TEMPLATE Radiologischer Befund - Hepatozelluläres Karzinom (Radiologischer Befund - Hepatozelluläres Karzinom)

TEMPLATE IDRadiologischer Befund - Hepatozelluläres Karzinom
ConceptRadiologischer Befund - Hepatozelluläres Karzinom
DescriptionZur Repräsentation der Ergebnisse und Interpretationen einer bildgebenden Untersuchung oder einer Reihe von durchgeführten bildgebenden Untersuchungen im Rahmen des HiGHmed-Projektes.
UseWird verwendet, um radiologische Befunde von CT und MRT bei Patienten mit hepatozellulärem Karzinom zu berichten.
MisuseNicht zur Repräsentation der klinischen Veränderungen einer Krankheit verwenden.
PurposeZur Repräsentation der Ergebnisse und Interpretationen einer bildgebenden Untersuchung oder einer Reihe von durchgeführten bildgebenden Untersuchungen im Rahmen des HiGHmed-Projektes.
References
Authorsdate: 2019-09-10; name: Samer Abboud Alkarkoukly; organisation: Uniklinikum Köln; email: mabbouda@uni-koeln.de
Other Details Languagedate: 2019-09-10; name: Samer Abboud Alkarkoukly; organisation: Uniklinikum Köln; email: mabbouda@uni-koeln.de
OtherDetails Language Independent{licence=This work is licensed under the Creative Commons Attribution-ShareAlike 3.0 License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/3.0/., custodian_organisation=openEHR Foundation, PARENT:MD5-CAM-1.0.1=005501C1FA493A4838F5F1121F2870EC, original_language=ISO_639-1::de, original_namespace=org.openehr, original_publisher=openEHR Foundation, custodian_namespace=org.openehr, MD5-CAM-1.0.1=879bf80355e0b5633622772a3f01b0f3, build_uid=5b4193bc-2b9b-43fb-9506-42f061ab3728, sem_ver=39.0.1}
KeywordsRadiologischer Befund; Report; Hepatozelluläres Karzinom; HiGHmed; UseCase Onkologie; Tumorbildgebung; Tumor-Radiologische Diagnose; Bildgebung; Diagnostik; Bildgebendes Verfahren; Bildgebende Diagnostik; CT; MRT; LI-RADS
Language useden
Citeable Identifier1246.169.401
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  • Vorläufig
  • Final
  • Korrigiert
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  • HCC Untersuchung
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  • CT
  • MR
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  • Initialbefund
  • Nach Neoadjuvanz
  • Nach lokaler Therapie
  • Unter systemischer Therapie
  • Verlaufskontrolle ohne Therapie
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  • Liver 
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  • 0
  • 1
  • 2
  • 3
  • >3
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  • Morphological abnormality 
  • Target-Läsion 

Default value: Target-Läsion, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-OBSERVATION.imaging_exam_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.imaging_exam-liver.v0]/items[openEHR-EHR-CLUSTER.imaging_exam-abnormality.v0]/items[at0002], code=at0002, itemType=ELEMENT, level=7, text=Target-Läsion Lokalisation, description=Identification of the area of the body under examination., comment=For example: a lymph node group (body structure) which found in the 'Right axilla'. Coding of 'Body site' with a terminology, such as SNOMED CT, is desirable. If the body site has been fully identified in the 'Body structure' data element, 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=
  • Lebersegment 1
  • Lebersegment 2
  • Lebersegment 3
  • Lebersegment 4
  • Lebersegment 4a
  • Lebersegment 4b
  • Lebersegment 5
  • Lebersegment 6
  • Lebersegment 7
  • Lebersegment 8
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  • *CT/MRT Diagnostisches LI-RADS®(en) 
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  • *LR-NC(en) 
  • *LR-TIV(en) 
  • *LR-1(en) 
  • *LR-2(en) 
  • *LR-3(en) 
  • *LR-4(en) 
  • *LR-5(en) 
  • *LR-M(en) 
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  • *LR-TR Nicht beurteilbar(en) 
  • *LR-TR Avital(en) 
  • *LR-TR nicht eindeutig(en) 
  • *LR-TR vital(en) 
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  • Morphological abnormality 
  • Restvitalität der Läsion 

Default value: Restvitalität der Läsion, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-OBSERVATION.imaging_exam_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.imaging_exam-liver.v0]/items[openEHR-EHR-CLUSTER.imaging_exam-abnormality.v0]/items[openEHR-EHR-CLUSTER.imaging_exam-abnormality.v0]/items[at0004], code=at0004, itemType=ELEMENT, level=8, text=Restvitalität, description=Narrative description of the imaging findings observed during this examination., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Ja
