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  <url value="http://linkehr.com/fhir/logicalmodel-tnmpathologicalclassification-R4" />
  <identifier>
    <system value="openEHR-CKM" />
    <value value="openEHR-EHR-CLUSTER.tnm-pathological.v1" />
  </identifier>
  <version value="0" />
  <name value="Tnmpathologicalclassification" />
  <title value="TNM pathological classification" />
  <status value="draft" />
  <date value="2024-06-18" />
  <publisher value="openEHR" />
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      <system value="url" />
      <value value="http://www.veratech.es" />
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  <description value="A framework for the pathological classification and stage grouping of malignancies using the TNM system." />
  <purpose value="To record the pathological classification and stage grouping of malignancies using the TNM system." />
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    <element id="TNM_pathological_classification">
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      <short value="TNM pathological classification" />
      <definition value="A framework for the pathological classification and stage grouping of malignancies using the TNM system." />
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    <element id="TNM_pathological_classification.Anatomical_site">
      <path value="TNM_pathological_classification.Anatomical_site" />
      <short value="Anatomical site" />
      <definition value="The anatomical site where the assessed tumour is situated." />
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      <short value="Anatomical site" />
      <definition value="The anatomical site where the assessed tumour is situated." />
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    <element id="TNM_pathological_classification.Anatomical_subsite">
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      <short value="Anatomical subsite" />
      <definition value="The anatomical subsite where the assessed tumour is situated." />
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      <short value="Anatomical subsite" />
      <definition value="The anatomical subsite where the assessed tumour is situated." />
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    <element id="TNM_pathological_classification.Primary_tumour_(pT)">
      <path value="TNM_pathological_classification.Primary_tumour_(pT)" />
      <short value="Primary tumour (pT)" />
      <definition value="Assessment of the extent of the primary tumour." />
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    <element id="TNM_pathological_classification.Primary_tumour_(pT).value">
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      <short value="Primary tumour (pT)" />
      <definition value="Assessment of the extent of the primary tumour." />
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    <element id="TNM_pathological_classification.Regional_lymph_nodes_(pN)">
      <path value="TNM_pathological_classification.Regional_lymph_nodes_(pN)" />
      <short value="Regional lymph nodes (pN)" />
      <definition value="Assessment of the absence or presence and extent of regional lymph node metastasis." />
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        <path value="TNM_pathological_classification.Regional_lymph_nodes_(pN)" />
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    <element id="TNM_pathological_classification.Regional_lymph_nodes_(pN).value">
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      <short value="Regional lymph nodes (pN)" />
      <definition value="Assessment of the absence or presence and extent of regional lymph node metastasis." />
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        <path value="TNM_pathological_classification.Regional_lymph_nodes_(pN).value" />
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    <element id="TNM_pathological_classification.Distant_metastasis_(pM)">
      <path value="TNM_pathological_classification.Distant_metastasis_(pM)" />
      <short value="Distant metastasis (pM)" />
      <definition value="Assessment of the absence or presence of distant metastasis." />
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        <path value="TNM_pathological_classification.Distant_metastasis_(pM)" />
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    <element id="TNM_pathological_classification.Distant_metastasis_(pM).value">
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      <short value="Distant metastasis (pM)" />
      <definition value="Assessment of the absence or presence of distant metastasis." />
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        <path value="TNM_pathological_classification.Distant_metastasis_(pM).value" />
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    <element id="TNM_pathological_classification.Histopathological_grade_(G)">
      <path value="TNM_pathological_classification.Histopathological_grade_(G)" />
      <short value="Histopathological grade (G)" />
      <definition value="Histopathological grading of the tumour." />
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    <element id="TNM_pathological_classification.Histopathological_grade_(G).value">
      <path value="TNM_pathological_classification.Histopathological_grade_(G).value" />
      <short value="Histopathological grade (G)" />
      <definition value="Histopathological grading of the tumour." />
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        <path value="TNM_pathological_classification.Histopathological_grade_(G).value" />
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    <element id="TNM_pathological_classification.Residual_tumour_(R)">
      <path value="TNM_pathological_classification.Residual_tumour_(R)" />
      <short value="Residual tumour (R)" />
      <definition value="Assessment of the presence of residual tumour after treatment." />
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    <element id="TNM_pathological_classification.Residual_tumour_(R).value">
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      <short value="Residual tumour (R)" />
      <definition value="Assessment of the presence of residual tumour after treatment." />
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        <path value="TNM_pathological_classification.Residual_tumour_(R).value" />
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    <element id="TNM_pathological_classification.Lymphatic_invasion_(L)">
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      <short value="Lymphatic invasion (L)" />
      <definition value="Assessment of invasion into the lymphatic system." />
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      <short value="Lymphatic invasion (L)" />
      <definition value="Assessment of invasion into the lymphatic system." />
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    <element id="TNM_pathological_classification.Venous_invasion_(V)">
      <path value="TNM_pathological_classification.Venous_invasion_(V)" />
      <short value="Venous invasion (V)" />
      <definition value="Assessment of invasion into the venous system." />
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    <element id="TNM_pathological_classification.Venous_invasion_(V).value">
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      <short value="Venous invasion (V)" />
