TEMPLATE Tumordiagnose (Tumordiagnose)

TEMPLATE IDTumordiagnose
ConceptTumordiagnose
DescriptionZur Repräsentation von Erkrankungsdaten einer Tumordiagnose bei Patienten mit einer onkologischen Diagnose im HiGHmed Projekt.
UseDieses Template wird verwendet, um Erkrankungsdaten zu einer Tumordiagnose bei Patienten mit einer onkologischen Diagnose aufzuzeichnen. Es sollen folgende Daten zu der Tumordiagnose wie die ICD 10 Diagnose, die ICD-O-3 Topographie, die ICD-O-3 Histologie, der klinische TNM-Status sowie der pathologische TNM-Status erfasst werden.
MisuseDieses Template soll nicht verwendet werden, um Therapien und Prozeduren, Medikationen, Laborparameter, Residualstatus, Fernmetastasen, radiologische Daten oder molekularpathologische Daten des Patienten aufzuzeichnen. Für diese Daten jeweils das eigene Template hierzu benutzen.
PurposeZur Repräsentation von Erkrankungsdaten einer Tumordiagnose bei Patienten mit einer onkologischen Diagnose im HiGHmed Projekt.
References
Authorsdate: 2019-12-10
Other Details Languagedate: 2019-12-10
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=452F11AF1291ED7CAB90062C5EC03674, original_namespace=org.openehr, original_publisher=openEHR Foundation, custodian_namespace=org.openehr}
KeywordsTumordiagnose, Krebserkrankung, Onkologische Diagnose, Tumor
Language useden
Citeable Identifier1246.169.352
AllOperationalTemplate [rootArchetypeId=openEHR-EHR-COMPOSITION.problem_list.v1, otherContributors=null, tshis=[ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.problem_list.v1], code=at0000, itemType=COMPOSITION, level=0, text=*Problem list (en), description=A persistent and managed list of any combination of diagnoses, problems and/or procedures that may influence clinical decision-making and care provision for the subject of care., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=COMPOSITION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.problem_list.v1]/content, code=null, itemType=EXPOSED_RM_ATTRIBUTE, level=1, text=Tumordiagnose, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EXPOSED_REFERENCE_MODEL_ATTRIBUTE within , bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.problem_list.v1]/content[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='ICD-10 Diagnose'], code=at0000, itemType=EVALUATION, level=1, text=ICD-10 Diagnose, 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.problem_list.v1]/content[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='ICD-10 Diagnose']/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.problem_list.v1]/content[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='ICD-10 Diagnose']/data[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=3, text=ICD-10 Code, 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.problem_list.v1]/content[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='ICD-10 Diagnose']/data[at0001]/items[at0009], code=at0009, itemType=ELEMENT, level=3, text=ICD-10 Text, 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.problem_list.v1]/content[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='ICD-10 Diagnose']/data[at0001]/items[at0077], code=at0077, itemType=ELEMENT, level=3, 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.problem_list.v1]/content[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='ICD-10 Diagnose']/data[at0001]/items[openEHR-EHR-CLUSTER.tnm.v0], code=at0000, itemType=CLUSTER, level=3, text=Klinische TNM-Klassifikation (cTNM), 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=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.problem_list.v1]/content[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='ICD-10 Diagnose']/data[at0001]/items[openEHR-EHR-CLUSTER.tnm.v0]/items[at0003], code=at0003, itemType=ELEMENT, level=4, text=Primärtumor (cT), description=Assessment of the primary tumour., comment=Designated as 'T' or 'cT'. Coding with a T code appropriate for the tumour type and anatomical site is expected. For example: 'T1'; or 'T3'., 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.problem_list.v1]/content[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='ICD-10 Diagnose']/data[at0001]/items[openEHR-EHR-CLUSTER.tnm.v0]/items[at0004], code=at0004, itemType=ELEMENT, level=4, text=Regionäre Lymphknoten (cN), description=Assessment of the regional lymph nodes., comment=Designated as 'N' or 'cN'. Coding with an N code appropriate for the tumour type and anatomical site is expected. For example: 'NX'; or 'N2'., 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.problem_list.v1]/content[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='ICD-10 Diagnose']/data[at0001]/items[openEHR-EHR-CLUSTER.tnm.v0]/items[at0005], code=at0005, itemType=ELEMENT, level=4, text=Fernmetastasierung c(M), description=Assessment of distant metastasis., comment=Designated as 'M' or 'cM'. Coding with an M code appropriate for the tumour type and anatomical site is expected. For example: 'M1'; 'M1a'; 'M1 PUL'; or 'M0'., 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.problem_list.v1]/content[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='ICD-10 Diagnose']/data[at0001]/items[openEHR-EHR-CLUSTER.tnm.v0]/items[at0006], code=at0006, itemType=ELEMENT, level=4, 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., 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.problem_list.v1]/content[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='ICD-10 Diagnose']/data[at0001]/items[openEHR-EHR-CLUSTER.tnm.v0]/items[at0007], code=at0007, itemType=ELEMENT, level=4, text=Residual tumour (R), description=Assessment of the presence of residual tumour after treatment., comment=For example: 'R2 (Macroscopic residual tumour)'., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • RX  [Presence of residual tumour cannot be assessed.]
