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  <url value="http://linkehr.com/fhir/logicalmodel-microscopicfindings-breastcancer-R4" />
  <identifier>
    <system value="openEHR-CKM" />
    <value value="openEHR-EHR-CLUSTER.microscopy_breast_carcinoma.v1" />
  </identifier>
  <version value="0" />
  <name value="Microscopicfindings-breastcancer" />
  <title value="Microscopic findings - Breast cancer" />
  <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="Microscopic anatomic pathology findings related to breast cancer." />
  <purpose value="To record detailed findings about breast cancer found on microscopic examination." />
  <fhirVersion value="4.0.0" />
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    <identity value="openEHR" />
    <uri value="http://openehr.org" />
    <name value="openEHR Mapping" />
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  <kind value="logical" />
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  <type value="StructureDefinition" />
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Element" />
  <snapshot>
    <element id="Microscopic_findings___Breast_cancer">
      <path value="Microscopic_findings___Breast_cancer" />
      <short value="Microscopic findings - Breast cancer" />
      <definition value="Microscopic anatomic pathology findings related to breast cancer." />
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    <element id="Microscopic_findings___Breast_cancer.Tumour_size_and_extent">
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      <short value="Tumour size and extent" />
      <definition value="Assessments of tumour size." />
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      <short value="Invasive tumour extent" />
      <definition value="The size of the invasive aspect of the breast cancer." />
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      <short value="Total lesion extent" />
      <definition value="The extent of total breast cancer lesion." />
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        <path value="Microscopic_findings___Breast_cancer.Tumour_size_and_extent.Total_lesion_extent" />
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      <short value="Histologic grading" />
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      <short value="Bloom and Richardson Grade" />
      <definition value="Bloom and Richardson Histology Grade ( with modification by Elston and Ellis) is composed of three  components which are combined to produce a calculated Histology Grade." />
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      <short value="Mitosis count" />
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      <short value="Mitotic frequency score" />
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      <short value="Mitotic frequency score" />
      <definition value="Mitotic frequency score calculated from the mitosis count and the microscopy field diameter via a lookup table." />
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      <path value="Microscopic_findings___Breast_cancer.Histologic_grading.Bloom_and_Richardson_Grade.Nuclear_score" />
      <short value="Nuclear score" />
      <definition value="Nuclear score." />
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        <path value="Microscopic_findings___Breast_cancer.Histologic_grading.Bloom_and_Richardson_Grade.Nuclear_score" />
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    <element id="Microscopic_findings___Breast_cancer.Histologic_grading.Bloom_and_Richardson_Grade.Nuclear_score.value">
      <path value="Microscopic_findings___Breast_cancer.Histologic_grading.Bloom_and_Richardson_Grade.Nuclear_score.value" />
      <short value="Nuclear score" />
      <definition value="Nuclear score." />
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      <path value="Microscopic_findings___Breast_cancer.Histologic_grading.Bloom_and_Richardson_Grade.Tubular_formation_score" />
      <short value="Tubular formation score" />
      <definition value="Tubular formation score, representing the extent of tubular formation within invasive carcinoma cells." />
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      <path value="Microscopic_findings___Breast_cancer.Histologic_grading.Bloom_and_Richardson_Grade.Tubular_formation_score.value" />
      <short value="Tubular formation score" />
      <definition value="Tubular formation score, representing the extent of tubular formation within invasive carcinoma cells." />
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        <path value="Microscopic_findings___Breast_cancer.Histologic_grading.Bloom_and_Richardson_Grade.Tubular_formation_score.value" />
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      <path value="Microscopic_findings___Breast_cancer.Histologic_grading.Bloom_and_Richardson_Grade.Histologic_grade" />
      <short value="Histologic grade" />
      <definition value="Bloom and Richardson Grade of breast cancer, derived from the total score of its components: Mitotic frequency score, Nuclear score and Tubular formation score." />
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      <short value="Histologic grade" />
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      <short value="Confounding issues" />
      <definition value="A text description of any assessment issues which may confound the accuracy of the Bloom and Richardson histologic grade." />
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      <definition value="A text description of any assessment issues which may confound the accuracy of the Bloom and Richardson histologic grade." />
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    <element id="Microscopic_findings___Breast_cancer.Local_tumour_invasion">
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      <short value="Local tumour invasion" />
      <definition value="Findings of local tumour invasion." />
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      <short value="Lymphovascular invasion" />
      <definition value="Details of local invasion into lymphovascular tissue." />
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      <short value="Skin / muscle invasion" />
      <definition value="Details of local invasion into skin or muscle tissue." />
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      <short value="Resection margins" />
      <definition value="Findings of the relation of tumour to surgical resection margins." />
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      <short value="Invasive carcinoma at margin" />
      <definition value="Details of invasive carcinoma at surgical resection margins." />
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        <path value="Microscopic_findings___Breast_cancer.Resection_margins.Invasive_carcinoma_at_margin" />
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