  • Nein
  • Unklar
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-OBSERVATION.imaging_exam_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.imaging_exam-liver.v0]/items[openEHR-EHR-CLUSTER.imaging_exam-abnormality.v0]/items[openEHR-EHR-CLUSTER.imaging_exam-abnormality.v0]/items[at0007], code=at0007, itemType=ELEMENT, level=8, text=Kommentar zur Restvitalität der Läsion, description=Additional narrative about the imaging findings of the body structure, 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-OBSERVATION.imaging_exam_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.imaging_exam-liver.v0]/items[openEHR-EHR-CLUSTER.imaging_exam-abnormality.v0]/items[openEHR-EHR-CLUSTER.imaging_exam-abnormality.v0]/items[at0.4], code=at0.4, itemType=ELEMENT, level=8, text=Größe des vitalen Anteils des HCCs, description=A measured diameter of the abnormality., comment=This data element has 3 occurrences to allow for 3 measurements in different axes., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_QUANTITY, bindings=null, values=>=0; >=0
Units:
  • mm
  • cm
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-OBSERVATION.imaging_exam_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.imaging_exam-liver.v0]/items[openEHR-EHR-CLUSTER.imaging_exam-abnormality.v0]/items[at0007], code=at0007, itemType=ELEMENT, level=7, text=Target-Läsion Kommentar, description=Additional narrative about the imaging findings of the body structure, 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-OBSERVATION.imaging_exam_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.imaging_exam-liver.v0]/items[openEHR-EHR-CLUSTER.imaging_exam-abnormality.v0]/items[at0.4], code=at0.4, itemType=ELEMENT, level=7, text=Größe der Läsion, description=A measured diameter of the abnormality., comment=This data element has 3 occurrences to allow for 3 measurements in different axes., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_QUANTITY, bindings=null, values=>=0; >=0
Units:
  • mm
  • cm
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-OBSERVATION.imaging_exam_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.imaging_exam-liver.v0]/items[at0007], code=at0007, itemType=ELEMENT, level=6, text=Target-Läsionen Kommentar, description=Additional narrative about the imaging findings of the body structure, 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-OBSERVATION.imaging_exam_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.imaging_exam.v1 and name/value='Pfortaderthrombose'], code=at0000, itemType=CLUSTER, level=5, text=Pfortaderthrombose, description=Findings on radiological examination of a specified body structure or region., 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-OBSERVATION.imaging_exam_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.imaging_exam.v1 and name/value='Pfortaderthrombose']/items[at0001], code=at0001, itemType=ELEMENT, level=6, text=Befund, description=Identification of the body structure or region examined., comment=For example: 'Liver', 'Right ankle' or 'Lymph node group'. Coding of the body structure with an appropriate terminology, such as SNOMED CT, is recommended., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Pfortaderthrombose
Default value: Pfortaderthrombose, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-OBSERVATION.imaging_exam_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.imaging_exam.v1 and name/value='Pfortaderthrombose']/items[at0004], code=at0004, itemType=ELEMENT, level=6, text=Vorhanden?, description=Narrative description of the imaging findings observed during this examination., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Ja
  • Nein
  • Unklar
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-OBSERVATION.imaging_exam_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.imaging_exam.v1 and name/value='Pfortaderthrombose']/items[at0007], code=at0007, itemType=ELEMENT, level=6, text=Pfortaderthrombose Kommentar, description=Additional narrative about the imaging findings of the body structure, 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-OBSERVATION.imaging_exam_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.imaging_exam.v1 and name/value='Regionäre Lymphknotenmetastasen'], code=at0000, itemType=CLUSTER, level=5, text=Regionäre Lymphknotenmetastasen, description=Findings on radiological examination of a specified body structure or region., 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-OBSERVATION.imaging_exam_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.imaging_exam.v1 and name/value='Regionäre Lymphknotenmetastasen']/items[at0001], code=at0001, itemType=ELEMENT, level=6, text=Befund, description=Identification of the body structure or region examined., comment=For example: 'Liver', 'Right ankle' or 'Lymph node group'. Coding of the body structure with an appropriate terminology, such as SNOMED CT, is recommended., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Regionäre Lymphknotenmetastasen
