{
  "resourceType": "StructureDefinition",
  "id": "logicalmodel-Macroscopicfindings-colorectalcancer-R4",
  "url": "http://linkehr.com/fhir/logicalmodel-macroscopicfindings-colorectalcancer-R4",
  "identifier": [
    {
      "system": "openEHR-CKM",
      "value": "openEHR-EHR-CLUSTER.macroscopy_colorectal_carcinoma.v0"
    }
  ],
  "version": "0",
  "name": "Macroscopicfindings-colorectalcancer",
  "title": "Macroscopic findings - Colorectal cancer",
  "status": "draft",
  "date": "2024-06-18",
  "publisher": "openEHR",
  "contact": [
    {
      "telecom": [
        {
          "system": "url",
          "value": "http://www.veratech.es"
        }
      ]
    }
  ],
  "description": "Macroscopic anatomical pathology findings related to colorectal cancer.",
  "purpose": "To record detailed findings about colorectal cancer found on macroscopic histopathological examination.",
  "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": "Macroscopic_findings___Colorectal_cancer",
        "path": "Macroscopic_findings___Colorectal_cancer",
        "short": "Macroscopic findings - Colorectal cancer",
        "definition": "Macroscopic anatomical pathology findings related to colorectal cancer.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Macroscopic_findings___Colorectal_cancer",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Macroscopic_findings___Colorectal_cancer.Tumour_dimensions",
        "path": "Macroscopic_findings___Colorectal_cancer.Tumour_dimensions",
        "short": "Tumour dimensions",
        "definition": "Details of maximum dimensions of the tumour.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Macroscopic_findings___Colorectal_cancer.Tumour_dimensions",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Macroscopic_findings___Colorectal_cancer.Maximum_extramuscular_extension",
        "path": "Macroscopic_findings___Colorectal_cancer.Maximum_extramuscular_extension",
        "short": "Maximum extramuscular extension",
        "definition": "The maximum extramuscular extension of the tumour.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Macroscopic_findings___Colorectal_cancer.Maximum_extramuscular_extension",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Macroscopic_findings___Colorectal_cancer.Maximum_extramuscular_extension.value",
        "path": "Macroscopic_findings___Colorectal_cancer.Maximum_extramuscular_extension.value",
        "short": "Maximum extramuscular extension",
        "definition": "The maximum extramuscular extension of the tumour.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Macroscopic_findings___Colorectal_cancer.Maximum_extramuscular_extension.value",
          "min": 1,
          "max": "1"
        },
        "type": [
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            "code": "Quantity"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Macroscopic_findings___Colorectal_cancer.Distance_of_tumour_to_nearest_cut_end",
        "path": "Macroscopic_findings___Colorectal_cancer.Distance_of_tumour_to_nearest_cut_end",
        "short": "Distance of tumour to nearest cut-end",
        "definition": "The distance of the tumour to the nearest cut-end (i.e. proximal or distal margin). It is the measurement from the nearest cut end of the specimen and not the non-peritonealised (i.e. circumferential or radial) margin.",
        "min": 0,
        "max": "1",
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          "path": "Macroscopic_findings___Colorectal_cancer.Distance_of_tumour_to_nearest_cut_end",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Macroscopic_findings___Colorectal_cancer.Distance_of_tumour_to_nearest_cut_end.value",
        "path": "Macroscopic_findings___Colorectal_cancer.Distance_of_tumour_to_nearest_cut_end.value",
        "short": "Distance of tumour to nearest cut-end",
        "definition": "The distance of the tumour to the nearest cut-end (i.e. proximal or distal margin). It is the measurement from the nearest cut end of the specimen and not the non-peritonealised (i.e. circumferential or radial) margin.",
        "min": 1,
        "max": "1",
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          "path": "Macroscopic_findings___Colorectal_cancer.Distance_of_tumour_to_nearest_cut_end.value",
          "min": 1,
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        },
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        ],
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        "id": "Macroscopic_findings___Colorectal_cancer.Distance_of_tumour_to_circumferential_margin",
        "path": "Macroscopic_findings___Colorectal_cancer.Distance_of_tumour_to_circumferential_margin",
        "short": "Distance of tumour to circumferential margin",
