TNM-Klassifikation-Entry (Template)

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[[Kategorie:CDA Entry Level Template|TNM-Klassifikation]]

Version vom 13. Februar 2013, 17:27 Uhr

Dieses Material ist Teil des Leitfadens Übermittlung onkologischer Daten.
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Entry: TNM-Klassifikation

Template ID 1.2.276.0.76.3.1.131.1.10.3.5
General Description TNM-Klassifikation

In einer Diagnostik-Sektion sind mehrere Entries des Typs TNM-Klassifikation zulässig, beispielsweise um sowohl die klinische als auch die pathologische Beurteilung zu übermitteln.

Lvl RIM Name Desc DT Kard Conf Beschreibung
3 act observation 1..1 required
4 act @classCode "OBS" CS CNE 1..1 required fix
4 act @moodCode "EVN" CS CNE 1..1 required fix
4 act templateId TNM-Klassifikation II 1..1 required
5 act @root "1.2.276.0.76.3.1.131.1.10.3.5" 1..1 required fix
4 act id ID der diagnostischen Angabe II 0..1 optional
5 act @root OID für diagnostische Angaben 1..1 optional OID des sendenden System, um diagnostische Angaben eindeutig zu identifizieren
5 act @extension ID der diagnostischen Angabe im sendenden System 1..1 optional
4 act code CD CWE 1..1 required
5 act @code "tnmStage" 1..1 required fix
5 act @codeSystem "1.2.276.0.76.3.1.131.1.5.1" 1..1 required fix: DKG-Labels
4 act text textliche Beschreibung des codierten Inhalts der Observation ED 1..1 required i.d.R. vom sendenden System automatisch generiert
4 act effectiveTime Zeitpunkt der Feststellung TS 0..1 optional Das Datum, an dem die Diagnose gestellt wurde
4 act value Code für das UICC-Stadium CD 1..1 required
5 act @code eigentlicher Code 1..1 required Codesystem 2.16.840.1.113883.15.6
5 act @codeSystem "2.16.840.1.113883.15.6" 1..1 required fix
5 act qualifier CR 0..1 optional
6 act name TNM a-Symbol CV 1..1 required Stadium bei Autopsie festgestellt
7 act @code "tnmASymbol" 1..1 required fix
7 act @codeSystem "1.2.276.0.76.3.1.131.1.5.1" 1..1 required fix: DKG-Labels
6 act value Code für das a-Symbol CV 1..1 required
7 act @code "a" 1..1 required fix
7 act @codeSystem "2.16.840.1.113883.15.6" 1..1 required fix
5 act qualifier CR 0..1 optional
6 act name TNM y-Symbol CV 1..1 required Stadium nach neoadjuvanter Therapie
7 act @code "tnmYSymbol" 1..1 required fix
7 act @codeSystem "1.2.276.0.76.3.1.131.1.5.1" 1..1 required fix: DKG-Labels
6 act value Code für das y-Symbol CV 1..1 required
7 act @code "y" 1..1 required fix
7 act @codeSystem "2.16.840.1.113883.15.6" 1..1 required fix
5 act qualifier CR 0..1 optional
6 act name TNM r-Symbol CV 1..1 required Stadium eines Rezidivs
7 act @code "tnmRSymbol" 1..1 required fix
7 act @codeSystem "1.2.276.0.76.3.1.131.1.5.1" 1..1 required fix: DKG-Labels
6 act value Code für das r-Symbol CV 1..1 required
7 act @code "r" 1..1 required fix
7 act @codeSystem "2.16.840.1.113883.15.6" 1..1 required fix
4 rel entryRelationship 0..1 optional
5 rel @typeCode "COMP" 1..1 required fix
5 act observation 1..1 required
6 act @classCode "OBS" CS CNE 1..1 required fix
6 act @moodCode "EVN" CS CNE 1..1 required fix
6 act code T-Stadium CD CWE 1..1 required Tumor