  • R0  [No residual tumour.]
  • R1  [Microscopic residual tumour.]
  • R2  [Macroscopic residual tumour.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.problem_list.v1]/content[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='ICD-10 Diagnose']/data[at0001]/items[openEHR-EHR-CLUSTER.tnm.v0]/items[at0012], code=at0012, itemType=ELEMENT, level=4, text=Lymphatic invasion (L), description=Assessment of invasion into the lymphatic system., comment=For example: 'L0 (No lymphatic invasion)'., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • LX  [Lymphatic invasion cannot be assessed.]
  • L0  [No lymphatic invasion.]
  • L1  [Lymphatic invasion.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.problem_list.v1]/content[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='ICD-10 Diagnose']/data[at0001]/items[openEHR-EHR-CLUSTER.tnm.v0]/items[at0016], code=at0016, itemType=ELEMENT, level=4, text=Venous invasion (V), description=Assessment of invasion into the venous system., comment=For example: 'V1 (Microscopic venous invasion)'., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • VX  [Venous invasion cannot be assessed.]
  • V0  [No venous invasion.]
  • V1  [Microscopic venous invasion.]
  • V2  [Macroscopic venous invasion.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.problem_list.v1]/content[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='ICD-10 Diagnose']/data[at0001]/items[openEHR-EHR-CLUSTER.tnm.v0]/items[at0021], code=at0021, itemType=ELEMENT, level=4, text=Perineural invasion (Pn), description=Assessment of invasion into the space surrounding nerves., comment=For example: 'Pn0 (No perineural invasion)'., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • PnX  [Perineural invasion cannot be assessed.]
  • Pn0  [No perineural invasion.]
  • Pn1  [Perineural invasion.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.problem_list.v1]/content[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='ICD-10 Diagnose']/data[at0001]/items[openEHR-EHR-CLUSTER.tnm.v0]/items[at0025], code=at0025, itemType=ELEMENT, level=4, text=Multiple primary tumours (m), description=Presence of multiple simultaneous primary tumours at a single site., comment=Designated as a suffix, either as the letter 'm' or the number of primary tumours. For example: 'T2(m)' or 'T2(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.problem_list.v1]/content[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='ICD-10 Diagnose']/data[at0001]/items[openEHR-EHR-CLUSTER.tnm.v0]/items[at0026], code=at0026, itemType=ELEMENT, level=4, text=Multimodality therapy (y), description=Assessment is performed during or following initial multimodality therapy., comment=Record as true, designated by addition of the prefix 'y'. For example: 'yTNM'., 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.problem_list.v1]/content[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='ICD-10 Diagnose']/data[at0001]/items[openEHR-EHR-CLUSTER.tnm.v0]/items[at0027], code=at0027, itemType=ELEMENT, level=4, text=Recurrent (r), description=Assessment is performed for a recurring cancer after a disease-free interval., comment=Record as true, designated by addition of the prefix 'r'., 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.problem_list.v1]/content[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='ICD-10 Diagnose']/data[at0001]/items[openEHR-EHR-CLUSTER.tnm.v0]/items[at0029], code=at0029, itemType=ELEMENT, level=4, text=Carcinoma in situ (is), description=Presence of carcinoma in situ associated with the primary tumour., comment=Record as true, designated by addition of the suffix 'is'. For example: 'T3(m, is)' or 'T2(3, is)' or 'T2(is)'., 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.problem_list.v1]/content[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='ICD-10 Diagnose']/data[at0001]/items[openEHR-EHR-CLUSTER.tnm.v0]/items[at0031], code=at0031, itemType=ELEMENT, level=4, text=UICC Stadium, 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=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.problem_list.v1]/content[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='ICD-10 Diagnose']/data[at0001]/items[openEHR-EHR-CLUSTER.tnm.v0]/items[at0032], code=at0032, itemType=ELEMENT, level=4, 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=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.problem_list.v1]/content[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='ICD-10 