Default value: Regionäre Lymphknotenmetastasen, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-OBSERVATION.imaging_exam_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.imaging_exam.v1 and name/value='Regionäre Lymphknotenmetastasen']/items[at0004], code=at0004, itemType=ELEMENT, level=6, text=Vorhanden?, description=Narrative description of the imaging findings observed during this examination., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Ja
  • Nein
  • Unklar
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-OBSERVATION.imaging_exam_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.imaging_exam.v1 and name/value='Regionäre Lymphknotenmetastasen']/items[at0007], code=at0007, itemType=ELEMENT, level=6, text=Regionäre Lymphknotenmetastasen Kommentar, description=Additional narrative about the imaging findings of the body structure, 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-OBSERVATION.imaging_exam_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.imaging_exam.v1 and name/value='Fernmetastasen'], code=at0000, itemType=CLUSTER, level=5, text=Fernmetastasen, description=Findings on radiological examination of a specified body structure or region., 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-OBSERVATION.imaging_exam_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.imaging_exam.v1 and name/value='Fernmetastasen']/items[at0001], code=at0001, itemType=ELEMENT, level=6, text=Befund, description=Identification of the body structure or region examined., comment=For example: 'Liver', 'Right ankle' or 'Lymph node group'. Coding of the body structure with an appropriate terminology, such as SNOMED CT, is recommended., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Fernmetastasen
Default value: Fernmetastasen, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-OBSERVATION.imaging_exam_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.imaging_exam.v1 and name/value='Fernmetastasen']/items[openEHR-EHR-CLUSTER.anatomical_location.v1], code=at0000, itemType=CLUSTER, level=6, text=Metastasierungsort, description=A physical site on or within the human body., 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-OBSERVATION.imaging_exam_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.imaging_exam.v1 and name/value='Fernmetastasen']/items[openEHR-EHR-CLUSTER.anatomical_location.v1]/items[at0001], code=at0001, itemType=ELEMENT, level=7, text=Metastasierungsort, 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_CODED_TEXT, bindings=null, values=Terminology: local_terms
  • 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-OBSERVATION.imaging_exam_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.imaging_exam.v1 and name/value='Fernmetastasen']/items[at0004], code=at0004, itemType=ELEMENT, level=6, text=Fernmetastasen vorhanden?, description=Narrative description of the imaging findings observed during this examination., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Ja
  • Nein
  • Unklar
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-OBSERVATION.imaging_exam_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.imaging_exam.v1 and name/value='Fernmetastasen']/items[at0007], code=at0007, itemType=ELEMENT, level=6, text=Fernmetastasen Kommentar, description=Additional narrative about the imaging findings of the body structure, 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-OBSERVATION.imaging_exam_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.response_to_treatment.v1], code=at0000, itemType=CLUSTER, level=5, text=mRECIST, description=Bewertung des Ansprechens einer Erkrankung auf die Therapie. Dies hilft dabei, den Erfolg der Behandlung, z.B. einer Strahlen- oder Chemotherapie bei einer Tumorerkrankung zu beurteilen., 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-OBSERVATION.imaging_exam_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.response_to_treatment.v1]/items[at0001], code=at0001, itemType=ELEMENT, level=6, text=Gesamtansprechen, description=Ausdruck, der das Ansprechen auf die Behandlung einer Erkrankung beschreibt., comment=Es handelt sich um eine bereits kodierte Terminologie des Ansprechens auf z.B. eine onkologische Therapie. Ausprägungen können beispielsweise CR (Vollremisson der Erkrankung), PR (Teilremission), SD (Stabile Erkrankung) oder PD (Progression der Erkrankung) sein., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • PR (partial response)