7 act @code "tnmT" 1..1 required fix
7 act @codeSystem "1.2.276.0.76.3.1.131.1.5.1" 1..1 required fix: DKG-Labels
6 act text textliche Beschreibung des codierten Inhalts der Observation ED 1..1 required i.d.R. vom sendenden System automatisch generiert
6 act value Code für das T-Stadium CD 1..1 required
7 act @code eigentlicher Code 1..1 required Codesystem 2.16.840.1.113883.15.6
7 act @codeSystem "2.16.840.1.113883.15.6" 1..1 required fix
5 act qualifier CR 0..1 optional
6 act name Art der Sicherung CV 1..1 required
7 act @code "tnmCp" 1..1 required fix
7 act @codeSystem "1.2.276.0.76.3.1.131.1.5.1" 1..1 required fix: DKG-Labels
6 act value klinisch oder pathologisch CV 1..1 required
7 act @code "c" oder "p" 1..1 required Codesystem 2.16.840.1.113883.15.6
7 act @codeSystem "2.16.840.1.113883.15.6" 1..1 required fix
5 act qualifier CR 0..1 optional
6 act name C-Faktor CV 1..1 required
7 act @code "tnmCFactor" 1..1 required fix
7 act @codeSystem "1.2.276.0.76.3.1.131.1.5.1" 1..1 required fix: DKG-Labels
6 act value C-Faktor (Certainty) CV 1..1 required
7 act @code Code für Certainty Faktor 1..1 required Codesystem 2.16.840.1.113883.15.6
7 act @codeSystem "2.16.840.1.113883.15.6" 1..1 required fix
5 act qualifier CR 0..1 optional
6 act name m-Symbol CV 1..1 required
7 act @code "tnmMSymbol" 1..1 required fix
7 act @codeSystem "1.2.276.0.76.3.1.131.1.5.1" 1..1 required fix: DKG-Labels
6 act value m-Symbol CV 1..1 required Multiplizität
7 act @code "m" 1..1 required fix
7 act @codeSystem "2.16.840.1.113883.15.6" 1..1 required fix
4 rel entryRelationship 0..1 optional
5 rel @typeCode "COMP" 1..1 required fix
5 act observation 1..1 required
6 act @classCode "OBS" CS CNE 1..1 required fix
6 act @moodCode "EVN" CS CNE 1..1 required fix
6 act code N-Stadium CD CWE 1..1 required Nodalstatus
7 act @code "tnmN" 1..1 required fix
7 act @codeSystem "1.2.276.0.76.3.1.131.1.5.1" 1..1 required fix: DKG-Labels
6 act text textliche Beschreibung des codierten Inhalts der Observation ED 1..1 required i.d.R. vom sendenden System automatisch generiert
6 act value Code für das N-Stadium CD 1..1 required
7 act @code eigentlicher Code 1..1 required Codesystem 2.16.840.1.113883.15.6
7 act @codeSystem "2.16.840.1.113883.15.6" 1..1 required fix
5 act qualifier CR 0..1 optional
6 act name Art der Sicherung CV 1..1 required
7 act @code "tnmCp" 1..1 required fix
7 act @codeSystem "1.2.276.0.76.3.1.131.1.5.1" 1..1 required fix: DKG-Labels
6 act value klinisch oder pathologisch CV 1..1 required
7 act @code "c" oder "p" 1..1 required Codesystem 2.16.840.1.113883.15.6
7 act @codeSystem "2.16.840.1.113883.15.6" 1..1 required fix
5 act qualifier CR 0..1 optional
6 act name SN CV 1..1 required Feststellung durch Sentinel Node Biopsie
7 act @code "tnmSn" 1..1 required fix
7 act @codeSystem "1.2.276.0.76.3.1.131.1.5.1" 1..1 required fix: DKG-Labels
6 act value SN CV 1..1 required Multiplizität
7 act @code "SN" 1..1 required fix
7 act @codeSystem "2.16.840.1.113883.15.6" 1..1 required fix
5 act qualifier CR 0..1 optional
6 act name i CV 1..1 required Immunhistochemie
