Belgian Cancer Registry on FHIR
0.1.0 - ci-build
Belgian Cancer Registry on FHIR
0.1.0 - ci-build
Belgian Cancer Registry on FHIR - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
| Draft as of 2026-05-04 |
XML representation of the bcr-breast-tumour-supplement logical model.
<StructureDefinition xmlns="http://hl7.org/fhir">
<id value="bcr-breast-tumour-supplement"/>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: StructureDefinition bcr-breast-tumour-supplement</b></p><table border="0" cellpadding="0" cellspacing="0" style="border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;"><tr style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top"><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="The logical name of the element">Name</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Information about the use of the element">Flags</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Minimum and Maximum # of times the element can appear in the instance">Card.</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px; width: 100px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Reference to the type of the element">Type</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Additional information about the element">Description & Constraints</a><span style="float: right"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Legend for this format"><img src="data:image/png;base64,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" alt="doco" style="background-color: inherit"/></a></span></th></tr><tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-bcr-breast-tumour-supplement-definitions.html#bcr-breast-tumour-supplement" title="Logical model of the breast-tumour-specific supplement to the standard cancer
registration form (Bijlage 55, *vervolg 1*). Contains menopausal status,
molecular markers (with separate values for tumour 1 and, when multifocal,
tumour 2), and surgical / lymph node data.
Source: Bijlage 55 (vervolg 1) of the RIZIV Verordening of 28 July 2003,
amended 15 December 2025.">bcr-breast-tumour-supplement</a><a name="bcr-breast-tumour-supplement"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">*</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://build.fhir.org/types.html#Base">Base</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">BCR Breast Tumour Supplement — Bijlage 55 vervolg 1 (Logical Model)</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a href="StructureDefinition-bcr-breast-tumour-supplement-definitions.html#bcr-breast-tumour-supplement.menopausalStatus" title="Menopausal status. Codes: ja / nee / onduidelijk / niet gekend / niet van toepassing (mannelijke patiënt).">menopausalStatus</a><a name="bcr-breast-tumour-supplement.menopausalStatus"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#code">code</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Menopausal status at diagnosis<br class="binding"/><span style="font-weight:bold" title="null" class="binding">Binding: </span><a href="ValueSet-bcr-menopausal-status-vs.html" title="https://www.ehealth.fgov.be/standards/fhir/registries/bcr/ValueSet/bcr-menopausal-status-vs" class="binding">BCR Menopausal Status</a><span title="null" class="binding"> (</span><a href="http://hl7.org/fhir/R4/terminologies.html#required" title="To be conformant, the concept in this element SHALL be from the specified value set." class="binding">required</a><span title="null" class="binding">)</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="StructureDefinition-bcr-breast-tumour-supplement-definitions.html#bcr-breast-tumour-supplement.molecularMarker" title="One molecular-marker measurement on tumour 1, or on tumour 2 in the case of multifocal disease.">molecularMarker</a><a name="bcr-breast-tumour-supplement.molecularMarker"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#BackboneElement">BackboneElement</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Molecular marker result<br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a href="StructureDefinition-bcr-breast-tumour-supplement-definitions.html#bcr-breast-tumour-supplement.molecularMarker.marker" title="Molecular marker. Form-listed markers:
ER (oestrogen receptor), PR (progesterone receptor),
HER2-IHC (HER2 IHC score), HER2-IHC-ISH (combined HER2 status),
BRCA1-2, CHEK2, PALB2, ATM, PIK3CA (PIKCA3 on the form),
KI67 (Ki-67 before systemic therapy), OTHER (free-text marker name).">marker</a><a name="bcr-breast-tumour-supplement.molecularMarker.marker"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#code">code</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Marker<br class="binding"/><span style="font-weight:bold" title="null" class="binding">Binding: </span><a href="ValueSet-bcr-molecular-marker-vs.html" title="https://www.ehealth.fgov.be/standards/fhir/registries/bcr/ValueSet/bcr-molecular-marker-vs" class="binding">BCR Molecular Marker</a><span title="null" class="binding"> (</span><a href="http://hl7.org/fhir/R4/terminologies.html#required" title="To be conformant, the concept in this element SHALL be from the specified value set." class="binding">required</a><span title="null" class="binding">)</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: white; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a href="StructureDefinition-bcr-breast-tumour-supplement-definitions.html#bcr-breast-tumour-supplement.molecularMarker.otherMarkerName" title="Free-text marker name when `marker = OTHER`.">otherMarkerName</a><a name="bcr-breast-tumour-supplement.molecularMarker.otherMarkerName"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#string">string</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Other marker name</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a href="StructureDefinition-bcr-breast-tumour-supplement-definitions.html#bcr-breast-tumour-supplement.molecularMarker.tumourIndex" title="Tumour to which the result applies: 1 (primary tumour) or 2 (second tumour, only in multifocal disease).">tumourIndex</a><a name="bcr-breast-tumour-supplement.molecularMarker.tumourIndex"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#unsignedInt">unsignedInt</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Tumour index</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: white; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a href="StructureDefinition-bcr-breast-tumour-supplement-definitions.html#bcr-breast-tumour-supplement.molecularMarker.testDate" title="Date the marker was measured.">testDate</a><a name="bcr-breast-tumour-supplement.molecularMarker.testDate"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#date">date</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Test date</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="StructureDefinition-bcr-breast-tumour-supplement-definitions.html#bcr-breast-tumour-supplement.molecularMarker.result" title="Result of the marker. Permitted codings depend on the marker:
- ER, PR: positief / gering positief / negatief.