        "definition": "The distance of the tumour to the circumferential or radial margin. It is the measurement to the non-peritonealised margin and not to the nearest cut-end (i.e. proximal,distal).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Macroscopic_findings___Colorectal_cancer.Distance_of_tumour_to_circumferential_margin",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Macroscopic_findings___Colorectal_cancer.Distance_of_tumour_to_circumferential_margin.value",
        "path": "Macroscopic_findings___Colorectal_cancer.Distance_of_tumour_to_circumferential_margin.value",
        "short": "Distance of tumour to circumferential margin",
        "definition": "The distance of the tumour to the circumferential or radial margin. It is the measurement to the non-peritonealised margin and not to the nearest cut-end (i.e. proximal,distal).",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Macroscopic_findings___Colorectal_cancer.Distance_of_tumour_to_circumferential_margin.value",
          "min": 1,
          "max": "1"
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          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Macroscopic_findings___Colorectal_cancer.Distance_of_tumour_from_dentate_line",
        "path": "Macroscopic_findings___Colorectal_cancer.Distance_of_tumour_from_dentate_line",
        "short": "Distance of tumour from dentate line",
        "definition": "For abdominoperineal resection specimens, distance of tumour from the dentate line.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Macroscopic_findings___Colorectal_cancer.Distance_of_tumour_from_dentate_line",
          "min": 0,
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      },
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        "id": "Macroscopic_findings___Colorectal_cancer.Distance_of_tumour_from_dentate_line.value",
        "path": "Macroscopic_findings___Colorectal_cancer.Distance_of_tumour_from_dentate_line.value",
        "short": "Distance of tumour from dentate line",
        "definition": "For abdominoperineal resection specimens, distance of tumour from the dentate line.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Macroscopic_findings___Colorectal_cancer.Distance_of_tumour_from_dentate_line.value",
          "min": 1,
          "max": "1"
        },
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            "code": "Quantity"
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        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Macroscopic_findings___Colorectal_cancer.Anastomotic_doughnuts_submitted",
        "path": "Macroscopic_findings___Colorectal_cancer.Anastomotic_doughnuts_submitted",
        "short": "Anastomotic doughnuts submitted",
        "definition": "Have anastomotic doughnuts been submitted for analysis?",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Macroscopic_findings___Colorectal_cancer.Anastomotic_doughnuts_submitted",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Macroscopic_findings___Colorectal_cancer.Anastomotic_doughnuts_submitted.value",
        "path": "Macroscopic_findings___Colorectal_cancer.Anastomotic_doughnuts_submitted.value",
        "short": "Anastomotic doughnuts submitted",
        "definition": "Have anastomotic doughnuts been submitted for analysis?",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Macroscopic_findings___Colorectal_cancer.Anastomotic_doughnuts_submitted.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "boolean"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Macroscopic_findings___Colorectal_cancer.Tumour_perforation",
        "path": "Macroscopic_findings___Colorectal_cancer.Tumour_perforation",
        "short": "Tumour perforation",
        "definition": "Findings related to tumour perforation.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Macroscopic_findings___Colorectal_cancer.Tumour_perforation",
          "min": 0,
          "max": "1"
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        "id": "Macroscopic_findings___Colorectal_cancer.Tumour_perforation.Tumour_perforation",
        "path": "Macroscopic_findings___Colorectal_cancer.Tumour_perforation.Tumour_perforation",
        "short": "Tumour perforation",
        "definition": "Finding of tumour perforation.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Macroscopic_findings___Colorectal_cancer.Tumour_perforation.Tumour_perforation",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Macroscopic_findings___Colorectal_cancer.Tumour_perforation.Tumour_perforation.value",
        "path": "Macroscopic_findings___Colorectal_cancer.Tumour_perforation.Tumour_perforation.value",
        "short": "Tumour perforation",
        "definition": "Finding of tumour perforation.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Macroscopic_findings___Colorectal_cancer.Tumour_perforation.Tumour_perforation.value",
          "min": 0,
          "max": "1"
        },