7 act @code "tnmI" 1..1 required fix
7 act @codeSystem "1.2.276.0.76.3.1.131.1.5.1" 1..1 required fix: DKG-Labels
6 act value i (Immunhistochemie) CV 1..1 required
7 act @code Code für Immunhistochemie ("i+" oder "i-") 1..1 required Codesystem 2.16.840.1.113883.15.6
7 act @codeSystem "2.16.840.1.113883.15.6" 1..1 required fix
5 act qualifier CR 0..1 optional
6 act name mol CV 1..1 required RT-PCR
7 act @code "tnmMol" 1..1 required fix
7 act @codeSystem "1.2.276.0.76.3.1.131.1.5.1" 1..1 required fix: DKG-Labels
6 act value mol (RT-PCR) CV 1..1 required
7 act @code Code für RT-PCR ("mol+" oder "mol-") 1..1 required Codesystem 2.16.840.1.113883.15.6
7 act @codeSystem "2.16.840.1.113883.15.6" 1..1 required fix
5 act qualifier CR 0..1 optional
6 act name C-Faktor CV 1..1 required
7 act @code "tnmCFactor" 1..1 required fix
7 act @codeSystem "1.2.276.0.76.3.1.131.1.5.1" 1..1 required fix: DKG-Labels
6 act value C-Faktor (Certainty) CV 1..1 required
7 act @code Code für Certainty Faktor 1..1 required Codesystem 2.16.840.1.113883.15.6
7 act @codeSystem "2.16.840.1.113883.15.6" 1..1 required fix
4 rel entryRelationship 0..1 optional
5 rel @typeCode "COMP" 1..1 required fix
5 act observation 1..1 required
6 act @classCode "OBS" CS CNE 1..1 required fix
6 act @moodCode "EVN" CS CNE 1..1 required fix
6 act code M-Stadium CD CWE 1..1 required Metastasen
7 act @code "tnmM" 1..1 required fix
7 act @codeSystem "1.2.276.0.76.3.1.131.1.5.1" 1..1 required fix: DKG-Labels
6 act text textliche Beschreibung des codierten Inhalts der Observation ED 1..1 required i.d.R. vom sendenden System automatisch generiert
6 act value Code für das M-Stadium CD 1..1 required
7 act @code eigentlicher Code 1..1 required Codesystem 2.16.840.1.113883.15.6
7 act @codeSystem "2.16.840.1.113883.15.6" 1..1 required fix
5 act qualifier CR 0..1 optional
6 act name Art der Sicherung CV 1..1 required
7 act @code "tnmCp" 1..1 required fix
7 act @codeSystem "1.2.276.0.76.3.1.131.1.5.1" 1..1 required fix: DKG-Labels
6 act value klinisch oder pathologisch CV 1..1 required
7 act @code "c" oder "p" 1..1 required Codesystem 2.16.840.1.113883.15.6
7 act @codeSystem "2.16.840.1.113883.15.6" 1..1 required fix
5 act elm qualifier CR 0..1 optional
6 act name SN CV 1..1 required Feststellung durch Sentinel Node Biopsie
7 act @code "tnmSn" 1..1 required fix
7 act @codeSystem "1.2.276.0.76.3.1.131.1.5.1" 1..1 required fix: DKG-Labels
6 act value SN CV 1..1 required Multiplizität
7 act @code "SN" 1..1 required fix
7 act @codeSystem "2.16.840.1.113883.15.6" 1..1 required fix
5 act qualifier CR 0..1 optional
6 act name i CV 1..1 required Immunhistochemie
7 act @code "tnmI" 1..1 required fix
7 act @codeSystem "1.2.276.0.76.3.1.131.1.5.1" 1..1 required fix: DKG-Labels
6 act value i (Immunhistochemie) CV 1..1 required
7 act @code Code für Immunhistochemie ("i+" oder "i-") 1..1 required Codesystem 2.16.840.1.113883.15.6
7 act @codeSystem "2.16.840.1.113883.15.6" 1..1 required fix
5 act qualifier CR 0..1 optional
6 act name mol CV 1..1 required RT-PCR
7 act @code "tnmMol" 1..1 required fix