- HER2-IHC: 0 / 1+ / 2+ / 3+.
- HER2-IHC-ISH: positief / HER2 low (provisional) / negatief.
- BRCA1-2, CHEK2, PALB2, ATM, PIK3CA: niet getest / geen mutatie / somatische mutatie / kiembaanmutatie.
- KI67: see `resultPercentage` (or `niet getest`).">result</a><a name="bcr-breast-tumour-supplement.molecularMarker.result"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#CodeableConcept">CodeableConcept</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Result<br class="binding"/><span style="font-weight:bold" title="null" class="binding">Binding: </span><a href="ValueSet-bcr-molecular-marker-result-vs.html" title="https://www.ehealth.fgov.be/standards/fhir/registries/bcr/ValueSet/bcr-molecular-marker-result-vs" class="binding">BCR Molecular Marker Result (union)</a><span title="null" class="binding"> (</span><a href="http://hl7.org/fhir/R4/terminologies.html#extensible" title="To be conformant, the concept in this element SHALL be from the specified value set if any of the codes within the value set can apply to the concept being communicated. If the value set does not cover the concept (based on human review), alternate codings (or, data type allowing, text) may be included instead." class="binding">extensible</a><span title="null" class="binding">)</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: white; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a href="StructureDefinition-bcr-breast-tumour-supplement-definitions.html#bcr-breast-tumour-supplement.molecularMarker.resultPercentage" title="Numeric percentage result. Used for Ki-67 (`marker = KI67`).">resultPercentage</a><a name="bcr-breast-tumour-supplement.molecularMarker.resultPercentage"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Result percentage</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a href="StructureDefinition-bcr-breast-tumour-supplement-definitions.html#bcr-breast-tumour-supplement.surgeryPerformed" title="Indicates whether section 3 (surgical data) is in scope. When false or absent, the surgery fields below are not applicable.">surgeryPerformed</a><a name="bcr-breast-tumour-supplement.surgeryPerformed"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#boolean">boolean</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Surgery performed</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: white; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a href="StructureDefinition-bcr-breast-tumour-supplement-definitions.html#bcr-breast-tumour-supplement.maxPathDiameterInvasiveMm" title="Maximale pathologische doormeter invasieve component vóór systemische therapie.">maxPathDiameterInvasiveMm</a><a name="bcr-breast-tumour-supplement.maxPathDiameterInvasiveMm"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Max pathological diameter, invasive component, before systemic therapy (mm)</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a href="StructureDefinition-bcr-breast-tumour-supplement-definitions.html#bcr-breast-tumour-supplement.maxPathDiameterInSituMm" title="Maximale pathologische doormeter in situ component vóór systemische therapie.">maxPathDiameterInSituMm</a><a name="bcr-breast-tumour-supplement.maxPathDiameterInSituMm"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Max pathological diameter, in situ component, before systemic therapy (mm)</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: white; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a href="StructureDefinition-bcr-breast-tumour-supplement-definitions.html#bcr-breast-tumour-supplement.minMarginDistanceInvasiveMm" title="Minimale afstand van de invasieve component tot de snijrand.">minMarginDistanceInvasiveMm</a><a name="bcr-breast-tumour-supplement.minMarginDistanceInvasiveMm"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Min distance, invasive component to surgical margin (mm)</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a href="StructureDefinition-bcr-breast-tumour-supplement-definitions.html#bcr-breast-tumour-supplement.minMarginDistanceInSituMm" title="Minimale afstand van de in situ component tot snijrand.">minMarginDistanceInSituMm</a><a name="bcr-breast-tumour-supplement.minMarginDistanceInSituMm"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Min distance, in situ component to surgical margin (mm)</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="StructureDefinition-bcr-breast-tumour-supplement-definitions.html#bcr-breast-tumour-supplement.lymphNodeAssessment" title="One row of the sentinel / axillary / other-nodes table.">lymphNodeAssessment</a><a name="bcr-breast-tumour-supplement.lymphNodeAssessment"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#BackboneElement">BackboneElement</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Lymph node assessment<br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a href="StructureDefinition-bcr-breast-tumour-supplement-definitions.html#bcr-breast-tumour-supplement.lymphNodeAssessment.location" title="Lymph node group. Codes: SENTINEL (Sentinelklieren), AXILLARY (Axillaire klieren), OTHER (Andere klieren).">location</a><a name="bcr-breast-tumour-supplement.lymphNodeAssessment.location"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#code">code</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Node location<br class="binding"/><span style="font-weight:bold" title="null" class="binding">Binding: </span><a href="ValueSet-bcr-lymph-node-location-vs.html" title="https://www.ehealth.fgov.be/standards/fhir/registries/bcr/ValueSet/bcr-lymph-node-location-vs" class="binding">BCR Lymph Node Location</a><span title="null" class="binding"> (</span><a href="http://hl7.org/fhir/R4/terminologies.html#required" title="To be conformant, the concept in this element SHALL be from the specified value set." class="binding">required</a><span title="null" class="binding">)</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: white; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a href="StructureDefinition-bcr-breast-tumour-supplement-definitions.html#bcr-breast-tumour-supplement.lymphNodeAssessment.examined" title="Aantal onderzocht.">examined</a><a name="bcr-breast-tumour-supplement.lymphNodeAssessment.examined"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#unsignedInt">unsignedInt</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Number examined</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a href="StructureDefinition-bcr-breast-tumour-supplement-definitions.html#bcr-breast-tumour-supplement.lymphNodeAssessment.positive" title="Aantal positief.">positive</a><a name="bcr-breast-tumour-supplement.lymphNodeAssessment.positive"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#unsignedInt">unsignedInt</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Number positive</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck000.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: white; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a href="StructureDefinition-bcr-breast-tumour-supplement-definitions.html#bcr-breast-tumour-supplement.lymphNodeAssessment.assessmentDate" title="Date of the lymph node assessment.">assessmentDate</a><a name="bcr-breast-tumour-supplement.lymphNodeAssessment.assessmentDate"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#date">date</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Assessment date</td></tr>
<tr><td colspan="5" class="hierarchy"><br/><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Legend for this format"><img src="data:image/png;base64,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" alt="doco" style="background-color: inherit"/> Documentation for this format</a></td></tr></table></div>
</text>
<url
value="https://www.ehealth.fgov.be/standards/fhir/registries/bcr/StructureDefinition/bcr-breast-tumour-supplement"/>
<version value="0.1.0"/>
<name value="BCRBreastTumourSupplement"/>
<title
value="BCR Breast Tumour Supplement — Bijlage 55 vervolg 1 (Logical Model)"/>
<status value="draft"/>
<experimental value="true"/>
<date value="2026-05-04T06:30:16+00:00"/>
<publisher value="eHealth Platform Belgium"/>
<contact>
<name value="eHealth Platform Belgium"/>
<telecom>
<system value="url"/>
<value value="https://www.ehealth.fgov.be"/>
</telecom>
<telecom>
<system value="email"/>
<value value="info@ehealth.fgov.be"/>
</telecom>
</contact>
<description
value="Logical model of the breast-tumour-specific supplement to the standard cancer
registration form (Bijlage 55, *vervolg 1*). Contains menopausal status,
molecular markers (with separate values for tumour 1 and, when multifocal,
tumour 2), and surgical / lymph node data.
