{
  "resourceType": "StructureDefinition",
  "id": "logicalmodel-Microscopicfindings-melanomaofskin-R4",
  "url": "http://linkehr.com/fhir/logicalmodel-microscopicfindings-melanomaofskin-R4",
  "identifier": [
    {
      "system": "openEHR-CKM",
      "value": "openEHR-EHR-CLUSTER.microscopy_melanoma.v0"
    }
  ],
  "version": "0",
  "name": "Microscopicfindings-melanomaofskin",
  "title": "Microscopic findings - Melanoma of skin",
  "status": "draft",
  "date": "2024-06-18",
  "publisher": "openEHR",
  "contact": [
    {
      "telecom": [
        {
          "system": "url",
          "value": "http://www.veratech.es"
        }
      ]
    }
  ],
  "description": "Microscopic anatomic pathology findings related to melanoma of skin.",
  "purpose": "To record detailed findings about melanoma of skin found on microscopic 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": {
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        "id": "Microscopic_findings___Melanoma_of_skin",
        "path": "Microscopic_findings___Melanoma_of_skin",
        "short": "Microscopic findings - Melanoma of skin",
        "definition": "Microscopic anatomic pathology findings related to melanoma of skin.",
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        "max": "1",
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        "mustSupport": true,
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      },
      {
        "id": "Microscopic_findings___Melanoma_of_skin.Depth_of_invasion",
        "path": "Microscopic_findings___Melanoma_of_skin.Depth_of_invasion",
        "short": "Depth of invasion",
        "definition": "Depth of tumour invasion. Commonly expressed as the Breslow thickness.",
        "min": 0,
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        "base": {
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        "path": "Microscopic_findings___Melanoma_of_skin.Depth_of_invasion.Breslow_thickness",
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        "path": "Microscopic_findings___Melanoma_of_skin.Depth_of_invasion.Breslow_thickness.value",
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        "path": "Microscopic_findings___Melanoma_of_skin.Depth_of_invasion.Comment_on_invasion_measurement.value",
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        "path": "Microscopic_findings___Melanoma_of_skin.Mitotic_rate_per_mm2.value",
        "short": "Mitotic rate per mm2",
        "definition": "Mitotic rate is a measure of the proliferation status of a cell population, expressed as the number of mitoses per square millimetre.",
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        "definition": "Findings related to tumour-associated ulceration.",
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        "path": "Microscopic_findings___Melanoma_of_skin.Ulceration.Ulceration",
        "short": "Ulceration",
        "definition": "Finding of tumour-associated ulceration.",
        "min": 0,
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        "path": "Microscopic_findings___Melanoma_of_skin.Ulceration.Ulceration.value",
        "short": "Ulceration",
        "definition": "Finding of tumour-associated ulceration.",
        "min": 0,
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        "path": "Microscopic_findings___Melanoma_of_skin.Ulceration.Extent_of_ulceration",
        "short": "Extent of ulceration",
        "definition": "Maximum diameter of tumour-ulceration visible.",
        "min": 0,
        "max": "1",
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        "path": "Microscopic_findings___Melanoma_of_skin.Ulceration.Extent_of_ulceration.value",
        "short": "Extent of ulceration",
        "definition": "Maximum diameter of tumour-ulceration visible.",
        "min": 1,
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        "id": "Microscopic_findings___Melanoma_of_skin.Lymphovascular_invasion",
        "path": "Microscopic_findings___Melanoma_of_skin.Lymphovascular_invasion",
        "short": "Lymphovascular invasion",
        "definition": "Details of lymphovascular invasion.",
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        "path": "Microscopic_findings___Melanoma_of_skin.Microsatellites",
        "short": "Microsatellites",
        "definition": "Findings related to microsatellites.",
        "min": 0,
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        "path": "Microscopic_findings___Melanoma_of_skin.Microsatellites.Microsatellites",
        "short": "Microsatellites",
        "definition": "Finding of microsatellites.",
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        "path": "Microscopic_findings___Melanoma_of_skin.Microsatellites.Microsatellites.value",
        "short": "Microsatellites",
        "definition": "Finding of microsatellites.",
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        "path": "Microscopic_findings___Melanoma_of_skin.Microsatellites.In_transit_microsatellites",
        "short": "In-transit microsatellites",
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        "path": "Microscopic_findings___Melanoma_of_skin.Microsatellites.In_transit_microsatellites.value",
        "short": "In-transit microsatellites",
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        "path": "Microscopic_findings___Melanoma_of_skin.Tumour_infiltrating_lymphocytes",
        "short": "Tumour infiltrating lymphocytes",
