TNM-Klassifikation-Entry (Template)

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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>