Source: Bijlage 55 (vervolg 1) of the RIZIV Verordening of 28 July 2003,
amended 15 December 2025."/>
<jurisdiction>
<coding>
<system value="urn:iso:std:iso:3166"/>
<code value="BE"/>
<display value="Belgium"/>
</coding>
</jurisdiction>
<fhirVersion value="4.0.1"/>
<kind value="logical"/>
<abstract value="false"/>
<type
value="https://www.ehealth.fgov.be/standards/fhir/registries/bcr/StructureDefinition/bcr-breast-tumour-supplement"/>
<baseDefinition value="http://hl7.org/fhir/StructureDefinition/Base"/>
<derivation value="specialization"/>
<snapshot>
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version">
<valueString value="4.0.1"/>
</extension>
<element id="bcr-breast-tumour-supplement">
<path value="bcr-breast-tumour-supplement"/>
<short
value="BCR Breast Tumour Supplement — Bijlage 55 vervolg 1 (Logical Model)"/>
<definition
value="Logical model of the breast-tumour-specific supplement to the standard cancer
registration form (Bijlage 55, *vervolg 1*). Contains menopausal status,
molecular markers (with separate values for tumour 1 and, when multifocal,
tumour 2), and surgical / lymph node data.
Source: Bijlage 55 (vervolg 1) of the RIZIV Verordening of 28 July 2003,
amended 15 December 2025."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Base"/>
<min value="0"/>
<max value="*"/>
</base>
<isModifier value="false"/>
</element>
<element id="bcr-breast-tumour-supplement.menopausalStatus">
<path value="bcr-breast-tumour-supplement.menopausalStatus"/>
<short value="Menopausal status at diagnosis"/>
<definition
value="Menopausal status. Codes: ja / nee / onduidelijk / niet gekend / niet van toepassing (mannelijke patiënt)."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="bcr-breast-tumour-supplement.menopausalStatus"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
<binding>
<strength value="required"/>
<valueSet
value="https://www.ehealth.fgov.be/standards/fhir/registries/bcr/ValueSet/bcr-menopausal-status-vs"/>
</binding>
</element>
<element id="bcr-breast-tumour-supplement.molecularMarker">
<path value="bcr-breast-tumour-supplement.molecularMarker"/>
<short value="Molecular marker result"/>
<definition
value="One molecular-marker measurement on tumour 1, or on tumour 2 in the case of multifocal disease."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="bcr-breast-tumour-supplement.molecularMarker"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="BackboneElement"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
</element>
<element id="bcr-breast-tumour-supplement.molecularMarker.id">
<path value="bcr-breast-tumour-supplement.molecularMarker.id"/>
<representation value="xmlAttr"/>
<short value="Unique id for inter-element referencing"/>
<definition
value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string"/>
</extension>
<code value="http://hl7.org/fhirpath/System.String"/>
</type>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="bcr-breast-tumour-supplement.molecularMarker.extension">
<path value="bcr-breast-tumour-supplement.molecularMarker.extension"/>
<slicing>
<discriminator>
<type value="value"/>
<path value="url"/>
</discriminator>
<description value="Extensions are always sliced by (at least) url"/>
<rules value="open"/>
</slicing>
<short value="Additional content defined by implementations"/>
<definition
value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
<comment
value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
<alias value="extensions"/>
<alias value="user content"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/>
<source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element
id="bcr-breast-tumour-supplement.molecularMarker.modifierExtension">
<path
value="bcr-breast-tumour-supplement.molecularMarker.modifierExtension"/>
<short value="Extensions that cannot be ignored even if unrecognized"/>
<definition
value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/>
<comment
value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
<requirements
value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/>
<alias value="extensions"/>
<alias value="user content"/>
<alias value="modifiers"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="BackboneElement.modifierExtension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/>
<source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
</constraint>
<isModifier value="true"/>
<isModifierReason
value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="bcr-breast-tumour-supplement.molecularMarker.marker">
<path value="bcr-breast-tumour-supplement.molecularMarker.marker"/>
<short value="Marker"/>
<definition
value="Molecular marker. Form-listed markers:
ER (oestrogen receptor), PR (progesterone receptor),
HER2-IHC (HER2 IHC score), HER2-IHC-ISH (combined HER2 status),
BRCA1-2, CHEK2, PALB2, ATM, PIK3CA (PIKCA3 on the form),
KI67 (Ki-67 before systemic therapy), OTHER (free-text marker name)."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="bcr-breast-tumour-supplement.molecularMarker.marker"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
<binding>
<strength value="required"/>
<valueSet
value="https://www.ehealth.fgov.be/standards/fhir/registries/bcr/ValueSet/bcr-molecular-marker-vs"/>
</binding>
</element>
<element
id="bcr-breast-tumour-supplement.molecularMarker.otherMarkerName">
<path
value="bcr-breast-tumour-supplement.molecularMarker.otherMarkerName"/>
<short value="Other marker name"/>
<definition value="Free-text marker name when `marker = OTHER`."/>
<min value="0"/>
<max value="1"/>
<base>
<path
value="bcr-breast-tumour-supplement.molecularMarker.otherMarkerName"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
</element>
<element id="bcr-breast-tumour-supplement.molecularMarker.tumourIndex">
<path value="bcr-breast-tumour-supplement.molecularMarker.tumourIndex"/>
<short value="Tumour index"/>
<definition
value="Tumour to which the result applies: 1 (primary tumour) or 2 (second tumour, only in multifocal disease)."/>
<min value="1"/>
<max value="1"/>
<base>
<path
value="bcr-breast-tumour-supplement.molecularMarker.tumourIndex"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="unsignedInt"/>
</type>
</element>
<element id="bcr-breast-tumour-supplement.molecularMarker.testDate">
<path value="bcr-breast-tumour-supplement.molecularMarker.testDate"/>
<short value="Test date"/>
<definition value="Date the marker was measured."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="bcr-breast-tumour-supplement.molecularMarker.testDate"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="date"/>
</type>
</element>
<element id="bcr-breast-tumour-supplement.molecularMarker.result">
<path value="bcr-breast-tumour-supplement.molecularMarker.result"/>
<short value="Result"/>
<definition
value="Result of the marker. Permitted codings depend on the marker:
- ER, PR: positief / gering positief / negatief.