7 act @codeSystem "1.2.276.0.76.3.1.131.1.5.1" 1..1 required fix: DKG-Labels
6 act value mol (RT-PCR) CV 1..1 required
7 act @code Code für RT-PCR ("mol+" oder "mol-") 1..1 required Codesystem 2.16.840.1.113883.15.6
7 act @codeSystem "2.16.840.1.113883.15.6" 1..1 required fix
5 act qualifier CR 0..1 optional
6 act name C-Faktor CV 1..1 required
7 act @code "tnmCFactor" 1..1 required fix
7 act @codeSystem "1.2.276.0.76.3.1.131.1.5.1" 1..1 required fix: DKG-Labels
6 act value C-Faktor (Certainty) CV 1..1 required
7 act @code Code für Certainty Faktor 1..1 required Codesystem 2.16.840.1.113883.15.6
7 act @codeSystem "2.16.840.1.113883.15.6" 1..1 required fix
4 rel entryRelationship 0..1 optional
5 rel @typeCode "COMP" 1..1 required fix
5 act observation 1..1 required
6 act @classCode "OBS" CS CNE 1..1 required fix
6 act @moodCode "EVN" CS CNE 1..1 required fix
6 act code S-Stadium CD CWE 1..1 required Serumtumormarker
7 act @code "tnmS" 1..1 required fix
7 act @codeSystem "1.2.276.0.76.3.1.131.1.5.1" 1..1 required fix: DKG-Labels
6 act text textliche Beschreibung des codierten Inhalts der Observation ED 1..1 required i.d.R. vom sendenden System automatisch generiert
6 act value Code für das S-Stadium CD 1..1 required
7 act @code eigentlicher Code 1..1 required Codesystem 2.16.840.1.113883.15.6
7 act @codeSystem "2.16.840.1.113883.15.6" 1..1 required fix
4 rel entryRelationship 0..1 optional
5 rel @typeCode "COMP" 1..1 required fix
5 act observation 1..1 required
6 act @classCode "OBS" CS CNE 1..1 required fix
6 act @moodCode "EVN" CS CNE 1..1 required fix
6 act code L-Stadium CD CWE 1..1 required Lymphgefäßinvasion
7 act @code "tnmL" 1..1 required fix
7 act @codeSystem "1.2.276.0.76.3.1.131.1.5.1" 1..1 required fix: DKG-Labels
6 act text textliche Beschreibung des codierten Inhalts der Observation ED 1..1 required i.d.R. vom sendenden System automatisch generiert
6 act value Code für das L-Stadium CD 1..1 required
7 act @code eigentlicher Code 1..1 required Codesystem 2.16.840.1.113883.15.6
7 act @codeSystem "2.16.840.1.113883.15.6" 1..1 required fix
4 rel entryRelationship 0..1 optional
5 rel @typeCode "COMP" 1..1 required fix
5 act observation 1..1 required
6 act @classCode "OBS" CS CNE 1..1 required fix
6 act @moodCode "EVN" CS CNE 1..1 required fix
6 act code V-Stadium CD CWE 1..1 required Veneninvasion
7 act @code "tnmV" 1..1 required fix
7 act @codeSystem "1.2.276.0.76.3.1.131.1.5.1" 1..1 required fix: DKG-Labels
6 act text textliche Beschreibung des codierten Inhalts der Observation ED 1..1 required i.d.R. vom sendenden System automatisch generiert
6 act value Code für das V-Stadium CD 1..1 required
7 act @code eigentlicher Code 1..1 required Codesystem 2.16.840.1.113883.15.6
7 act @codeSystem "2.16.840.1.113883.15.6" 1..1 required fix
4 rel entryRelationship 0..1 optional
5 rel @typeCode "COMP" 1..1 required fix
5 act observation 1..1 required
6 act @classCode "OBS" CS CNE 1..1 required fix
6 act @moodCode "EVN" CS CNE 1..1 required fix
6 act code Pn-Stadium CD CWE 1..1 required Perineuralinvasion
7 act @code "tnmPn" 1..1 required fix
7 act @codeSystem "1.2.276.0.76.3.1.131.1.5.1" 1..1 required fix: DKG-Labels
