[at0.8], code=at0.8, itemType=ELEMENT, level=5, text=Distant metastasis ITC, description=Presence of isolated tumour cells (ITC) detected by H&E stains or immunohistochemistry as distant metastases, such as bone marrow., comment=For example: 'pM0(i+)' or 'pM0(mol+)'., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • i- 
  • i+ 
  • mol- 
  • mol+ 
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  • Klinisch ohne tumorspezifische Diagnostik 
  • Klinisch 
  • Spezifische Tumormarker 
  • Zytologisch 
  • Histologie einer Metastase 
  • Histologisch 
  • Unbekannt 
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  • Direkte Visualisierung 
  • Ausschließlich klinische Diagnostik 
  • Palpation 
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  • MRT 
  • CT 
  • PET 
  • PET-CT 
  • PET-MRT 
  • SPECT 
  • Sonstige Nuklearmedizinische Bildgebung 
  • Sonografie 
  • Röntgendiagnostik 
  • Anderes bildgebendes Verfahren 
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  • Histologisch 
  • Immunophänotypisierung 
  • Mikroskopische Bestätigung mit unbekannter Methode 
  • Labortest oder Labormarker 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.problem_list.v0]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='Tumordiagnose']/data[at0001]/items[openEHR-EHR-CLUSTER.confirmed_cancer.v2]/items[at0017]/items[at0117]/items[at0127], code=at0127, itemType=ELEMENT, level=7, text=Zeitpunkt des Verfahrens, description=Der Zeitpunkt und das Datum, an dem das Verfahren durchgeführt wurde., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.problem_list.v0]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='Tumordiagnose']/data[at0001]/items[openEHR-EHR-CLUSTER.confirmed_cancer.v2]/items[at0017]/items[at0125], code=at0125, itemType=CLUSTER, level=6, text=Sonstige Verfahren, description=Die Diagnosesicherheit beruht auf einem alternativen Verfahren, welches in den vorherigen Elementen nicht dargestellt wurde., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.problem_list.v0]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='Tumordiagnose']/data[at0001]/items[openEHR-EHR-CLUSTER.confirmed_cancer.v2]/items[at0017]/items[at0125]/items[at0126], code=at0126, itemType=ELEMENT, level=7, text=Sonstiges Verfahren, description=Die Diagnosesicherheit beruht auf einem alternativen Verfahren, welches in den vorherigen Elementen nicht dargestellt wurde., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=
  •  Text
  •  Coded Text
    • Genetischer Test 
    • Zytologisch 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.problem_list.v0]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='Tumordiagnose']/data[at0001]/items[openEHR-EHR-CLUSTER.confirmed_cancer.v2]/items[at0017]/items[at0125]/items[at0128], code=at0128, itemType=ELEMENT, level=7, text=Zeitpunkt des Verfahrens, description=Der Zeitpunkt und das Datum, an dem das Verfahren durchgeführt wurde., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.problem_list.v0]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='Tumordiagnose']/data[at0001]/items[openEHR-EHR-CLUSTER.confirmed_cancer.v2]/items[at0017]/items[at0129], code=at0129, itemType=ELEMENT, level=6, text=Kommentar, description=Weitere Informationen über die Erhebung der Diagnosesicherheit., comment=Zum Beispiel können Anmerkungen über Qualität der Diagnosesicherheit in diesem Datenelement festgehalten werden., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.problem_list.v0]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='Tumordiagnose']/data[at0001]/items[openEHR-EHR-CLUSTER.further_tumor_classification.v1], code=at0000, itemType=CLUSTER, level=4, text=Weitere Tumorklassifikation, description=Der Archetyp "Weitere Tumorklassifikation" dient zur Stadieneinteilung maligner Neoplasien nach sonstigen, weiteren Tumorklassifikationen, außer der TNM-Klassifikation., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.problem_list.v0]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='Tumordiagnose']/data[at0001]/items[openEHR-EHR-CLUSTER.further_tumor_classification.v1]/items[at0001], code=at0001, itemType=ELEMENT, level=5, text=Name der Klassifikation, description=Angabe der Bezeichnung der Klassifikation. Wenn möglich wird die Kodierung der spezifischen Klassifikation mit einer Terminologie bevorzugt., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.problem_list.v0]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='Tumordiagnose']/data[at0001]/items[openEHR-EHR-CLUSTER.further_tumor_classification.v1]/items[at0002], code=at0002, itemType=ELEMENT, level=5, text=Beschreibung des Stadium/Gruppe/Grades, description=Jede zusätzliche Beschreibung für die entsprechende