<status value="draft" /> <date value="2024-06-18" /> <publisher value="openEHR" /> <contact> <telecom> <system value="url" /> <value value="http://www.veratech.es" /> </telecom> </contact> <description value="A framework for the clinical classification and stage grouping of malignancies using the TNM system." /> <purpose value="To record the clinical classification and stage grouping of malignancies using the TNM system." /> <fhirVersion value="4.0.0" /> <mapping> <identity value="openEHR" /> <uri value="http://openehr.org" /> <name value="openEHR Mapping" /> </mapping> <mapping> <identity value="openEHR-natural" /> <uri value="http://openehr.org" /> <name value="openEHR natural path" /> </mapping> <kind value="logical" /> <abstract value="false" /> <type value="StructureDefinition" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Element" /> <snapshot> <element id="TNM_clinical_classification"> <path value="TNM_clinical_classification" /> <short value="TNM clinical classification" /> <definition value="A framework for the clinical classification and stage grouping of malignancies using the TNM system." /> <min value="1" /> <max value="1" /> <base> <path value="TNM_clinical_classification" /> <min value="1" /> <max value="1" /> </base> <type> <code value="BackboneElement" /> </type> <mustSupport value="true" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="TNM_clinical_classification.Anatomical_site"> <path value="TNM_clinical_classification.Anatomical_site" /> <short value="Anatomical site" /> <definition value="The anatomical site where the assessed tumour is situated." /> <min value="0" /> <max value="1" /> <base> <path value="TNM_clinical_classification.Anatomical_site" /> <min value="0" /> <max value="1" /> </base> </element> <element id="TNM_clinical_classification.Anatomical_site.value"> <path value="TNM_clinical_classification.Anatomical_site.value" /> <short value="Anatomical site" /> <definition value="The anatomical site where the assessed tumour is situated." /> <min value="0" /> <max value="1" /> <base> <path value="TNM_clinical_classification.Anatomical_site.value" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="TNM_clinical_classification.Anatomical_subsite"> <path value="TNM_clinical_classification.Anatomical_subsite" /> <short value="Anatomical subsite" /> <definition value="The anatomical subsite where the assessed tumour is situated." /> <min value="0" /> <max value="1" /> <base> <path value="TNM_clinical_classification.Anatomical_subsite" /> <min value="0" /> <max value="1" /> </base> </element> <element id="TNM_clinical_classification.Anatomical_subsite.value"> <path value="TNM_clinical_classification.Anatomical_subsite.value" /> <short value="Anatomical subsite" /> <definition value="The anatomical subsite where the assessed tumour is situated." /> <min value="0" /> <max value="1" /> <base> <path value="TNM_clinical_classification.Anatomical_subsite.value" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="TNM_clinical_classification.Primary_tumour_(T)"> <path value="TNM_clinical_classification.Primary_tumour_(T)" /> <short value="Primary tumour (T)" /> <definition value="Assessment of the the extent of the primary tumour." /> <min value="0" /> <max value="1" /> <base> <path value="TNM_clinical_classification.Primary_tumour_(T)" /> <min value="0" /> <max value="1" /> </base> </element> <element id="TNM_clinical_classification.Primary_tumour_(T).value"> <path value="TNM_clinical_classification.Primary_tumour_(T).value" /> <short value="Primary tumour (T)" /> <definition value="Assessment of the the extent of the primary tumour." /> <min value="0" /> <max value="1" /> <base> <path value="TNM_clinical_classification.Primary_tumour_(T).value" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="TNM_clinical_classification.Regional_lymph_nodes_(N)"> <path value="TNM_clinical_classification.Regional_lymph_nodes_(N)" /> <short value="Regional lymph nodes (N)" /> <definition value="Assessment of the the absence or presence and extent of regional lymph node metastasis." /> <min value="0" /> <max value="1" /> <base> <path value="TNM_clinical_classification.Regional_lymph_nodes_(N)" /> <min value="0" /> <max value="1" /> </base> </element> <element id="TNM_clinical_classification.Regional_lymph_nodes_(N).value"> <path value="TNM_clinical_classification.Regional_lymph_nodes_(N).value" /> <short value="Regional lymph nodes (N)" /> <definition value="Assessment of the the absence 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value="Assessment of invasion into the lymphatic system." /> <min value="0" /> <max value="1" /> <base> <path value="TNM_clinical_classification.Lymphatic_invasion_(L).value" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="TNM_clinical_classification.Venous_invasion_(V)"> <path value="TNM_clinical_classification.Venous_invasion_(V)" /> <short value="Venous invasion (V)" /> <definition value="Assessment of invasion into the venous system." /> <min value="0" /> <max value="1" /> <base> <path value="TNM_clinical_classification.Venous_invasion_(V)" /> <min value="0" /> <max value="1" /> </base> </element> <element id="TNM_clinical_classification.Venous_invasion_(V).value"> <path value="TNM_clinical_classification.Venous_invasion_(V).value" /> <short value="Venous invasion (V)" /> <definition value="Assessment of invasion into the 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value="false" /> <isSummary value="true" /> </element> <element id="TNM_clinical_classification.Multimodality_therapy_(y)"> <path value="TNM_clinical_classification.Multimodality_therapy_(y)" /> <short value="Multimodality therapy (y)" /> <definition value="Record as True if assessment is performed during or following initial multimodal therapy." /> <min value="0" /> <max value="1" /> <base> <path value="TNM_clinical_classification.Multimodality_therapy_(y)" /> <min value="0" /> <max