      <definition value="Assessment of invasion into the venous system." />
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    <element id="TNM_pathological_classification.Perineural_invasion_(Pn)">
      <path value="TNM_pathological_classification.Perineural_invasion_(Pn)" />
      <short value="Perineural invasion (Pn)" />
      <definition value="Assessment of invasion into the space surrounding nerves." />
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        <path value="TNM_pathological_classification.Perineural_invasion_(Pn)" />
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      <short value="Perineural invasion (Pn)" />
      <definition value="Assessment of invasion into the space surrounding nerves." />
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    <element id="TNM_pathological_classification.Multiple_primary_tumours_(m)">
      <path value="TNM_pathological_classification.Multiple_primary_tumours_(m)" />
      <short value="Multiple primary tumours (m)" />
      <definition value="Presence of multiple simultaneous primary tumours at a single site." />
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      <short value="Multiple primary tumours (m)" />
      <definition value="Presence of multiple simultaneous primary tumours at a single site." />
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        <path value="TNM_pathological_classification.Multiple_primary_tumours_(m).value_DV_COUNT" />
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        <code value="Quantity" />
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      <short value="Multiple primary tumours (m)" />
      <definition value="Presence of multiple simultaneous primary tumours at a single site." />
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        <code value="boolean" />
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    <element id="TNM_pathological_classification.Multimodality_therapy_(y)">
      <path value="TNM_pathological_classification.Multimodality_therapy_(y)" />
      <short value="Multimodality therapy (y)" />
      <definition value="Record as True if assessment is performed during or following initial multimodal therapy." />
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      <base>
        <path value="TNM_pathological_classification.Multimodality_therapy_(y)" />
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      <short value="Multimodality therapy (y)" />
      <definition value="Record as True if assessment is performed during or following initial multimodal therapy." />
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      <base>
        <path value="TNM_pathological_classification.Multimodality_therapy_(y).value" />
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        <code value="boolean" />
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    <element id="TNM_pathological_classification.Recurrent_(r)">
      <path value="TNM_pathological_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." />
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        <path value="TNM_pathological_classification.Recurrent_(r)" />
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      <path value="TNM_pathological_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." />
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        <path value="TNM_pathological_classification.Recurrent_(r).value" />
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        <code value="boolean" />
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    <element id="TNM_pathological_classification.Autopsy_(a)">
      <path value="TNM_pathological_classification.Autopsy_(a)" />
      <short value="Autopsy (a)" />
      <definition value="Record as True if assessment is performed at postmortem examination." />
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      <base>
        <path value="TNM_pathological_classification.Autopsy_(a)" />
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    <element id="TNM_pathological_classification.Autopsy_(a).value">
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      <short value="Autopsy (a)" />
      <definition value="Record as True if assessment is performed at postmortem examination." />
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        <path value="TNM_pathological_classification.Autopsy_(a).value" />
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        <code value="boolean" />
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    <element id="TNM_pathological_classification.Carcinoma_in_situ_(is)">
      <path value="TNM_pathological_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." />
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        <path value="TNM_pathological_classification.Carcinoma_in_situ_(is)" />
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      <short value="Carcinoma in situ (is)" />
      <definition value="Record as True if presence of carcinoma in situ associated with the primary tumour." />
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        <path value="TNM_pathological_classification.Carcinoma_in_situ_(is).value" />
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      <short value="pTNM assessment" />
      <definition value="Concatenation of 'pT', 'pN' and 'pM' assessments plus any optional assessments of 'G', 'R', 'L', 'V', prefixes and/or suffixes, as applicable." />
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      <short value="pTNM assessment" />
      <definition value="Concatenation of 'pT', 'pN' and 'pM' assessments plus any optional assessments of 'G', 'R', 'L', 'V', prefixes and/or suffixes, as applicable." />
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    <element id="TNM_pathological_classification.Stage_grouping">
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      <short value="Stage grouping" />
      <definition value="The categorisation of the anatomical stage of the tumour, usually based on pTNM assessment." />
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      <short value="Stage grouping" />
      <definition value="The categorisation of the anatomical stage of the tumour, usually based on pTNM assessment." />
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    <element id="TNM_pathological_classification.TNM_Edition">
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      <short value="TNM Edition" />
      <definition value="The edition of the TNM classification system used for the assessment." />
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      <short value="TNM Edition" />
      <definition value="The edition of the TNM classification system used for the assessment." />
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      <short value="Sentinel node (sn)" />
      <definition value="Record as True if presence of metastasis within one or more sentinel node(s)." />
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      <path value="TNM_pathological_classification.Sentinel_node_(sn).value" />
      <short value="Sentinel node (sn)" />
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      <definition value="Record as True if presence of micrometastases in the regional lymph drainage area of the primary tumour." />
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