        "definition": "Findings related to tumour infiltrating lymphocytes.",
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        "path": "Microscopic_findings___Melanoma_of_skin.Tumour_infiltrating_lymphocytes.Distribution",
        "short": "Distribution",
        "definition": "Distribution pattern of tumour infiltrating lymphocytes.",
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        "path": "Microscopic_findings___Melanoma_of_skin.Tumour_infiltrating_lymphocytes.Distribution.value",
        "short": "Distribution",
        "definition": "Distribution pattern of tumour infiltrating lymphocytes.",
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        "path": "Microscopic_findings___Melanoma_of_skin.Tumour_infiltrating_lymphocytes.Density",
        "short": "Density",
        "definition": "Density of tumour infiltrating lymphocytes.",
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        "path": "Microscopic_findings___Melanoma_of_skin.Tumour_infiltrating_lymphocytes.Density.value",
        "short": "Density",
        "definition": "Density of tumour infiltrating lymphocytes.",
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        "path": "Microscopic_findings___Melanoma_of_skin.Regression",
        "short": "Regression",
        "definition": "Findings related to melanoma regression.",
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        "path": "Microscopic_findings___Melanoma_of_skin.Regression.Intermediate_late_regression",
        "short": "Intermediate/late regression",
        "definition": "Finding of tumour regression.",
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        "path": "Microscopic_findings___Melanoma_of_skin.Regression.Intermediate_late_regression.value",
        "short": "Intermediate/late regression",
        "definition": "Finding of tumour regression.",
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        "path": "Microscopic_findings___Melanoma_of_skin.Regression.Extent_of_regression",
        "short": "Extent of regression",
        "definition": "Details of extent of regression.",
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        "path": "Microscopic_findings___Melanoma_of_skin.Regression.Marginal_clearance_of_regression",
        "short": "Marginal clearance of regression",
        "definition": "Maximum distance of regression from the surgical margin.",
        "min": 0,
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        "path": "Microscopic_findings___Melanoma_of_skin.Regression.Marginal_clearance_of_regression.value",
        "short": "Marginal clearance of regression",
        "definition": "Maximum distance of regression from the surgical margin.",
        "min": 1,
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        "id": "Microscopic_findings___Melanoma_of_skin.Desmoplasia",
        "path": "Microscopic_findings___Melanoma_of_skin.Desmoplasia",
        "short": "Desmoplasia",
        "definition": "Findings related to desmoplasia.",
        "min": 0,
        "max": "1",
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        "path": "Microscopic_findings___Melanoma_of_skin.Desmoplasia.Desmoplasia",
        "short": "Desmoplasia",
        "definition": "Finding of desmoplasia.",
        "min": 0,
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        "path": "Microscopic_findings___Melanoma_of_skin.Desmoplasia.Desmoplasia.value",
        "short": "Desmoplasia",
        "definition": "Finding of desmoplasia.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Microscopic_findings___Melanoma_of_skin.Desmoplasia.Desmoplasia.value",
          "min": 0,
          "max": "1"
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        "type": [
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        "mustSupport": false,
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        "id": "Microscopic_findings___Melanoma_of_skin.Desmoplasia.Extent_of_desmoplasia",
        "path": "Microscopic_findings___Melanoma_of_skin.Desmoplasia.Extent_of_desmoplasia",
        "short": "Extent of desmoplasia",
        "definition": "Extent of desmoplasia, expressed as a percentage of invasive component.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Microscopic_findings___Melanoma_of_skin.Desmoplasia.Extent_of_desmoplasia",
          "min": 0,
          "max": "1"
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        "id": "Microscopic_findings___Melanoma_of_skin.Desmoplasia.Extent_of_desmoplasia.value",
        "path": "Microscopic_findings___Melanoma_of_skin.Desmoplasia.Extent_of_desmoplasia.value",
        "short": "Extent of desmoplasia",
        "definition": "Extent of desmoplasia, expressed as a percentage of invasive component.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Microscopic_findings___Melanoma_of_skin.Desmoplasia.Extent_of_desmoplasia.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Ratio"
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      {
        "id": "Microscopic_findings___Melanoma_of_skin.Solar_elastosis",
        "path": "Microscopic_findings___Melanoma_of_skin.Solar_elastosis",
        "short": "Solar elastosis",
        "definition": "Findings related to solar elastosis.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Microscopic_findings___Melanoma_of_skin.Solar_elastosis",
          "min": 0,
          "max": "1"
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        "isModifier": false,