6 act text textliche Beschreibung des codierten Inhalts der Observation ED 1..1 required i.d.R. vom sendenden System automatisch generiert
6 act value Code für das Pn-Stadium CD 1..1 required
7 act @code eigentlicher Code 1..1 required Codesystem 2.16.840.1.113883.15.6
7 act @codeSystem "2.16.840.1.113883.15.6" 1..1 required fix
4 rel entryRelationship 0..1 optional
5 rel @typeCode "COMP" 1..1 required fix
5 act observation 1..1 required
6 act @classCode "OBS" CS CNE 1..1 required fix
6 act @moodCode "EVN" CS CNE 1..1 required fix
6 act code untersuchte Lymphknoten CD CWE 1..1 required
7 act @code "21894-1" 1..1 required fix
7 act @codeSystem "2.16.840.1.113883.6.1" 1..1 required fix: LOINC
6 act text textliche Beschreibung des codierten Inhalts der Observation ED 1..1 required i.d.R. vom sendenden System automatisch generiert
6 act value PQ 1..1 required
7 act @value Anzahl untersuchter Lymphknoten 1..1 required
7 act @unit "1" 1..1 required fix
4 rel entryRelationship 0..1 optional
5 rel @typeCode "COMP" 1..1 required fix
5 act observation 1..1 required
6 act @classCode "OBS" CS CNE 1..1 required fix
6 act @moodCode "EVN" CS CNE 1..1 required fix
6 act code befallene Lymphknoten CD CWE 1..1 required
7 act @code "21893-3" 1..1 required fix
7 act @codeSystem "2.16.840.1.113883.6.1" 1..1 required fix: LOINC
6 act text textliche Beschreibung des codierten Inhalts der Observation ED 1..1 required i.d.R. vom sendenden System automatisch generiert
6 act value PQ 1..1 required
7 act @value Anzahl befallener Lymphknoten 1..1 required
7 act @unit "1" 1..1 required fix
4 rel entryRelationship 0..1 optional
5 rel @typeCode "COMP" 1..1 required fix
5 act observation 1..1 required
6 act @classCode "OBS" CS CNE 1..1 required fix
6 act @moodCode "EVN" CS CNE 1..1 required fix
6 act code untersuchte Sentinel-Lymphknoten CD CWE 1..1 required
7 act @code "SentinelNodesExamined" 1..1 required fix
7 act @codeSystem "1.2.276.0.76.3.1.131.1.5.1" 1..1 required fix: DKG-Labels
6 act text textliche Beschreibung des codierten Inhalts der Observation ED 1..1 required i.d.R. vom sendenden System automatisch generiert
6 act value PQ 1..1 required
7 act @value Anzahl untersuchter Sentinel-Lymphknoten 1..1 required
7 act @unit "1" 1..1 required fix
4 rel entryRelationship 0..1 optional
5 rel @typeCode "COMP" 1..1 required fix
5 act observation 1..1 required
6 act @classCode "OBS" CS CNE 1..1 required fix
6 act @moodCode "EVN" CS CNE 1..1 required fix
6 act code befallene Sentinel-Lymphknoten CD CWE 1..1 required
7 act @code "SentinelNodesPositive" 1..1 required fix
7 act @codeSystem "1.2.276.0.76.3.1.131.1.5.1" 1..1 required fix: DKG-Labels
6 act text textliche Beschreibung des codierten Inhalts der Observation ED 1..1 required i.d.R. vom sendenden System automatisch generiert
6 act value PQ 1..1 required
7 act @value Anzahl befallener Sentinel-Lymphknoten 1..1 required
7 act @unit "1" 1..1 required fix

Das folgende Beispiel stellt das Maximum der möglichen Angaben dar, wohl wissend, dass dies aus medizinisch-fachlicher Sicht nicht korrekt ist.