  • SD (stable disease)
  • PD (progressive disease)
  • CR (complete response)
  • U (Beurteilung unmöglich)
  • X (Fehlende Angabe)
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-OBSERVATION.imaging_exam_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0056], code=at0056, itemType=ELEMENT, level=5, text=Verlaufsbeurteilung Gesamtbefund, description=Narrative description about the comparison of this examination with previous similar studies., comment=Also use this data element to indicate if no comparison images and/or reports are available. Details about the images used for comparison can be recorded using the 'Comparison study details' CLUSTER, within Protocol., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Befundkonstanz
  • Befundverbesserung
  • Befundverschlechterung
  • Divergentes Verhalten
  • Beurteilung ist nicht möglich
  • Nicht zutreffend (Initialbefund)
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-OBSERVATION.imaging_exam_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0063], code=at0063, itemType=ELEMENT, level=5, text=Diagnostische Qualität, description=Assessment about the quality of the examination., comment=Coding of the imaging quality with a value set is recommended. For example: 'excellent, good, fair, poor, and non-diagnostic'; or 'adequate, suboptimal and inadequate'., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Qualität ausreichend
  • Qualität eingeschränkt
  • Nicht diagnostisch
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-OBSERVATION.imaging_exam_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0021], code=at0021, itemType=ELEMENT, level=5, text=Overall impression, description=Narrative concise, clinically relevant interpretation of all imaging findings, and include a comparison with previous studies where appropriate., comment=Also referred to as 'Opinion' or 'Conclusion'. Equivalent to DiagnosticReport.conclusion in FHIR., 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-OBSERVATION.imaging_exam_result.v1]/protocol[at0025], code=at0025, 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.report.v1]/content[openEHR-EHR-OBSERVATION.imaging_exam_result.v1]/protocol[at0025]/items[at0092], code=at0092, itemType=ELEMENT, level=3, text=DICOM study instance UID (Studienkennzeichen), description=Unique identifier for the imaging study assigned by the imaging device., comment=Equivalent to Study Instance UID (0020,000D) in DICOM and ImagingStudy.identifier in FHIR., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=
  •  Identifier
  •  Text
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-OBSERVATION.imaging_exam_result.v1]/protocol[at0025]/items[at0104], code=at0104, itemType=ELEMENT, level=3, text=Maßnahme-ID, description=Unique identifier for the imaging report assigned by the radiology service., comment=As one instance of this archetype is used per study, this identifier can be used to connect more than one imaging study within a single combined report. Equivalent to DiagnosticReport.identifier in FHIR., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=
  •  Identifier
  •  Text
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-OBSERVATION.imaging_exam_result.v1]/protocol[at0025]/items[openEHR-EHR-CLUSTER.imaging_technique.v1 and name/value='CT Bildgebendes Verfahren'], code=at0000, itemType=CLUSTER, level=3, text=CT Bildgebendes Verfahren, description=Zur Darstellung der technischen Spezifikationen einer durchgeführten bildgebenden Untersuchung., 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-OBSERVATION.imaging_exam_result.v1]/protocol[at0025]/items[openEHR-EHR-CLUSTER.imaging_technique.v1 and name/value='CT Bildgebendes Verfahren']/items[at0013], code=at0013, itemType=ELEMENT, level=4, text=Bezeichnung des technischen Verfahrens, description=Zur Dokumentation des Typs des durchgeführten bildgebenden Verfahrens., comment=z. B. Diffusionswichtung bei MRT, die Art oder Weg der Verabreichung von Kontrastmittel, Radiopharmazeutika und / oder angewendete Behandlung., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • CT