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          {
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        ],
        "mustSupport": false,
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        "isSummary": true
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        "id": "Macroscopic_findings___Colorectal_cancer.Tumour_perforation.Perforation_location",
        "path": "Macroscopic_findings___Colorectal_cancer.Tumour_perforation.Perforation_location",
        "short": "Perforation location",
        "definition": "The location of a perforation, if present.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Macroscopic_findings___Colorectal_cancer.Tumour_perforation.Perforation_location",
          "min": 0,
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        "id": "Macroscopic_findings___Colorectal_cancer.Tumour_perforation.Perforation_location.value",
        "path": "Macroscopic_findings___Colorectal_cancer.Tumour_perforation.Perforation_location.value",
        "short": "Perforation location",
        "definition": "The location of a perforation, if present.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Macroscopic_findings___Colorectal_cancer.Tumour_perforation.Perforation_location.value",
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        "mustSupport": false,
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      },
      {
        "id": "Macroscopic_findings___Colorectal_cancer.Tumour_perforation.Comment",
        "path": "Macroscopic_findings___Colorectal_cancer.Tumour_perforation.Comment",
        "short": "Comment",
        "definition": "Furrher text comment on the perforation.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Macroscopic_findings___Colorectal_cancer.Tumour_perforation.Comment",
          "min": 0,
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        "id": "Macroscopic_findings___Colorectal_cancer.Tumour_perforation.Comment.value",
        "path": "Macroscopic_findings___Colorectal_cancer.Tumour_perforation.Comment.value",
        "short": "Comment",
        "definition": "Furrher text comment on the perforation.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Macroscopic_findings___Colorectal_cancer.Tumour_perforation.Comment.value",
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        "mustSupport": false,
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      },
      {
        "id": "Macroscopic_findings___Colorectal_cancer.For_rectal_tumours",
        "path": "Macroscopic_findings___Colorectal_cancer.For_rectal_tumours",
        "short": "For rectal tumours",
        "definition": "Findings related solely to rectal tumours.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Macroscopic_findings___Colorectal_cancer.For_rectal_tumours",
          "min": 0,
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        "path": "Macroscopic_findings___Colorectal_cancer.For_rectal_tumours.Relationship_to_anterior_peritoneal_reflection",
        "short": "Relationship to anterior peritoneal reflection",
        "definition": "The relationship of rectal tumour to the anterior peritoneal reflection.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Macroscopic_findings___Colorectal_cancer.For_rectal_tumours.Relationship_to_anterior_peritoneal_reflection",
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        "path": "Macroscopic_findings___Colorectal_cancer.For_rectal_tumours.Relationship_to_anterior_peritoneal_reflection.value",
        "short": "Relationship to anterior peritoneal reflection",
        "definition": "The relationship of rectal tumour to the anterior peritoneal reflection.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Macroscopic_findings___Colorectal_cancer.For_rectal_tumours.Relationship_to_anterior_peritoneal_reflection.value",
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        "id": "Macroscopic_findings___Colorectal_cancer.For_rectal_tumours.Intactness_of_the_mesorectum",
        "path": "Macroscopic_findings___Colorectal_cancer.For_rectal_tumours.Intactness_of_the_mesorectum",
        "short": "Intactness of the mesorectum",
        "definition": "An assessment of the intactness of the mesorectum.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Macroscopic_findings___Colorectal_cancer.For_rectal_tumours.Intactness_of_the_mesorectum",
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        "path": "Macroscopic_findings___Colorectal_cancer.For_rectal_tumours.Intactness_of_the_mesorectum.value",
        "short": "Intactness of the mesorectum",
        "definition": "An assessment of the intactness of the mesorectum.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Macroscopic_findings___Colorectal_cancer.For_rectal_tumours.Intactness_of_the_mesorectum.value",
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}