Klassifikation., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.problem_list.v0]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='Tumordiagnose']/data[at0001]/items[openEHR-EHR-CLUSTER.further_tumor_classification.v1]/items[at0003], code=at0003, itemType=ELEMENT, level=5, text=Stadium/Gruppe/Grad, description=Das Stadium/die Gruppe/der Grad der Einstufung der Malignität anhand der Klassifikation., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.problem_list.v0]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='Tumordiagnose']/data[at0001]/items[openEHR-EHR-CLUSTER.further_tumor_classification.v1]/items[at0004], code=at0004, itemType=ELEMENT, level=5, text=Datum der Klassifizierungseinteilung, description=Das Datum, an dem die Klassifikation festgestellt wurde., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.problem_list.v0]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='Tumordiagnose']/data[at0001]/items[openEHR-EHR-CLUSTER.further_tumor_classification.v1]/items[at0005], code=at0005, itemType=ELEMENT, level=5, text=Auflage der Klassifikation, description=Die Auflage, auf der die Klassifikation basiert, die für die Beurteilung verwendet wurde., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.problem_list.v0]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='Tumordiagnose']/data[at0001]/items[openEHR-EHR-CLUSTER.further_tumor_classification.v1]/items[at0007], code=at0007, itemType=ELEMENT, level=5, text=Kommentar, description=Ergänzende Beschreibung der weiteren Tumorklassifikation, die nicht in anderen Bereichen erfasst wurde., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.problem_list.v0]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='Tumordiagnose']/data[at0001]/items[openEHR-EHR-CLUSTER.tumour_focality.v0], code=at0000, itemType=CLUSTER, level=4, text=Tumorfokalität, description=Beschreibt die Fokalität bzw. das Herdgeschehen des Tumors bei einem Krebspatienten., comment=Der Fokus bezeichnet den Herd bzw. Streuherd im Sinne eines lokalen Krankheitsprozesses, der über die direkte Umgebung hinaus pathologische Fernwirkungen auslösen kann., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.problem_list.v0]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='Tumordiagnose']/data[at0001]/items[openEHR-EHR-CLUSTER.tumour_focality.v0]/items[at0001], code=at0001, itemType=ELEMENT, level=5, text=Fokalität, description=Fokalität bzw. das Herdgeschehen des Tumors., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Unifokal 
  • Bifokal 
  • Multifokal 
  • Unbekannt/unzureichend beschrieben 
  • Systemisch 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.problem_list.v0]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='Tumordiagnose']/data[at0001]/items[openEHR-EHR-CLUSTER.tumour_focality.v0]/items[openEHR-EHR-CLUSTER.anatomical_location.v1], code=at0000, itemType=CLUSTER, level=5, text=Anatomical location, description=A physical site on or within the human body., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.problem_list.v0]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='Tumordiagnose']/data[at0001]/items[openEHR-EHR-CLUSTER.tumour_focality.v0]/items[openEHR-EHR-CLUSTER.anatomical_location.v1]/items[at0001], code=at0001, itemType=ELEMENT, level=6, text=Body site name, description=Identification of a single physical site either on, or within, the human body., comment=This data element is the only mandated data point in this archetype and should be used as the primary data point to record an anatomical location with a commonly used name. It is strongly recommended that 'Body site name' be recorded as specifically as is anatomically possible. For example: record 'upper eyelid' rather than recording 'eyelid' with 'upper' as a qualifier; 'fifth rib' rather than 'rib' with a numeric qualifier. Use the other data elements for laterality, aspect, region and anatomical line to provide more detail. This data element should be coded with a terminology capable of triggering decision support, where possible - an appropriate termset for use here could comprise individual concepts or a list of precoordinated terms. Free text should be used only if there is no appropriate terminology available. If body site name is already identified in the parent archetype, then this data element may be redundant. Alternatively, a use case has been identified where the value may be duplicated into this element to support semantic querying using this archetype, rather than the data element within the parent., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.problem_list.v0]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='Tumordiagnose']/data[at0001]/items[openEHR-EHR-CLUSTER.tumour_focality.v0]/items[openEHR-EHR-CLUSTER.anatomical_location.v1]/items[at0065], code=at0065, itemType=ELEMENT, level=6, text=Specific