- HER2-IHC: 0 / 1+ / 2+ / 3+.
- HER2-IHC-ISH: positief / HER2 low (provisional) / negatief.
- BRCA1-2, CHEK2, PALB2, ATM, PIK3CA: niet getest / geen mutatie / somatische mutatie / kiembaanmutatie.
- KI67: see `resultPercentage` (or `niet getest`)."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="bcr-breast-tumour-supplement.molecularMarker.result"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<binding>
<strength value="extensible"/>
<valueSet
value="https://www.ehealth.fgov.be/standards/fhir/registries/bcr/ValueSet/bcr-molecular-marker-result-vs"/>
</binding>
</element>
<element
id="bcr-breast-tumour-supplement.molecularMarker.resultPercentage">
<path
value="bcr-breast-tumour-supplement.molecularMarker.resultPercentage"/>
<short value="Result percentage"/>
<definition
value="Numeric percentage result. Used for Ki-67 (`marker = KI67`)."/>
<min value="0"/>
<max value="1"/>
<base>
<path
value="bcr-breast-tumour-supplement.molecularMarker.resultPercentage"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="decimal"/>
</type>
</element>
<element id="bcr-breast-tumour-supplement.surgeryPerformed">
<path value="bcr-breast-tumour-supplement.surgeryPerformed"/>
<short value="Surgery performed"/>
<definition
value="Indicates whether section 3 (surgical data) is in scope. When false or absent, the surgery fields below are not applicable."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="bcr-breast-tumour-supplement.surgeryPerformed"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="boolean"/>
</type>
</element>
<element id="bcr-breast-tumour-supplement.maxPathDiameterInvasiveMm">
<path value="bcr-breast-tumour-supplement.maxPathDiameterInvasiveMm"/>
<short
value="Max pathological diameter, invasive component, before systemic therapy (mm)"/>
<definition
value="Maximale pathologische doormeter invasieve component vóór systemische therapie."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="bcr-breast-tumour-supplement.maxPathDiameterInvasiveMm"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="decimal"/>
</type>
</element>
<element id="bcr-breast-tumour-supplement.maxPathDiameterInSituMm">
<path value="bcr-breast-tumour-supplement.maxPathDiameterInSituMm"/>
<short
value="Max pathological diameter, in situ component, before systemic therapy (mm)"/>
<definition
value="Maximale pathologische doormeter in situ component vóór systemische therapie."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="bcr-breast-tumour-supplement.maxPathDiameterInSituMm"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="decimal"/>
</type>
</element>
<element id="bcr-breast-tumour-supplement.minMarginDistanceInvasiveMm">
<path value="bcr-breast-tumour-supplement.minMarginDistanceInvasiveMm"/>
<short
value="Min distance, invasive component to surgical margin (mm)"/>
<definition
value="Minimale afstand van de invasieve component tot de snijrand."/>
<min value="0"/>
<max value="1"/>
<base>
<path
value="bcr-breast-tumour-supplement.minMarginDistanceInvasiveMm"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="decimal"/>
</type>
</element>
<element id="bcr-breast-tumour-supplement.minMarginDistanceInSituMm">
<path value="bcr-breast-tumour-supplement.minMarginDistanceInSituMm"/>
<short value="Min distance, in situ component to surgical margin (mm)"/>
<definition
value="Minimale afstand van de in situ component tot snijrand."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="bcr-breast-tumour-supplement.minMarginDistanceInSituMm"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="decimal"/>
</type>
</element>
<element id="bcr-breast-tumour-supplement.lymphNodeAssessment">
<path value="bcr-breast-tumour-supplement.lymphNodeAssessment"/>
<short value="Lymph node assessment"/>
<definition
value="One row of the sentinel / axillary / other-nodes table."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="bcr-breast-tumour-supplement.lymphNodeAssessment"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="BackboneElement"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
</element>
<element id="bcr-breast-tumour-supplement.lymphNodeAssessment.id">
<path value="bcr-breast-tumour-supplement.lymphNodeAssessment.id"/>
<representation value="xmlAttr"/>