Diagnose']/data[at0001]/items[openEHR-EHR-CLUSTER.tnm-pathological.v0], code=at0000.1, itemType=CLUSTER, level=3, text=Pathologische TNM-Klassifikation (pTNM), description=A framework for the pathological classification and stage grouping of malignancies using the TNM system., comment=Designated as pTNM., 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.problem_list.v1]/content[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='ICD-10 Diagnose']/data[at0001]/items[openEHR-EHR-CLUSTER.tnm-pathological.v0]/items[at0003.1], code=at0003.1, itemType=ELEMENT, level=4, text=Primary tumour (pT), description=Assessment of the primary tumour., comment=Designated as 'pT'. Coding with a T code appropriate for the tumour type and anatomical site is expected. For example: 'pT1'; or 'pT3'., 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.problem_list.v1]/content[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='ICD-10 Diagnose']/data[at0001]/items[openEHR-EHR-CLUSTER.tnm-pathological.v0]/items[at0004.1], code=at0004.1, itemType=ELEMENT, level=4, text=Regional lymph nodes (pN), description=Assessment of the regional lymph nodes., comment=Designated as 'pN'. Coding with an N code appropriate for the tumour type and anatomical site is expected. For example: 'pNX'; or 'pN2'., 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.problem_list.v1]/content[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='ICD-10 Diagnose']/data[at0001]/items[openEHR-EHR-CLUSTER.tnm-pathological.v0]/items[at0005.1], code=at0005.1, itemType=ELEMENT, level=4, text=Distant metastasis (pM), description=Assessment of distant metastasis., comment=Designated as 'pM'. Coding with an M code appropriate for the tumour type and anatomical site is expected. For example: 'pM1'., 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.problem_list.v1]/content[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='ICD-10 Diagnose']/data[at0001]/items[openEHR-EHR-CLUSTER.tnm-pathological.v0]/items[at0006], code=at0006, itemType=ELEMENT, level=4, 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., 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.problem_list.v1]/content[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='ICD-10 Diagnose']/data[at0001]/items[openEHR-EHR-CLUSTER.tnm-pathological.v0]/items[at0007], code=at0007, itemType=ELEMENT, level=4, text=Residual tumour (R), description=Assessment of the presence of residual tumour after treatment., comment=For example: 'R2 (Macroscopic residual tumour)'., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • RX  [Presence of residual tumour cannot be assessed.]
  • R0  [No residual tumour.]
  • R1  [Microscopic residual tumour.]
  • R2  [Macroscopic residual tumour.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.problem_list.v1]/content[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='ICD-10 Diagnose']/data[at0001]/items[openEHR-EHR-CLUSTER.tnm-pathological.v0]/items[at0012], code=at0012, itemType=ELEMENT, level=4, text=Lymphatic invasion (L), description=Assessment of invasion into the lymphatic system., comment=For example: 'L0 (No lymphatic invasion)'., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • LX  [Lymphatic invasion cannot be assessed.]
  • L0  [No lymphatic invasion.]
  • L1  [Lymphatic invasion.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.problem_list.v1]/content[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='ICD-10 Diagnose']/data[at0001]/items[openEHR-EHR-CLUSTER.tnm-pathological.v0]/items[at0016], code=at0016, itemType=ELEMENT, level=4, text=Venous invasion (V), description=Assessment of invasion into the venous system., comment=For example: 'V1 (Microscopic venous invasion)'., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • VX  [Venous invasion cannot be assessed.]
  • V0  [No venous invasion.]
  • V1  [Microscopic venous invasion.]
  • V2  [Macroscopic venous invasion.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.problem_list.v1]/content[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='ICD-10 Diagnose']/data[at0001]/items[openEHR-EHR-CLUSTER.tnm-pathological.v0]/items[at0021], code=at0021, itemType=ELEMENT, level=4, text=Perineural invasion (Pn), description=Assessment of invasion into the space surrounding nerves., comment=For example: 'Pn0 (No perineural invasion)'., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • PnX  [Perineural invasion cannot be assessed.]