site, description=Additional detail using a specific region or a point on, or within, the identified body site., comment=Use to increase precision of identification of the body site, if required. For example, the upper right quadrant or McBurney's point on the abdominal wall or interphalangeal joint of the great toe. If the 'Body site name' data element uses pre-coordinated terms that include the specific site, then this data element is redundant., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.problem_list.v0]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='Tumordiagnose']/data[at0001]/items[openEHR-EHR-CLUSTER.tumour_focality.v0]/items[openEHR-EHR-CLUSTER.anatomical_location.v1]/items[at0002], code=at0002, itemType=ELEMENT, level=6, text=Laterality, description=The side of the body on which the identified body site is located., comment=If the identified body site has no laterality, this data element should not have a value. If the 'Body site name' data element uses pre-coordinated terms that include laterality, then this data element is redundant., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Left 
  • Right 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.problem_list.v0]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='Tumordiagnose']/data[at0001]/items[openEHR-EHR-CLUSTER.tumour_focality.v0]/items[openEHR-EHR-CLUSTER.anatomical_location.v1]/items[at0064], code=at0064, itemType=ELEMENT, level=6, text=Aspect, description=Qualifying detail about the specific aspect of the identified body site., comment=Use to increase precision of identification of the body site, if required. Common aspects have been included as a value set, which can be extended over time, plus a free text option. Assumes that the body is being described while in the anatomical position. For example: proximal urethra; plantar aspect of the left thumb. Multiple aspects can also be described, if required, by allowing for 0..2 occurrences. For example: a lesion may be on the left anterior/lateral (ie anterolateral) chest wall. If the 'Body site name' data element uses pre-coordinated terms that include the aspect, then this data element is redundant., uncommonOntologyItems=null, occurencesFormal=0..2, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=
  •  Coded Text
    • Medial 
    • Lateral 
    • Superior 
    • Inferior 
    • Anterior 
    • Posterior 
    • Proximal 
    • Distal 
    • Deep 
    • Superficial 
    • Palmar 
    • Plantar 
    • Dorsal 
    • Mid 
    • Oral 
    • Anal 
  •  Text
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.problem_list.v0]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='Tumordiagnose']/data[at0001]/items[openEHR-EHR-CLUSTER.tumour_focality.v0]/items[openEHR-EHR-CLUSTER.anatomical_location.v1]/items[at0055], code=at0055, itemType=ELEMENT, level=6, text=Anatomical Line, description=Additional detail using theoretical lines drawn through anatomical structures used to provide a consistent reference point on the human body., comment=Common anatomical lines have been included as a value set, which can be extended over time, plus a free text option. The additional use of this data element allows for recording of the typical position of the heart's apex beat at 5th intercostal space, left side, and mid-clavicular line. If the 'Body site name' data element uses pre-coordinated terms that include anatomical line, then this data element is redundant., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=
  •  Coded Text
    • Midline 
    • Midaxillary line 
    • Anterior axillary line 
    • Posterior axillary line 
    • Mid-clavicular line 
    • Mid-pupillary line 
    • Mid-scapular line 
  •  Text
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.problem_list.v0]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='Tumordiagnose']/data[at0001]/items[openEHR-EHR-CLUSTER.tumour_focality.v0]/items[openEHR-EHR-CLUSTER.anatomical_location.v1]/items[at0023], code=at0023, itemType=ELEMENT, level=6, text=Description, description=Narrative description that can be used to further refine and support the 'Body site name'., comment=For example: adjacent to the vermilion border; a tattoo covers the bottom half of this area., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.problem_list.v0]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='Tumordiagnose']/data[at0001]/items[openEHR-EHR-CLUSTER.tumour_focality.v0]/items[at0006], code=at0006, itemType=ELEMENT, level=5, text=Beschreibung der Fokalität, description=Beschreibung des Herdgeschehens des Tumors., comment=Zum Beispiel "Diffus wachsend", "Multizentrisches Mammakarzinom mit 3 Herden" oder "Nachweis von Tumorzellen im