Default value: CT, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-OBSERVATION.imaging_exam_result.v1]/protocol[at0025]/items[openEHR-EHR-CLUSTER.imaging_technique.v1 and name/value='CT Bildgebendes Verfahren']/items[at0014 and name/value='Native Phase'], code=at0014, itemType=ELEMENT, level=4, text=Native Phase, description=Zur Dokumentation des Subtyps des durchgeführten bildgebenden Verfahrens., comment=z. B. Native Phase, Spätarterielle Phase für CT, oder T1 GRE fettsupprimiert spätvenös axial, T2 koronar für MRT, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Native Phase - Ja
  • Native Phase - Nein
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-OBSERVATION.imaging_exam_result.v1]/protocol[at0025]/items[openEHR-EHR-CLUSTER.imaging_technique.v1 and name/value='CT Bildgebendes Verfahren']/items[at0014 and name/value='Spätarterielle Phase'], code=at0014, itemType=ELEMENT, level=4, text=Spätarterielle Phase, description=Zur Dokumentation des Subtyps des durchgeführten bildgebenden Verfahrens., comment=z. B. Native Phase, Spätarterielle Phase für CT, oder T1 GRE fettsupprimiert spätvenös axial, T2 koronar für MRT, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Spätarterielle Phase - Ja
  • Spätarterielle Phase - Nein
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  • Portalvenöse Phase - Ja
  • Portalvenöse Phase - Nein
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  • Spätvenöse Phase - Ja
  • Spätvenöse Phase - Nein
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  • MR
Default value: MR, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-OBSERVATION.imaging_exam_result.v1]/protocol[at0025]/items[openEHR-EHR-CLUSTER.imaging_technique.v1 and name/value='MR Verfahren']/items[at0014 and name/value='T1 mit chemical Shift Imaging (in-opp-Phase /Dixon) axial'], code=at0014, itemType=ELEMENT, level=4, text=T1 mit chemical Shift Imaging (in-opp-Phase /Dixon) axial, description=Zur Dokumentation des Subtyps des durchgeführten bildgebenden Verfahrens., comment=z. B. Native Phase, Spätarterielle Phase für CT, oder T1 GRE fettsupprimiert spätvenös axial, T2 koronar für MRT, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • T1 mit chemical Shift Imaging (in-opp-Phase /Dixon) axial - Ja
  • T1 mit chemical Shift Imaging (in-opp-Phase /Dixon) axial - Nein
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  • T1 GRE fettsupprimiert nativ axial - Ja
  • T1 GRE fettsupprimiert nativ axial - Nein
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  • T1 GRE fettsupprimiert spätarteriell axial - Ja
  • T1 GRE fettsupprimiert spätarteriell axial - Nein
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-OBSERVATION.imaging_exam_result.v1]/protocol[at0025]/items[openEHR-EHR-CLUSTER.imaging_technique.v1 and name/value='MR Verfahren']/items[at0014 and name/value='T1 GRE fettsupprimiert venös axial'], code=at0014, itemType=ELEMENT, level=4, text=T1 GRE fettsupprimiert venös axial, description=Zur Dokumentation des Subtyps des durchgeführten bildgebenden Verfahrens., comment=z. B. Native Phase, Spätarterielle Phase für CT, oder T1 GRE fettsupprimiert spätvenös axial, T2 koronar für MRT, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • T1 GRE fettsupprimiert venös axial - Ja
  • T1 GRE fettsupprimiert venös axial - Nein
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  • T1 GRE fettsupprimiert spätvenös axial - Ja
  • T1 GRE fettsupprimiert spätvenös axial - Nein
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-OBSERVATION.imaging_exam_result.v1]/protocol[at0025]/items[openEHR-EHR-CLUSTER.imaging_technique.v1 and name/value='MR Verfahren']/items[at0014 and name/value='T1 GRE fettsupprimiert hepatobiliär axial'], code=at0014, itemType=ELEMENT, level=4, text=T1 GRE fettsupprimiert hepatobiliär axial, description=Zur Dokumentation des Subtyps des durchgeführten bildgebenden Verfahrens., comment=z. B. Native Phase, Spätarterielle Phase für CT, oder T1 GRE fettsupprimiert spätvenös axial, T2 koronar für MRT, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • T1 GRE fettsupprimiert hepatobiliär axial - Ja
  • T1 GRE fettsupprimiert hepatobiliär axial - Nein
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-OBSERVATION.imaging_exam_result.v1]/protocol[at0025]/items[openEHR-EHR-CLUSTER.imaging_technique.v1 and name/value='MR Verfahren']/items[at0014 and name/value='T2 axial'], code=at0014, itemType=ELEMENT, level=4, text=T2 axial, description=Zur Dokumentation des Subtyps des durchgeführten bildgebenden Verfahrens., comment=z. B. Native Phase, Spätarterielle Phase für CT, oder T1 GRE fettsupprimiert spätvenös axial, T2 koronar für MRT, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • T2 axial - Ja