  • Pn0  [No perineural invasion.]
  • Pn1  [Perineural invasion.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.problem_list.v1]/content[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='ICD-10 Diagnose']/data[at0001]/items[openEHR-EHR-CLUSTER.tnm-pathological.v0]/items[at0.1], code=at0.1, itemType=ELEMENT, level=4, text=Sentinel node (sn), description=Presence of metastasis within one or more sentinel node(s)., comment=Record only if true, designated by addition of the suffix 'sn'. For example: 'pN0(sn) No sentinel lymph node metastasis' or 'pN1(sn) Sentinel lymph node metastasis'., 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.problem_list.v1]/content[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='ICD-10 Diagnose']/data[at0001]/items[openEHR-EHR-CLUSTER.tnm-pathological.v0]/items[at0.2], code=at0.2, itemType=ELEMENT, level=4, text=Micrometastases (mi), description=Presence of micrometastases in the regional lymph drainage area of the primary tumour., comment=Record only if true, designated by addition of the suffix 'mi'. For example: 'pN1(mi)'., 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.problem_list.v1]/content[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='ICD-10 Diagnose']/data[at0001]/items[openEHR-EHR-CLUSTER.tnm-pathological.v0]/items[at0.3], code=at0.3, itemType=ELEMENT, level=4, 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-  [Negative morphological findings for ITC.]
  • i+  [Positive morphological findings for ITC.]
  • mol-  [Negative non-morphological findings for ITC.]
  • mol+  [Positive non-morphological findings for ITC.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.problem_list.v1]/content[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='ICD-10 Diagnose']/data[at0001]/items[openEHR-EHR-CLUSTER.tnm-pathological.v0]/items[at0.8], code=at0.8, itemType=ELEMENT, level=4, 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-  [Negative morphological findings for ITC.]
  • i+  [Positive morphological findings for ITC.]
  • mol-  [Negative non-morphological findings for ITC.]
  • mol+  [Positive non-morphological findings for ITC.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.problem_list.v1]/content[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='ICD-10 Diagnose']/data[at0001]/items[openEHR-EHR-CLUSTER.tnm-pathological.v0]/items[at0025.1], code=at0025.1, itemType=ELEMENT, level=4, text=Multiple primary tumours (m), description=Presence of multiple simultaneous primary tumours at a single site., comment=Designated as a suffix, either as the letter 'm' or the number of primary tumours. For example: 'pT2(m)' or 'pT2(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.problem_list.v1]/content[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='ICD-10 Diagnose']/data[at0001]/items[openEHR-EHR-CLUSTER.tnm-pathological.v0]/items[at0026], code=at0026, itemType=ELEMENT, level=4, text=Multimodality therapy (y), description=Assessment is performed during or following initial multimodality therapy., comment=Record as true, designated by addition of the prefix 'y'. For example: 'yTNM'., 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.problem_list.v1]/content[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='ICD-10 Diagnose']/data[at0001]/items[openEHR-EHR-CLUSTER.tnm-pathological.v0]/items[at0027], code=at0027, itemType=ELEMENT, level=4, text=Recurrent (r), description=Assessment is performed for a recurring cancer after a disease-free interval., comment=Record as true, designated by addition of the prefix 'r'., 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.problem_list.v1]/content[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='ICD-10 Diagnose']/data[at0001]/items[openEHR-EHR-CLUSTER.tnm-pathological.v0]/items[at0029.1], code=at0029.1, itemType=ELEMENT, level=4, text=Carcinoma in situ (is), description=Presence of carcinoma in situ associated with the primary tumour., comment=Record as true, designated by addition of the suffix 'is'. For example: 'pT3(m, is)' or 'pT2(3, is)' or 'pT2(is)'., 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.problem_list.v1]/content[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='ICD-10 Diagnose']/data[at0001]/items[openEHR-EHR-CLUSTER.tnm-pathological.v0]/items[at0031.1], code=at0031.1, itemType=ELEMENT, level=4, text=UICC Stadium, 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=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.problem_list.v1]/content[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='ICD-10 Diagnose']/data[at0001]/items[openEHR-EHR-CLUSTER.tnm-pathological.v0]/items[at0032], code=at0032, itemType=ELEMENT, level=4, 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=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.problem_list.v1]/content[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='ICD-10 Diagnose']/data[at0001]/items[at0069], code=at0069, itemType=ELEMENT, level=3, 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.problem_list.v1]/content[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='ICD-10 Diagnose']/protocol[at0032], code=at0032, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=2, 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.problem_list.v1]/content[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='ICD-10 