Liquorsediment"., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.problem_list.v0]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='Tumordiagnose']/data[at0001]/items[at0069], code=at0069, itemType=ELEMENT, level=4, text=Kommentar Tumordiagnose, description=Additional narrative about the problem or diagnosis not captured in other fields., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.problem_list.v0]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='Tumordiagnose']/protocol[at0032], code=at0032, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=3, text=Protocol, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.problem_list.v0]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='Tumordiagnose']/protocol[at0032]/items[at0070], code=at0070, itemType=ELEMENT, level=4, text=Last updated, description=The date this problem or diagnosis was last updated., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.problem_list.v0]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='Tumordiagnose']/protocol[at0032]/items[openEHR-EHR-CLUSTER.tumor_id.v0], code=at0000, itemType=CLUSTER, level=4, text=Tumor ID, description=Zur Darstellung der ID des Tumors., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.problem_list.v0]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='Tumordiagnose']/protocol[at0032]/items[openEHR-EHR-CLUSTER.tumor_id.v0]/items[at0001], code=at0001, itemType=ELEMENT, level=5, text=Tumor ID, description=Die ID/Kennung des Tumors., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_IDENTIFIER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.problem_list.v0]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='Fernmetastase'], code=at0000, itemType=EVALUATION, level=2, text=Fernmetastase, description=Details about a single identified health condition, injury, disability or any other issue which impacts on the physical, mental and/or social well-being of an individual., comment=Clear delineation between the scope of a problem versus a diagnosis is not easy to achieve in practice. For the purposes of clinical documentation with this archetype, problem and diagnosis are regarded as a continuum, with increasing levels of detail and supportive evidence usually providing weight towards the label of 'diagnosis'., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVALUATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.problem_list.v0]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='Fernmetastase']/data[at0001], code=at0001, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=3, text=Data, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.problem_list.v0]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='Fernmetastase']/data[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=4, text=Fernmetastase, description=Identification of the problem or diagnosis, by name., comment=Coding of the name of the problem or diagnosis with a terminology is preferred, where possible., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=Terminology: local_terms
  • Keine Fernmetastasen 
  • Fernmetastase 

Default value: Keine Fernmetastasen, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.problem_list.v0]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='Fernmetastase']/data[at0001]/items[at0012], code=at0012, itemType=ELEMENT, level=4, text=Fernmetastase Lokalisation, description=Identification of a simple body site for the location of the problem or diagnosis., comment=Coding of the name of the anatomical location with a terminology is preferred, where possible. Use this data element to record precoordinated anatomical locations. If the requirements for recording the anatomical location are determined at run-time by the application or require more complex modelling such as relative locations then use the CLUSTER.anatomical_location or CLUSTER.relative_location within the 'Structured anatomical location' SLOT in this archetype. Occurrences for this data element are unbounded to allow for clinical scenarios such as describing a rash in multiple locations but where all of the other attributes are identical. If the anatomical location is included in the Problem/diagnosis name via precoordinated codes, this data element becomes redundant., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Lunge (PUL)
  • Knochen (OSS)
  • Leber (HEP)
  • Hirn (BRA)
  • Lymphknoten (LYM)
  • Knochenmark (MAR)
  • Pleura (PLE)
  • Peritoneum (PER)
  • Nebenniere (ADR)
  • Nieren (KID)
  • Haut (SKI)
  • Andere Organe (OTH)
  • Generalisierte Metastasierung (GEN)
