{
  "resourceType": "StructureDefinition",
  "id": "logicalmodel-Lymphnodemetastases-R4",
  "url": "http://linkehr.com/fhir/logicalmodel-lymphnodemetastases-R4",
  "identifier": [
    {
      "system": "openEHR-CKM",
      "value": "openEHR-EHR-CLUSTER.lymph_node_metastases.v0"
    }
  ],
  "version": "0",
  "name": "Lymphnodemetastases",
  "title": "Lymph node metastases",
  "status": "draft",
  "date": "2024-06-18",
  "publisher": "openEHR",
  "contact": [
    {
      "telecom": [
        {
          "system": "url",
          "value": "http://www.veratech.es"
        }
      ]
    }
  ],
  "description": "To record findings of tumour metastases in lymph nodes.",
  "purpose": "To record detailed findings of lymph node metastases as part of microscopic histopathological examination of tissue.",
  "fhirVersion": "4.0.0",
  "mapping": [
    {
      "identity": "openEHR",
      "uri": "http://openehr.org",
      "name": "openEHR Mapping"
    },
    {
      "identity": "openEHR-natural",
      "uri": "http://openehr.org",
      "name": "openEHR natural path"
    }
  ],
  "kind": "logical",
  "abstract": false,
  "type": "StructureDefinition",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Element",
  "snapshot": {
    "element": [
      {
        "id": "Lymph_node_metastases",
        "path": "Lymph_node_metastases",
        "short": "Lymph node metastases",
        "definition": "To record findings of tumour metastases in lymph nodes.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Lymph_node_metastases",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Lymph_node_metastases.Lymph_node_site_name",
        "path": "Lymph_node_metastases.Lymph_node_site_name",
        "short": "Lymph node site name",
        "definition": "The name for the lymph node site being reported.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Lymph_node_metastases.Lymph_node_site_name",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Lymph_node_metastases.Lymph_node_site_name.value",
        "path": "Lymph_node_metastases.Lymph_node_site_name.value",
        "short": "Lymph node site name",
        "definition": "The name for the lymph node site being reported.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Lymph_node_metastases.Lymph_node_site_name.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Lymph_node_metastases.Lymph_node_site_location",
        "path": "Lymph_node_metastases.Lymph_node_site_location",
        "short": "Lymph node site location",
        "definition": "The anatomical location of the lymph node or site being reported.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Lymph_node_metastases.Lymph_node_site_location",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Lymph_node_metastases.Tissue_available",
        "path": "Lymph_node_metastases.Tissue_available",
        "short": "Tissue available",
        "definition": "Has the appropriate lymph node tissue been made available for examination?",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Lymph_node_metastases.Tissue_available",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Lymph_node_metastases.Tissue_available.value",
        "path": "Lymph_node_metastases.Tissue_available.value",
        "short": "Tissue available",
        "definition": "Has the appropriate lymph node tissue been made available for examination?",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Lymph_node_metastases.Tissue_available.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Lymph_node_metastases.Tumour_involvement",
        "path": "Lymph_node_metastases.Tumour_involvement",
        "short": "Tumour involvement",
        "definition": "Findings of lymph node involvement with tumour.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Lymph_node_metastases.Tumour_involvement",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Lymph_node_metastases.Tumour_involvement.value",
        "path": "Lymph_node_metastases.Tumour_involvement.value",
        "short": "Tumour involvement",
        "definition": "Findings of lymph node involvement with tumour.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Lymph_node_metastases.Tumour_involvement.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Lymph_node_metastases.Nature_of_involvement",
        "path": "Lymph_node_metastases.Nature_of_involvement",
        "short": "Nature of involvement",
        "definition": "Nature or grade of the tumour, if present.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Lymph_node_metastases.Nature_of_involvement",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Lymph_node_metastases.Nature_of_involvement.value",
        "path": "Lymph_node_metastases.Nature_of_involvement.value",
        "short": "Nature of involvement",
        "definition": "Nature or grade of the tumour, if present.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Lymph_node_metastases.Nature_of_involvement.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Lymph_node_metastases.Route_of_involvement",
        "path": "Lymph_node_metastases.Route_of_involvement",
        "short": "Route of involvement",
        "definition": "The route by which the tumour became involved in lymph node tissue.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Lymph_node_metastases.Route_of_involvement",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Lymph_node_metastases.Route_of_involvement.value",
        "path": "Lymph_node_metastases.Route_of_involvement.value",
        "short": "Route of involvement",
        "definition": "The route by which the tumour became involved in lymph node tissue.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Lymph_node_metastases.Route_of_involvement.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Lymph_node_metastases.Number_of_nodes_examined",
        "path": "Lymph_node_metastases.Number_of_nodes_examined",
        "short": "Number of nodes examined",
        "definition": "Number of nodes examined.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Lymph_node_metastases.Number_of_nodes_examined",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Lymph_node_metastases.Number_of_nodes_examined.value",
        "path": "Lymph_node_metastases.Number_of_nodes_examined.value",
        "short": "Number of nodes examined",
        "definition": "Number of nodes examined.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Lymph_node_metastases.Number_of_nodes_examined.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Quantity"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Lymph_node_metastases.Number_of_nodes_with_tumour",
        "path": "Lymph_node_metastases.Number_of_nodes_with_tumour",