<observation classCode="OBS" moodCode="EVN">
	<templateId root="1.2.276.0.76.3.1.131.1.10.3.5"/>
	<id extension="tnm12345" 
		root="1.2.276.0.76.3.1.131.1.4.3.9999.9999.999909"/>
	<code code="tnmStage" 
		codeSystem="1.2.276.0.76.3.1.131.1.5.1"/>
	<text>
		Tumorklassifikation vom 26.03.2011: ayr UICC IV
	</text>
	<effectiveTime value="20110326"/>
	<value xsi:type="CD" code="IV" 
		codeSystem="2.16.840.1.113883.15.6">
		<qualifier>
			<name code="tnmASymbol" 
				codeSystem="1.2.276.0.76.3.1.131.1.5.1"/>
			<value xsi:type="CD" code="a" 
				codeSystem="2.16.840.1.113883.15.6"/>
		</qualifier>
		<qualifier>
			<name code="tnmYSymbol" 
				codeSystem="1.2.276.0.76.3.1.131.1.5.1"/>
			<value xsi:type="CD" code="y" 
				codeSystem="2.16.840.1.113883.15.6"/>
		</qualifier>
		<qualifier>
			<name code="tnmRSymbol" 
				codeSystem="1.2.276.0.76.3.1.131.1.5.1"/>
			<value xsi:type="CD" code="r" 
				codeSystem="2.16.840.1.113883.15.6"/>
		</qualifier>
	</value>
	<entryRelationship typeCode="COMP">
		<observation classCode="OBS" moodCode="EVN">
			<code code="tnmT" 
				codeSystem="1.2.276.0.76.3.1.131.1.5.1"/>
			<text>
				 pT3amC4
			</text>
			<value xsi:type="CD" code="T3a" 
				codeSystem="2.16.840.1.113883.15.6">
				<qualifier>
					<name code="tnmCp" 
						codeSystem="1.2.276.0.76.3.1.131.1.5.1"/>
					<value xsi:type="CD" code="p" 
						codeSystem="2.16.840.1.113883.15.6"/>
				</qualifier>
				<qualifier>
					<name code="tnmCFactor" 
						codeSystem="1.2.276.0.76.3.1.131.1.5.1"/>
					<value xsi:type="CD" code="C4" 
						codeSystem="2.16.840.1.113883.15.6"/>
				</qualifier>
				<qualifier>
					<name code="tnmMSymbol" 
						codeSystem="1.2.276.0.76.3.1.131.1.5.1"/>
					<value xsi:type="CD" code="m" 
						codeSystem="2.16.840.1.113883.15.6"/>
				</qualifier>
			</value>
		</observation>
	</entryRelationship>
	<entryRelationship typeCode="COMP">
		<observation classCode="OBS" moodCode="EVN">
			<code code="tnmN" 
				codeSystem="1.2.276.0.76.3.1.131.1.5.1"/>
			<text>
				 pN3(SN)(i+)(mol+)C5
			</text>
			<value xsi:type="CD" code="N3" 
				codeSystem="2.16.840.1.113883.15.6">
				<qualifier>
					<name code="tnmCp" 
						codeSystem="1.2.276.0.76.3.1.131.1.5.1"/>
					<value xsi:type="CD" code="p" 
						codeSystem="2.16.840.1.113883.15.6"/>
				</qualifier>
				<qualifier>
					<name code="tnmSn" 
						codeSystem="1.2.276.0.76.3.1.131.1.5.1"/>
					<value xsi:type="CD" code="SN" 
						codeSystem="2.16.840.1.113883.15.6"/>
				</qualifier>
				<qualifier>
					<name code="tnmI" 
						codeSystem="1.2.276.0.76.3.1.131.1.5.1"/>
					<value xsi:type="CD" code="i+" 
						codeSystem="2.16.840.1.113883.15.6"/>
				</qualifier>
				<qualifier>
					<name code="tnmMol" 
						codeSystem="1.2.276.0.76.3.1.131.1.5.1"/>
					<value xsi:type="CD" code="mol+" 
						codeSystem="2.16.840.1.113883.15.6"/>
				</qualifier>
				<qualifier>
					<name code="tnmCFactor" 
						codeSystem="1.2.276.0.76.3.1.131.1.5.1"/>
					<value xsi:type="CD" code="C5" 
						codeSystem="2.16.840.1.113883.15.6"/>
				</qualifier>
			</value>
		</observation>
	</entryRelationship>
	<entryRelationship typeCode="COMP">
		<observation classCode="OBS" moodCode="EVN">
			<code code="tnmM" 
				codeSystem="1.2.276.0.76.3.1.131.1.5.1"/>
			<text>
				cM1(SN)(i+)(mol+)C2
			</text>
			<value xsi:type="CD" code="M1" 
				codeSystem="2.16.840.1.113883.15.6">