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        "id": "Microscopic_findings___Melanoma_of_skin.Solar_elastosis.Solar_elastosis",
        "path": "Microscopic_findings___Melanoma_of_skin.Solar_elastosis.Solar_elastosis",
        "short": "Solar elastosis",
        "definition": "Finding of solar elastosis.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Microscopic_findings___Melanoma_of_skin.Solar_elastosis.Solar_elastosis",
          "min": 0,
          "max": "1"
        }
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      {
        "id": "Microscopic_findings___Melanoma_of_skin.Solar_elastosis.Solar_elastosis.value",
        "path": "Microscopic_findings___Melanoma_of_skin.Solar_elastosis.Solar_elastosis.value",
        "short": "Solar elastosis",
        "definition": "Finding of solar elastosis.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Microscopic_findings___Melanoma_of_skin.Solar_elastosis.Solar_elastosis.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Microscopic_findings___Melanoma_of_skin.Solar_elastosis.Severity_of_solar_elastosis",
        "path": "Microscopic_findings___Melanoma_of_skin.Solar_elastosis.Severity_of_solar_elastosis",
        "short": "Severity of solar elastosis",
        "definition": "Severity of solar elastosis.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Microscopic_findings___Melanoma_of_skin.Solar_elastosis.Severity_of_solar_elastosis",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Microscopic_findings___Melanoma_of_skin.Solar_elastosis.Severity_of_solar_elastosis.value",
        "path": "Microscopic_findings___Melanoma_of_skin.Solar_elastosis.Severity_of_solar_elastosis.value",
        "short": "Severity of solar elastosis",
        "definition": "Severity of solar elastosis.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Microscopic_findings___Melanoma_of_skin.Solar_elastosis.Severity_of_solar_elastosis.value",
          "min": 0,
          "max": "1"
        },
        "type": [
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            "code": "CodeableConcept"
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        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Microscopic_findings___Melanoma_of_skin.Predominant_cell_type(s)",
        "path": "Microscopic_findings___Melanoma_of_skin.Predominant_cell_type(s)",
        "short": "Predominant cell type(s)",
        "definition": "Findings of predominant cell types.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Microscopic_findings___Melanoma_of_skin.Predominant_cell_type(s)",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Microscopic_findings___Melanoma_of_skin.Predominant_cell_type(s).Predominant_cell_type",
        "path": "Microscopic_findings___Melanoma_of_skin.Predominant_cell_type(s).Predominant_cell_type",
        "short": "Predominant cell type",
        "definition": "Finding of a single predominant tumour cell type.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Microscopic_findings___Melanoma_of_skin.Predominant_cell_type(s).Predominant_cell_type",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Microscopic_findings___Melanoma_of_skin.Predominant_cell_type(s).Predominant_cell_type.value_DV_CODED_TEXT",
        "path": "Microscopic_findings___Melanoma_of_skin.Predominant_cell_type(s).Predominant_cell_type.value_DV_CODED_TEXT",
        "short": "Predominant cell type",
        "definition": "Finding of a single predominant tumour cell type.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Microscopic_findings___Melanoma_of_skin.Predominant_cell_type(s).Predominant_cell_type.value_DV_CODED_TEXT",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
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        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
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      {
        "id": "Microscopic_findings___Melanoma_of_skin.Predominant_cell_type(s).Predominant_cell_type.value_DV_TEXT",
        "path": "Microscopic_findings___Melanoma_of_skin.Predominant_cell_type(s).Predominant_cell_type.value_DV_TEXT",
        "short": "Predominant cell type",
        "definition": "Finding of a single predominant tumour cell type.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Microscopic_findings___Melanoma_of_skin.Predominant_cell_type(s).Predominant_cell_type.value_DV_TEXT",
          "min": 0,
          "max": "1"
        },
        "type": [
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            "code": "CodeableConcept"
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        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Microscopic_findings___Melanoma_of_skin.Neurotropism",
        "path": "Microscopic_findings___Melanoma_of_skin.Neurotropism",
        "short": "Neurotropism",
        "definition": "Details of neurotropism or perineural invasion.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Microscopic_findings___Melanoma_of_skin.Neurotropism",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
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        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Microscopic_findings___Melanoma_of_skin.Associated_benign_melanocytic_lesion(s)",
        "path": "Microscopic_findings___Melanoma_of_skin.Associated_benign_melanocytic_lesion(s)",
        "short": "Associated benign melanocytic lesion(s)",