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.problem_list.v0]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='Fernmetastase']/data[at0001]/items[at0077], code=at0077, itemType=ELEMENT, level=4, text=Fernmetastase Diagnosedatum, description=Estimated or actual date/time that signs or symptoms of the problem/diagnosis were first observed., comment=Data captured/imported as "Age at onset" should be converted to a date using the subject's date of birth., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.problem_list.v0]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='Fernmetastase']/data[at0001]/items[at0069], code=at0069, itemType=ELEMENT, level=4, text=Comment, description=Additional narrative about the problem or diagnosis not captured in other fields., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.problem_list.v0]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='Fernmetastase']/protocol[at0032], code=at0032, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=3, text=Protocol, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.problem_list.v0]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='Fernmetastase']/protocol[at0032]/items[at0070], code=at0070, itemType=ELEMENT, level=4, text=Last updated, description=The date this problem or diagnosis was last updated., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.problem_list.v0]/items[openEHR-EHR-EVALUATION.absence.v2], code=at0000, itemType=EVALUATION, level=2, text=Absence of information, description=Statement that specified health information is not available for inclusion in the health record or extract at the time of recording., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVALUATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.problem_list.v0]/items[openEHR-EHR-EVALUATION.absence.v2]/data[at0001], code=at0001, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=3, text=Data, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.problem_list.v0]/items[openEHR-EHR-EVALUATION.absence.v2]/data[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=4, text=Absence statement, description=Positive statement that no information is available., comment=For example: "No information available about adverse reactions"; No information available about problems or diagnoses"; "No information available about previous procedures performed"; or "No information available about medications used"., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Fernmetastasen
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-EVALUATION.clinical_variant_assessment.v0], code=at0000, itemType=EVALUATION, level=1, text=Klinische Variantenbewertung, description=Bewertung einer einzelnen oder einer Kombination von genetischen Varianten. Diese Variante(n) wurde durch Sequenzierung von genetischem Material (z.B. aus Gewebeproben eines Tumors) identifiziert., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVALUATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-EVALUATION.clinical_variant_assessment.v0]/data[at0001], code=at0001, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=2, text=Data, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-EVALUATION.clinical_variant_assessment.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.evidence_classification.v0], code=at0000, itemType=CLUSTER, level=3, text=Evidenzgraduierung, description=Dieser Archetyp dient der Dokumentation einer klinischen Bewertung von einer oder mehreren genetischen Varianten., comment=Die Bewertung einer oder mehrerer genetischer Varianten mithilfe von standardisierten Skalierungen., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-EVALUATION.clinical_variant_assessment.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.evidence_classification.v0]/items[at0041], code=at0041, itemType=CLUSTER, level=4, text=Therapieansatz, description=Die Therapie, die empfohlen wird, um den Tumor mit den/der identifizierten Variante(n) zu behandeln., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-EVALUATION.clinical_variant_assessment.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.evidence_classification.v0]/items[at0041]/items[at0042], code=at0042, itemType=ELEMENT, level=5, text=Substanz, description=Die Substanz(en), die empfohlen werden, um den Tumor mit den/der identifizierten Variante(n) zu behandeln. Es wird empfohlen sich bei der Annotation an bekannte Wirkstoffdatenbanken zu halten (z.B. ATC)., comment=Eine Kombination aus mehreren Substanzen ist möglich., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-EVALUATION.clinical_variant_assessment.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.evidence_classification.v0]/items[at0041]/items[at0043], code=at0043, itemType=ELEMENT, level=5, text=(Effekt der Variation auf die Wirksamkeit der Wirkstoffe), description=Die prognostizierte Fähigkeit des Wirkstoffes an die beabsichtige Stelle des Zielmoleküls zu binden, um den gewünschten Effekt zu erzielen. Ein Wert der zeigen soll, ob der Wirkstoff den gewünschten Effekt erzielen wird oder nicht., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Resistent 