<short value="Unique id for inter-element referencing"/>
<definition
value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string"/>
</extension>
<code value="http://hl7.org/fhirpath/System.String"/>
</type>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="bcr-breast-tumour-supplement.lymphNodeAssessment.extension">
<path
value="bcr-breast-tumour-supplement.lymphNodeAssessment.extension"/>
<slicing>
<discriminator>
<type value="value"/>
<path value="url"/>
</discriminator>
<description value="Extensions are always sliced by (at least) url"/>
<rules value="open"/>
</slicing>
<short value="Additional content defined by implementations"/>
<definition
value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
<comment
value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
<alias value="extensions"/>
<alias value="user content"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/>
<source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element
id="bcr-breast-tumour-supplement.lymphNodeAssessment.modifierExtension">
<path
value="bcr-breast-tumour-supplement.lymphNodeAssessment.modifierExtension"/>
<short value="Extensions that cannot be ignored even if unrecognized"/>
<definition
value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/>
<comment
value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
<requirements
value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/>
<alias value="extensions"/>
<alias value="user content"/>
<alias value="modifiers"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="BackboneElement.modifierExtension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/>
<source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
</constraint>
<isModifier value="true"/>
<isModifierReason
value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="bcr-breast-tumour-supplement.lymphNodeAssessment.location">
<path
value="bcr-breast-tumour-supplement.lymphNodeAssessment.location"/>
<short value="Node location"/>
<definition
value="Lymph node group. Codes: SENTINEL (Sentinelklieren), AXILLARY (Axillaire klieren), OTHER (Andere klieren)."/>
<min value="1"/>
<max value="1"/>
<base>
<path
value="bcr-breast-tumour-supplement.lymphNodeAssessment.location"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
<binding>
<strength value="required"/>
<valueSet
value="https://www.ehealth.fgov.be/standards/fhir/registries/bcr/ValueSet/bcr-lymph-node-location-vs"/>
</binding>
</element>
<element id="bcr-breast-tumour-supplement.lymphNodeAssessment.examined">
<path
value="bcr-breast-tumour-supplement.lymphNodeAssessment.examined"/>
<short value="Number examined"/>
<definition value="Aantal onderzocht."/>
<min value="0"/>
<max value="1"/>
<base>
<path
value="bcr-breast-tumour-supplement.lymphNodeAssessment.examined"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="unsignedInt"/>
</type>
</element>
<element id="bcr-breast-tumour-supplement.lymphNodeAssessment.positive">
<path
value="bcr-breast-tumour-supplement.lymphNodeAssessment.positive"/>
<short value="Number positive"/>
<definition value="Aantal positief."/>
<min value="0"/>
<max value="1"/>
<base>
<path
value="bcr-breast-tumour-supplement.lymphNodeAssessment.positive"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="unsignedInt"/>
</type>
</element>
<element
id="bcr-breast-tumour-supplement.lymphNodeAssessment.assessmentDate">
<path
value="bcr-breast-tumour-supplement.lymphNodeAssessment.assessmentDate"/>
<short value="Assessment date"/>
<definition value="Date of the lymph node assessment."/>
<min value="0"/>
<max value="1"/>
<base>
<path
value="bcr-breast-tumour-supplement.lymphNodeAssessment.assessmentDate"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="date"/>
</type>
</element>
</snapshot>
<differential>
<element id="bcr-breast-tumour-supplement">
<path value="bcr-breast-tumour-supplement"/>
<short
value="BCR Breast Tumour Supplement — Bijlage 55 vervolg 1 (Logical Model)"/>
<definition
value="Logical model of the breast-tumour-specific supplement to the standard cancer
registration form (Bijlage 55, *vervolg 1*). Contains menopausal status,
molecular markers (with separate values for tumour 1 and, when multifocal,
tumour 2), and surgical / lymph node data.