        "definition": "Findings of any associated benign melanocytic lesions.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Microscopic_findings___Melanoma_of_skin.Associated_benign_melanocytic_lesion(s)",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Microscopic_findings___Melanoma_of_skin.Associated_benign_melanocytic_lesion(s).Associated_benign_melanocytic_lesion",
        "path": "Microscopic_findings___Melanoma_of_skin.Associated_benign_melanocytic_lesion(s).Associated_benign_melanocytic_lesion",
        "short": "Associated benign melanocytic lesion",
        "definition": "Finding of an associated benign melanocytic lesion.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Microscopic_findings___Melanoma_of_skin.Associated_benign_melanocytic_lesion(s).Associated_benign_melanocytic_lesion",
          "min": 0,
          "max": "*"
        }
      },
      {
        "id": "Microscopic_findings___Melanoma_of_skin.Associated_benign_melanocytic_lesion(s).Associated_benign_melanocytic_lesion.value",
        "path": "Microscopic_findings___Melanoma_of_skin.Associated_benign_melanocytic_lesion(s).Associated_benign_melanocytic_lesion.value",
        "short": "Associated benign melanocytic lesion",
        "definition": "Finding of an associated benign melanocytic lesion.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Microscopic_findings___Melanoma_of_skin.Associated_benign_melanocytic_lesion(s).Associated_benign_melanocytic_lesion.value",
          "min": 0,
          "max": "1"
        },
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        "mustSupport": false,
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        "id": "Microscopic_findings___Melanoma_of_skin.Growth_pattern_phase",
        "path": "Microscopic_findings___Melanoma_of_skin.Growth_pattern_phase",
        "short": "Growth pattern/phase",
        "definition": "Findings related to growth pattern and growth phase.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Microscopic_findings___Melanoma_of_skin.Growth_pattern_phase",
          "min": 0,
          "max": "1"
        },
        "type": [
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            "code": "BackboneElement"
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        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
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      {
        "id": "Microscopic_findings___Melanoma_of_skin.Growth_pattern_phase.Intraepidermal_growth_pattern",
        "path": "Microscopic_findings___Melanoma_of_skin.Growth_pattern_phase.Intraepidermal_growth_pattern",
        "short": "Intraepidermal growth pattern",
        "definition": "Description of the melanoma growth pattern.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Microscopic_findings___Melanoma_of_skin.Growth_pattern_phase.Intraepidermal_growth_pattern",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Microscopic_findings___Melanoma_of_skin.Growth_pattern_phase.Intraepidermal_growth_pattern.value_DV_CODED_TEXT",
        "path": "Microscopic_findings___Melanoma_of_skin.Growth_pattern_phase.Intraepidermal_growth_pattern.value_DV_CODED_TEXT",
        "short": "Intraepidermal growth pattern",
        "definition": "Description of the melanoma growth pattern.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Microscopic_findings___Melanoma_of_skin.Growth_pattern_phase.Intraepidermal_growth_pattern.value_DV_CODED_TEXT",
          "min": 0,
          "max": "1"
        },
        "type": [
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        "id": "Microscopic_findings___Melanoma_of_skin.Growth_pattern_phase.Intraepidermal_growth_pattern.value_DV_TEXT",
        "path": "Microscopic_findings___Melanoma_of_skin.Growth_pattern_phase.Intraepidermal_growth_pattern.value_DV_TEXT",
        "short": "Intraepidermal growth pattern",
        "definition": "Description of the melanoma growth pattern.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Microscopic_findings___Melanoma_of_skin.Growth_pattern_phase.Intraepidermal_growth_pattern.value_DV_TEXT",
          "min": 0,
          "max": "1"
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            "code": "CodeableConcept"
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        "isSummary": true
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      {
        "id": "Microscopic_findings___Melanoma_of_skin.Growth_pattern_phase.Growth_phase",
        "path": "Microscopic_findings___Melanoma_of_skin.Growth_pattern_phase.Growth_phase",
        "short": "Growth phase",
        "definition": "Description of the melanoma growth phase.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Microscopic_findings___Melanoma_of_skin.Growth_pattern_phase.Growth_phase",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Microscopic_findings___Melanoma_of_skin.Growth_pattern_phase.Growth_phase.value",
        "path": "Microscopic_findings___Melanoma_of_skin.Growth_pattern_phase.Growth_phase.value",
        "short": "Growth phase",
        "definition": "Description of the melanoma growth phase.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Microscopic_findings___Melanoma_of_skin.Growth_pattern_phase.Growth_phase.value",
          "min": 0,
          "max": "1"
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            "code": "CodeableConcept"
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        "isModifier": false,
        "isSummary": true
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    ]
  }
}