				<qualifier>
					<name code="tnmCp" 
						codeSystem="1.2.276.0.76.3.1.131.1.5.1"/>
					<value xsi:type="CD" code="c" 
						codeSystem="2.16.840.1.113883.15.6"/>
				</qualifier>
				<qualifier>
					<name code="tnmSn" 
						codeSystem="1.2.276.0.76.3.1.131.1.5.1"/>
					<value xsi:type="CD" code="SN" 
						codeSystem="2.16.840.1.113883.15.6"/>
				</qualifier>
				<qualifier>
					<name code="tnmI" 
						codeSystem="1.2.276.0.76.3.1.131.1.5.1"/>
					<value xsi:type="CD" code="i+" 
						codeSystem="2.16.840.1.113883.15.6"/>
				</qualifier>
				<qualifier>
					<name code="tnmMol" 
						codeSystem="1.2.276.0.76.3.1.131.1.5.1"/>
					<value xsi:type="CD" code="mol+" 
						codeSystem="2.16.840.1.113883.15.6"/>
				</qualifier>
				<qualifier>
					<name code="tnmCFactor" 
						codeSystem="1.2.276.0.76.3.1.131.1.5.1"/>
					<value xsi:type="CD" code="C2" 
						codeSystem="2.16.840.1.113883.15.6"/>
				</qualifier>
			</value>
		</observation>
	</entryRelationship>
	<entryRelationship typeCode="COMP">
		<observation classCode="OBS" moodCode="EVN">
			<code code="tnmS" 
				codeSystem="1.2.276.0.76.3.1.131.1.5.1"/>
			<text>
				 S2
			</text>
			<value xsi:type="CD" code="S2" 
				codeSystem="2.16.840.1.113883.15.6"/>
		</observation>
	</entryRelationship>
	<entryRelationship typeCode="COMP">
		<observation classCode="OBS" moodCode="EVN">
			<code code="tnmL" 
				codeSystem="1.2.276.0.76.3.1.131.1.5.1"/>
			<text>
				 L1
			</text>
			<value xsi:type="CD" code="L1" 
				codeSystem="2.16.840.1.113883.15.6"/>
		</observation>
	</entryRelationship>
	<entryRelationship typeCode="COMP">
		<observation classCode="OBS" moodCode="EVN">
			<code code="tnmV" 
				codeSystem="1.2.276.0.76.3.1.131.1.5.1"/>
			<text>
				 V1
			</text>
			<value xsi:type="CD" code="V1" 
				codeSystem="2.16.840.1.113883.15.6"/>
		</observation>
	</entryRelationship>
	<entryRelationship typeCode="COMP">
		<observation classCode="OBS" moodCode="EVN">
			<code code="tnmPn" 
				codeSystem="1.2.276.0.76.3.1.131.1.5.1"/>
			<text>
				 PnX
			</text>
			<value xsi:type="CD" code="PnX" 
				codeSystem="2.16.840.1.113883.15.6"/>
		</observation>
	</entryRelationship>
	<entryRelationship typeCode="COMP">
		<observation classCode="OBS" moodCode="EVN">
			<code code="21894-1" 
				codeSystem="2.16.840.1.113883.6.1"/>
			<text>
				Lymphknoten untersucht: 18
			</text>
			<value xsi:type="PQ" value="18" unit="1"/>
		</observation>
	</entryRelationship>
	<entryRelationship typeCode="COMP">
		<observation classCode="OBS" moodCode="EVN">
			<code code="21893-3" 
				codeSystem="2.16.840.1.113883.6.1"/>
			<text>
				Lymphknoten befallen: 13
			</text>
			<value xsi:type="PQ" value="13" unit="1"/>
		</observation>
	</entryRelationship>
	<entryRelationship typeCode="COMP">
		<observation classCode="OBS" moodCode="EVN">
			<code code="SentinelNodesExamined" 
				codeSystem="1.2.276.0.76.3.1.131.1.5.1"/>
			<text>
				Sentinel-Lymphknoten untersucht: 5
			</text>
			<value xsi:type="PQ" value="5" unit="1"/>
		</observation>
	</entryRelationship>
	<entryRelationship typeCode="COMP">
		<observation classCode="OBS" moodCode="EVN">
			<code code="SentinelNodesPositive" 
				codeSystem="1.2.276.0.76.3.1.131.1.5.1"/>
			<text>
				Sentinel-Lymphknoten befallen: 4
			</text>
			<value xsi:type="PQ" value="4" unit="1"/>
		</observation>
	</entryRelationship>
</observation>