Source: Bijlage 55 (vervolg 1) of the RIZIV Verordening of 28 July 2003,
amended 15 December 2025."/>
</element>
<element id="bcr-breast-tumour-supplement.menopausalStatus">
<path value="bcr-breast-tumour-supplement.menopausalStatus"/>
<short value="Menopausal status at diagnosis"/>
<definition
value="Menopausal status. Codes: ja / nee / onduidelijk / niet gekend / niet van toepassing (mannelijke patiënt)."/>
<min value="0"/>
<max value="1"/>
<type>
<code value="code"/>
</type>
<binding>
<strength value="required"/>
<valueSet
value="https://www.ehealth.fgov.be/standards/fhir/registries/bcr/ValueSet/bcr-menopausal-status-vs"/>
</binding>
</element>
<element id="bcr-breast-tumour-supplement.molecularMarker">
<path value="bcr-breast-tumour-supplement.molecularMarker"/>
<short value="Molecular marker result"/>
<definition
value="One molecular-marker measurement on tumour 1, or on tumour 2 in the case of multifocal disease."/>
<min value="0"/>
<max value="*"/>
<type>
<code value="BackboneElement"/>
</type>
</element>
<element id="bcr-breast-tumour-supplement.molecularMarker.marker">
<path value="bcr-breast-tumour-supplement.molecularMarker.marker"/>
<short value="Marker"/>
<definition
value="Molecular marker. Form-listed markers:
ER (oestrogen receptor), PR (progesterone receptor),
HER2-IHC (HER2 IHC score), HER2-IHC-ISH (combined HER2 status),
BRCA1-2, CHEK2, PALB2, ATM, PIK3CA (PIKCA3 on the form),
KI67 (Ki-67 before systemic therapy), OTHER (free-text marker name)."/>
<min value="1"/>
<max value="1"/>
<type>
<code value="code"/>
</type>
<binding>
<strength value="required"/>
<valueSet
value="https://www.ehealth.fgov.be/standards/fhir/registries/bcr/ValueSet/bcr-molecular-marker-vs"/>
</binding>
</element>
<element
id="bcr-breast-tumour-supplement.molecularMarker.otherMarkerName">
<path
value="bcr-breast-tumour-supplement.molecularMarker.otherMarkerName"/>
<short value="Other marker name"/>
<definition value="Free-text marker name when `marker = OTHER`."/>
<min value="0"/>
<max value="1"/>
<type>
<code value="string"/>
</type>
</element>
<element id="bcr-breast-tumour-supplement.molecularMarker.tumourIndex">
<path value="bcr-breast-tumour-supplement.molecularMarker.tumourIndex"/>
<short value="Tumour index"/>
<definition
value="Tumour to which the result applies: 1 (primary tumour) or 2 (second tumour, only in multifocal disease)."/>
<min value="1"/>
<max value="1"/>
<type>
<code value="unsignedInt"/>
</type>
</element>
<element id="bcr-breast-tumour-supplement.molecularMarker.testDate">
<path value="bcr-breast-tumour-supplement.molecularMarker.testDate"/>
<short value="Test date"/>
<definition value="Date the marker was measured."/>
<min value="0"/>
<max value="1"/>
<type>
<code value="date"/>
</type>
</element>
<element id="bcr-breast-tumour-supplement.molecularMarker.result">
<path value="bcr-breast-tumour-supplement.molecularMarker.result"/>
<short value="Result"/>
<definition
value="Result of the marker. Permitted codings depend on the marker:
- ER, PR: positief / gering positief / negatief.
- HER2-IHC: 0 / 1+ / 2+ / 3+.
- HER2-IHC-ISH: positief / HER2 low (provisional) / negatief.
- BRCA1-2, CHEK2, PALB2, ATM, PIK3CA: niet getest / geen mutatie / somatische mutatie / kiembaanmutatie.