Diagnose']/protocol[at0032]/items[at0070], code=at0070, itemType=ELEMENT, level=3, 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.problem_list.v1]/content[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='ICD-O-3 Topographie'], code=at0000, itemType=EVALUATION, level=1, text=ICD-O-3 Topographie, 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.problem_list.v1]/content[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='ICD-O-3 Topographie']/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.problem_list.v1]/content[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='ICD-O-3 Topographie']/data[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=3, text=ICD-O-3 Topographie Code, 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.problem_list.v1]/content[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='ICD-O-3 Topographie']/data[at0001]/items[at0009], code=at0009, itemType=ELEMENT, level=3, text=ICD-O-3 Topographie Text, 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.problem_list.v1]/content[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='ICD-O-3 Topographie']/data[at0001]/items[at0069], code=at0069, itemType=ELEMENT, level=3, 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.problem_list.v1]/content[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='ICD-O-3 Topographie']/protocol[at0032], code=at0032, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=2, 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.problem_list.v1]/content[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='ICD-O-3 Topographie']/protocol[at0032]/items[at0070], code=at0070, itemType=ELEMENT, level=3, 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.problem_list.v1]/content[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='ICD-O-3 Histologie'], code=at0000, itemType=EVALUATION, level=1, text=ICD-O-3 Histologie, 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.problem_list.v1]/content[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='ICD-O-3 Histologie']/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.problem_list.v1]/content[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='ICD-O-3 Histologie']/data[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=3, text=ICD-O-3 Histologie Code, 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.problem_list.v1]/content[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='ICD-O-3 Histologie']/data[at0001]/items[at0009], code=at0009, itemType=ELEMENT, level=3, text=ICD-O-3 Histologie Text, 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.problem_list.v1]/content[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='ICD-O-3 Histologie']/data[at0001]/items[at0069], code=at0069, itemType=ELEMENT, level=3, 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.problem_list.v1]/content[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='ICD-O-3 Histologie']/protocol[at0032], code=at0032, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=2, 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.problem_list.v1]/content[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='ICD-O-3 Histologie']/protocol[at0032]/items[at0070], code=at0070, itemType=ELEMENT, level=3, 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.problem_list.v1]/content[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='ICD-O-3 Histologie']/protocol[at0032]/items[openEHR-EHR-CLUSTER.further_tumor_classification.v1], code=at0000, itemType=CLUSTER, level=3, 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.problem_list.v1]/content[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='ICD-O-3 Histologie']/protocol[at0032]/items[openEHR-EHR-CLUSTER.further_tumor_classification.v1]/items[at0001], code=at0001, itemType=ELEMENT, level=4, 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.problem_list.v1]/content[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='ICD-O-3 Histologie']/protocol[at0032]/items[openEHR-EHR-CLUSTER.further_tumor_classification.v1]/items[at0002], code=at0002, itemType=ELEMENT, level=4, text=Beschreibung des Stadium/Gruppe/Grad, 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.problem_list.v1]/content[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='ICD-O-3 Histologie']/protocol[at0032]/items[openEHR-EHR-CLUSTER.further_tumor_classification.v1]/items[at0003], code=at0003, itemType=ELEMENT, level=4, 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.problem_list.v1]/content[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='ICD-O-3 Histologie']/protocol[at0032]/items[openEHR-EHR-CLUSTER.further_tumor_classification.v1]/items[at0004], code=at0004, itemType=ELEMENT, level=4, 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.problem_list.v1]/content[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='ICD-O-3 Histologie']/protocol[at0032]/items[openEHR-EHR-CLUSTER.further_tumor_classification.v1]/items[at0005], code=at0005, itemType=ELEMENT, level=4, 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.problem_list.v1]/content[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='ICD-O-3 Histologie']/protocol[at0032]/items[openEHR-EHR-CLUSTER.further_tumor_classification.v1]/items[at0007], code=at0007, itemType=ELEMENT, level=4, 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]], templateType=normal]