  • T2 axial - Nein
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  • T2 koronar - Ja
  • T2 koronar - Nein
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  • Diffusionswichtung b=0-100 s/mm2 - Ja
  • Diffusionswichtung b=0-100 s/mm2 - Nein
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-OBSERVATION.imaging_exam_result.v1]/protocol[at0025]/items[openEHR-EHR-CLUSTER.imaging_technique.v1 and name/value='MR Verfahren']/items[at0014 and name/value='Diffusionswichtung b=500-1000 s/mm2'], code=at0014, itemType=ELEMENT, level=4, text=Diffusionswichtung b=500-1000 s/mm2, description=Zur Dokumentation des Subtyps des durchgeführten bildgebenden Verfahrens., comment=z. B. Native Phase, Spätarterielle Phase für CT, oder T1 GRE fettsupprimiert spätvenös axial, T2 koronar für MRT, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Diffusionswichtung b=500-1000 s/mm2 - Ja
  • Diffusionswichtung b=500-1000 s/mm2 - Nein
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-OBSERVATION.imaging_exam_result.v1]/protocol[at0025]/items[openEHR-EHR-CLUSTER.imaging_technique.v1 and name/value='Kontrastmittel'], code=at0000, itemType=CLUSTER, level=3, text=Kontrastmittel, description=Zur Darstellung der technischen Spezifikationen einer durchgeführten bildgebenden Untersuchung., 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-OBSERVATION.imaging_exam_result.v1]/protocol[at0025]/items[openEHR-EHR-CLUSTER.imaging_technique.v1 and name/value='Kontrastmittel']/items[at0013], code=at0013, itemType=ELEMENT, level=4, text=Bezeichnung des technischen Verfahrens, description=Zur Dokumentation des Typs des durchgeführten bildgebenden Verfahrens., comment=z. B. Diffusionswichtung bei MRT, die Art oder Weg der Verabreichung von Kontrastmittel, Radiopharmazeutika und / oder angewendete Behandlung., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Kontrastmittel
Default value: Kontrastmittel, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-OBSERVATION.imaging_exam_result.v1]/protocol[at0025]/items[openEHR-EHR-CLUSTER.imaging_technique.v1 and name/value='Kontrastmittel']/items[at0014], code=at0014, itemType=ELEMENT, level=4, text=KM Angewendete Parameter, description=Zur Dokumentation des Subtyps des durchgeführten bildgebenden Verfahrens., comment=z. B. Native Phase, Spätarterielle Phase für CT, oder T1 GRE fettsupprimiert spätvenös axial, T2 koronar für MRT, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Nativ
  • Extrazelluläres KM
  • Leberspezifisches KM
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-OBSERVATION.imaging_exam_result.v1]/protocol[at0025]/items[openEHR-EHR-CLUSTER.imaging_technique.v1 and name/value='Kontrastmittel']/items[at0015], code=at0015, itemType=ELEMENT, level=4, text=KM Kommentar, description=Zusätzliche Informationen über das durchgeführte bildgebende Verfahren., comment=kann einen Textkommentar enthalten wie z.B. "der Patient lehnte die Verwendung eines Kontrastmittels ab" oder " MRT konnte nicht durchgeführt werden wegen ..."., 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-OBSERVATION.imaging_exam_result.v1]/protocol[at0025]/items[openEHR-EHR-CLUSTER.dicom_module_series_metadata.v0], code=at0000, itemType=CLUSTER, level=3, text=DICOM module series metadata, description=DICOM compliant representation of metadata referring to the module series of DICOM., 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-OBSERVATION.imaging_exam_result.v1]/protocol[at0025]/items[openEHR-EHR-CLUSTER.dicom_module_series_metadata.v0]/items[at0002], code=at0002, itemType=ELEMENT, level=4, text=DICOM series instance UID (Serien Kennung), description=Referes to DICOM Tag (0020,000E)., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, 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], 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], 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]/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]/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]/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]/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]/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]/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]], templateType=normal]