  • Reagierend 
  • Vermutlich Resistent 
  • Vermutlich Reagierend 
  • Unbekannte Signifikanz 
  • Günstig 
  • Vermutlich Günstig 
  • Vermutlich nicht reagierend 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-EVALUATION.clinical_variant_assessment.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.evidence_classification.v0]/items[at0041]/items[at0066], code=at0066, itemType=CLUSTER, level=5, text=Quellenbeschreibung, description=Die Beschreibung der Quelle, welche Informationen über den Therapieansatz enthält., comment=Es können mehrere Quellen zu einem Therapieansatz mit unterschiedlichen Evidenzen angegeben werden., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-EVALUATION.clinical_variant_assessment.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.evidence_classification.v0]/items[at0041]/items[at0066]/items[openEHR-EHR-CLUSTER.citation.v0], code=at0000, itemType=CLUSTER, level=6, text=Citation, description=Reference to information held elsewhere, in the same EHR or external to the EHR., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-EVALUATION.clinical_variant_assessment.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.evidence_classification.v0]/items[at0041]/items[at0066]/items[openEHR-EHR-CLUSTER.citation.v0]/items[at0004], code=at0004, itemType=ELEMENT, level=7, text=Description, description=Description about the citation., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-EVALUATION.clinical_variant_assessment.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.evidence_classification.v0]/items[at0041]/items[at0066]/items[openEHR-EHR-CLUSTER.citation.v0]/items[at0001], code=at0001, itemType=ELEMENT, level=7, text=Citation, description=Representation of the citation., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=
  •  Parsable
  •  Multimedia
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  • Is 
  • Iv 
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  •  Coded Text
    • Pathogen 
    • Wahrscheinlich pathogen 
    • Unklare Signifikanz 
    • Wahrscheinlich nicht-pathogen 
    • Nicht-pathogen 
  •  Text
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  •  Text
  •  Coded TextValue set: external
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  •  Text
  •  Coded TextValue set: external
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  • Resistent 
  • Reagierend 
  • Vermutlich Resistent 
  • Vermutlich Reagierend 
  • Unbekannte Signifikanz 
  • Günstig 
  • Vermutlich Günstig 
  • Vermutlich nicht reagierend 
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  •  Parsable
  •  Multimedia
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  •  Coded Text
    • ACMG 
    • AMP 
    • CAP 
    • ENIGMA 
    • InSiGHT 
    • HiGHmed 
    • ZPM 
    • CPIC 
  •  Text
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  • Is 
  • Iv 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-EVALUATION.tumorboard_recommendation.v0]/data[at0001]/items[at0011]/items[openEHR-EHR-CLUSTER.evidence_classification.v0]/items[openEHR-EHR-CLUSTER.evidence_code.v0], code=at0000, itemType=CLUSTER, level=5, text=Evidenzcode, description=Dieser Archetyp dient der Dokumentation des Evidenzcodes und den zugehörigen Details wie Evidenzlevel und das Codesystem., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-EVALUATION.tumorboard_recommendation.v0]/data[at0001]/items[at0011]/items[openEHR-EHR-CLUSTER.evidence_classification.v0]/items[openEHR-EHR-CLUSTER.evidence_code.v0]/items[at0001], code=at0001, itemType=CLUSTER, level=6, text=Evidenzcode, description=Der Evidenz Code, der zur Bewertung der Variante(n) benutzt wurde., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-EVALUATION.tumorboard_recommendation.v0]/data[at0001]/items[at0011]/items[openEHR-EHR-CLUSTER.evidence_classification.v0]/items[openEHR-EHR-CLUSTER.evidence_code.v0]/items[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=7, text=Evidenz Codesystem, description=Das Codierungssystem, das benutzt wurde, um die Variante(n) zu bewerten., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=
  •  Coded Text
    • ACMG 
    • AMP 
    • CAP 
    • ENIGMA 
    • InSiGHT 
    • HiGHmed 
    • ZPM 
    • CPIC 
  •  Text
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  • Is 
  • Iv 
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  •  Coded Text
    • Pathogen 
    • Wahrscheinlich pathogen 
    • Unklare Signifikanz 
    • Wahrscheinlich nicht-pathogen 
    • Nicht-pathogen 
  •  Text
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  •  Text
  •  Coded Text
    • notwendig 
    • empfehlenswert 
    • nicht notwendig 
    • nicht zutreffend 
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