        "short": "Number of nodes with tumour",
        "definition": "Number of nodes which show tumour involvement.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Lymph_node_metastases.Number_of_nodes_with_tumour",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Lymph_node_metastases.Number_of_nodes_with_tumour.value",
        "path": "Lymph_node_metastases.Number_of_nodes_with_tumour.value",
        "short": "Number of nodes with tumour",
        "definition": "Number of nodes which show tumour involvement.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Lymph_node_metastases.Number_of_nodes_with_tumour.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Quantity"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Lymph_node_metastases.Extent_of_tumour",
        "path": "Lymph_node_metastases.Extent_of_tumour",
        "short": "Extent of tumour",
        "definition": "Extent of tumour expressed as a maximum length. Applies only to an individual node.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Lymph_node_metastases.Extent_of_tumour",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Lymph_node_metastases.Extent_of_tumour.value",
        "path": "Lymph_node_metastases.Extent_of_tumour.value",
        "short": "Extent of tumour",
        "definition": "Extent of tumour expressed as a maximum length. Applies only to an individual node.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Lymph_node_metastases.Extent_of_tumour.value",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "Quantity"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Lymph_node_metastases.Extra_nodal_extension",
        "path": "Lymph_node_metastases.Extra_nodal_extension",
        "short": "Extra-nodal extension",
        "definition": "Findings related to extension of tumour external to the nodal capsule.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Lymph_node_metastases.Extra_nodal_extension",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Lymph_node_metastases.Extra_nodal_extension.Extra_capsular_extension",
        "path": "Lymph_node_metastases.Extra_nodal_extension.Extra_capsular_extension",
        "short": "Extra-capsular extension",
        "definition": "Findings of extension of tumour beyond a node capsule.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Lymph_node_metastases.Extra_nodal_extension.Extra_capsular_extension",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Lymph_node_metastases.Extra_nodal_extension.Extra_capsular_extension.value",
        "path": "Lymph_node_metastases.Extra_nodal_extension.Extra_capsular_extension.value",
        "short": "Extra-capsular extension",
        "definition": "Findings of extension of tumour beyond a node capsule.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Lymph_node_metastases.Extra_nodal_extension.Extra_capsular_extension.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Lymph_node_metastases.Extra_nodal_extension.Extent_of_extranodal_tumour",
        "path": "Lymph_node_metastases.Extra_nodal_extension.Extent_of_extranodal_tumour",
        "short": "Extent of extranodal tumour",
        "definition": "Extent of extranodal tumour expressed as a maximum length.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Lymph_node_metastases.Extra_nodal_extension.Extent_of_extranodal_tumour",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Lymph_node_metastases.Extra_nodal_extension.Extent_of_extranodal_tumour.value",
        "path": "Lymph_node_metastases.Extra_nodal_extension.Extent_of_extranodal_tumour.value",
        "short": "Extent of extranodal tumour",
        "definition": "Extent of extranodal tumour expressed as a maximum length.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Lymph_node_metastases.Extra_nodal_extension.Extent_of_extranodal_tumour.value",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "Quantity"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Lymph_node_metastases.Description",
        "path": "Lymph_node_metastases.Description",
        "short": "Description",
        "definition": "A text description of lymph node involvement by tumour.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Lymph_node_metastases.Description",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Lymph_node_metastases.Description.value",
        "path": "Lymph_node_metastases.Description.value",
        "short": "Description",
        "definition": "A text description of lymph node involvement by tumour.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Lymph_node_metastases.Description.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Lymph_node_metastases.Marker_dye_uptake",
        "path": "Lymph_node_metastases.Marker_dye_uptake",
        "short": "Marker dye uptake",
        "definition": "Findings of whether marker dye has been taken up by the lymph node or lymph node group.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Lymph_node_metastases.Marker_dye_uptake",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Lymph_node_metastases.Marker_dye_uptake.value",
        "path": "Lymph_node_metastases.Marker_dye_uptake.value",
        "short": "Marker dye uptake",
        "definition": "Findings of whether marker dye has been taken up by the lymph node or lymph node group.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Lymph_node_metastases.Marker_dye_uptake.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Lymph_node_metastases.Lymph_node_details",
        "path": "Lymph_node_metastases.Lymph_node_details",
        "short": "Lymph node details",
        "definition": "Further details of lymph node metastasis at this site e.g individual nodes or further levels.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Lymph_node_metastases.Lymph_node_details",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Lymph_node_metastases.Radioactivity_count",
        "path": "Lymph_node_metastases.Radioactivity_count",
        "short": "Radioactivity count",
        "definition": "Radioactivity count measured after use of radiocolloid.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Lymph_node_metastases.Radioactivity_count",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Lymph_node_metastases.Radioactivity_count.value",
        "path": "Lymph_node_metastases.Radioactivity_count.value",
        "short": "Radioactivity count",
        "definition": "Radioactivity count measured after use of radiocolloid.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Lymph_node_metastases.Radioactivity_count.value",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "Quantity"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": true
      }
    ]
  }
}