- KI67: see `resultPercentage` (or `niet getest`)."/>
<min value="0"/>
<max value="1"/>
<type>
<code value="CodeableConcept"/>
</type>
<binding>
<strength value="extensible"/>
<valueSet
value="https://www.ehealth.fgov.be/standards/fhir/registries/bcr/ValueSet/bcr-molecular-marker-result-vs"/>
</binding>
</element>
<element
id="bcr-breast-tumour-supplement.molecularMarker.resultPercentage">
<path
value="bcr-breast-tumour-supplement.molecularMarker.resultPercentage"/>
<short value="Result percentage"/>
<definition
value="Numeric percentage result. Used for Ki-67 (`marker = KI67`)."/>
<min value="0"/>
<max value="1"/>
<type>
<code value="decimal"/>
</type>
</element>
<element id="bcr-breast-tumour-supplement.surgeryPerformed">
<path value="bcr-breast-tumour-supplement.surgeryPerformed"/>
<short value="Surgery performed"/>
<definition
value="Indicates whether section 3 (surgical data) is in scope. When false or absent, the surgery fields below are not applicable."/>
<min value="0"/>
<max value="1"/>
<type>
<code value="boolean"/>
</type>
</element>
<element id="bcr-breast-tumour-supplement.maxPathDiameterInvasiveMm">
<path value="bcr-breast-tumour-supplement.maxPathDiameterInvasiveMm"/>
<short
value="Max pathological diameter, invasive component, before systemic therapy (mm)"/>
<definition
value="Maximale pathologische doormeter invasieve component vóór systemische therapie."/>
<min value="0"/>
<max value="1"/>
<type>
<code value="decimal"/>
</type>
</element>
<element id="bcr-breast-tumour-supplement.maxPathDiameterInSituMm">
<path value="bcr-breast-tumour-supplement.maxPathDiameterInSituMm"/>
<short
value="Max pathological diameter, in situ component, before systemic therapy (mm)"/>
<definition
value="Maximale pathologische doormeter in situ component vóór systemische therapie."/>
<min value="0"/>
<max value="1"/>
<type>
<code value="decimal"/>
</type>
</element>
<element id="bcr-breast-tumour-supplement.minMarginDistanceInvasiveMm">
<path value="bcr-breast-tumour-supplement.minMarginDistanceInvasiveMm"/>
<short
value="Min distance, invasive component to surgical margin (mm)"/>
<definition
value="Minimale afstand van de invasieve component tot de snijrand."/>
<min value="0"/>
<max value="1"/>
<type>
<code value="decimal"/>
</type>
</element>
<element id="bcr-breast-tumour-supplement.minMarginDistanceInSituMm">
<path value="bcr-breast-tumour-supplement.minMarginDistanceInSituMm"/>
<short value="Min distance, in situ component to surgical margin (mm)"/>
<definition
value="Minimale afstand van de in situ component tot snijrand."/>
<min value="0"/>
<max value="1"/>
<type>
<code value="decimal"/>
</type>
</element>
<element id="bcr-breast-tumour-supplement.lymphNodeAssessment">
<path value="bcr-breast-tumour-supplement.lymphNodeAssessment"/>
<short value="Lymph node assessment"/>
<definition
value="One row of the sentinel / axillary / other-nodes table."/>
<min value="0"/>
<max value="*"/>
<type>
<code value="BackboneElement"/>
</type>
</element>
<element id="bcr-breast-tumour-supplement.lymphNodeAssessment.location">
<path
value="bcr-breast-tumour-supplement.lymphNodeAssessment.location"/>
<short value="Node location"/>
<definition
value="Lymph node group. Codes: SENTINEL (Sentinelklieren), AXILLARY (Axillaire klieren), OTHER (Andere klieren)."/>
<min value="1"/>
<max value="1"/>
<type>
<code value="code"/>
</type>
<binding>
<strength value="required"/>
<valueSet
value="https://www.ehealth.fgov.be/standards/fhir/registries/bcr/ValueSet/bcr-lymph-node-location-vs"/>
</binding>
</element>
<element id="bcr-breast-tumour-supplement.lymphNodeAssessment.examined">
<path
value="bcr-breast-tumour-supplement.lymphNodeAssessment.examined"/>
<short value="Number examined"/>
<definition value="Aantal onderzocht."/>
<min value="0"/>
<max value="1"/>
<type>
<code value="unsignedInt"/>
</type>
</element>
<element id="bcr-breast-tumour-supplement.lymphNodeAssessment.positive">
<path
value="bcr-breast-tumour-supplement.lymphNodeAssessment.positive"/>
<short value="Number positive"/>
<definition value="Aantal positief."/>
<min value="0"/>
<max value="1"/>
<type>
<code value="unsignedInt"/>
</type>
</element>
<element
id="bcr-breast-tumour-supplement.lymphNodeAssessment.assessmentDate">
<path
value="bcr-breast-tumour-supplement.lymphNodeAssessment.assessmentDate"/>
<short value="Assessment date"/>
<definition value="Date of the lymph node assessment."/>
<min value="0"/>
<max value="1"/>
<type>
<code value="date"/>
</type>
</element>
</differential>
</StructureDefinition>