value="1" /> </base> </element> <element id="TNM_clinical_classification.Multimodality_therapy_(y).value"> <path value="TNM_clinical_classification.Multimodality_therapy_(y).value" /> <short value="Multimodality therapy (y)" /> <definition value="Record as True if assessment is performed during or following initial multimodal therapy." /> <min value="0" /> <max value="1" /> <base> <path value="TNM_clinical_classification.Multimodality_therapy_(y).value" /> <min value="0" /> <max value="1" /> </base> <type> <code value="boolean" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="TNM_clinical_classification.Recurrent_(r)"> <path value="TNM_clinical_classification.Recurrent_(r)" /> <short value="Recurrent (r)" /> <definition value="Record as True if assessment is performed for a recurring cancer after a disease-free interval." /> <min value="0" /> <max value="1" /> <base> <path value="TNM_clinical_classification.Recurrent_(r)" /> <min value="0" /> <max value="1" /> </base> </element> <element id="TNM_clinical_classification.Recurrent_(r).value"> <path value="TNM_clinical_classification.Recurrent_(r).value" /> <short value="Recurrent (r)" /> <definition value="Record as True if assessment is performed for a recurring cancer after a disease-free interval." /> <min value="0" /> <max value="1" /> <base> <path value="TNM_clinical_classification.Recurrent_(r).value" /> <min value="0" /> <max value="1" /> </base> <type> <code value="boolean" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="TNM_clinical_classification.Autopsy_(a)"> <path value="TNM_clinical_classification.Autopsy_(a)" /> <short value="Autopsy (a)" /> <definition value="Record as True if assessment is performed at postmortem examination." /> <min value="0" /> <max value="1" /> <base> <path value="TNM_clinical_classification.Autopsy_(a)" /> <min value="0" /> <max value="1" /> </base> </element> <element id="TNM_clinical_classification.Autopsy_(a).value"> <path value="TNM_clinical_classification.Autopsy_(a).value" /> <short value="Autopsy (a)" /> <definition value="Record as True if assessment is performed at postmortem examination." /> <min value="0" /> <max value="1" /> <base> <path value="TNM_clinical_classification.Autopsy_(a).value" /> <min value="0" /> <max value="1" /> </base> <type> <code value="boolean" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="TNM_clinical_classification.Carcinoma_in_situ_(is)"> <path value="TNM_clinical_classification.Carcinoma_in_situ_(is)" /> <short value="Carcinoma in situ (is)" /> <definition value="Record as True if presence of carcinoma in situ associated with the primary tumour." /> <min value="0" /> <max value="1" /> <base> <path value="TNM_clinical_classification.Carcinoma_in_situ_(is)" /> <min value="0" /> <max value="1" /> </base> </element> <element id="TNM_clinical_classification.Carcinoma_in_situ_(is).value"> <path value="TNM_clinical_classification.Carcinoma_in_situ_(is).value" /> <short value="Carcinoma in situ (is)" /> <definition value="Record as True if presence of carcinoma in situ associated with the primary tumour." /> <min value="0" /> <max value="1" /> <base> <path value="TNM_clinical_classification.Carcinoma_in_situ_(is).value" /> <min value="0" /> <max value="1" /> </base> <type> <code value="boolean" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="TNM_clinical_classification.TNM_assessment"> <path value="TNM_clinical_classification.TNM_assessment" /> <short value="TNM assessment" /> <definition value="Concatenation of 'T', 'N' and 'M' assessments plus any optional assessments of 'G', 'R', 'L', 'V', prefixes and/or suffixes, as applicable." /> <min value="0" /> <max value="1" /> <base> <path value="TNM_clinical_classification.TNM_assessment" /> <min value="0" /> <max value="1" /> </base> </element> <element id="TNM_clinical_classification.TNM_assessment.value"> <path value="TNM_clinical_classification.TNM_assessment.value" /> <short value="TNM assessment" /> <definition value="Concatenation of 'T', 'N' and 'M' assessments plus any optional assessments of 'G', 'R', 'L', 'V', prefixes and/or suffixes, as applicable." /> <min value="0" /> <max value="1" /> <base> <path value="TNM_clinical_classification.TNM_assessment.value" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="TNM_clinical_classification.Stage_grouping"> <path value="TNM_clinical_classification.Stage_grouping" /> <short value="Stage grouping" /> <definition value="The categorisation of the anatomical stage of the tumour, usually based on TNM assessment." /> <min value="0" /> <max value="1" /> <base> <path value="TNM_clinical_classification.Stage_grouping" /> <min value="0" /> <max value="1" /> </base> </element> <element id="TNM_clinical_classification.Stage_grouping.value"> <path value="TNM_clinical_classification.Stage_grouping.value" /> <short value="Stage grouping" /> <definition value="The categorisation of the anatomical stage of the tumour, usually based on TNM assessment." /> <min value="0" /> <max value="1" /> <base> <path value="TNM_clinical_classification.Stage_grouping.value" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="TNM_clinical_classification.TNM_Edition"> <path value="TNM_clinical_classification.TNM_Edition" /> <short value="TNM Edition" /> <definition value="The edition of the TNM classification system used for the assessment." /> <min value="0" /> <max value="1" /> <base> <path value="TNM_clinical_classification.TNM_Edition" /> <min value="0" /> <max value="1" /> </base> </element> <element id="TNM_clinical_classification.TNM_Edition.value"> <path value="TNM_clinical_classification.TNM_Edition.value" /> <short value="TNM Edition" /> <definition value="The edition of the TNM classification system used for the assessment." /> <min value="0" /> <max value="1" /> <base> <path value="TNM_clinical_classification.TNM_Edition.value" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> </snapshot> </StructureDefinition>