archetype (adl_version=1.4; uid=5f4a3bdd-44b2-463b-9b63-b12495c974c1) openEHR-EHR-CLUSTER.tnm-pathological.v0 specialise openEHR-EHR-CLUSTER.tnm.v0 concept [at0000.1] -- TNM pathological classification language original_language = <[ISO_639-1::en]> translations = < ["de"] = < language = <[ISO_639-1::de]> author = < ["name"] = <"Natalia Strauch"> ["organisation"] = <"Medizinische Hochschule Hannover"> ["email"] = <"Strauch.Natalia@mh-hannover.de"> > > ["nb"] = < language = <[ISO_639-1::nb]> author = < ["name"] = <"Vebjørn Arntzen / Sabine Leh"> ["organisation"] = <"Oslo University Hospital HF / Helse Bergen HF"> ["email"] = <"varntzen@ous-hf.no"> > > > description original_author = < ["name"] = <"Heather Leslie"> ["organisation"] = <"Atomica Informatics"> ["email"] = <"heather.leslie@atomicainformatics.com"> ["date"] = <"2016-08-26"> > details = < ["de"] = < language = <[ISO_639-1::de]> purpose = <"Zur Darstellung der pathologischen Klassifikation und die Einteilung der Malignität in Stadien anhand des TNM-Systems."> use = <"Zur Darstellung der pathologischen Klassifikation, als pTNM bezeichnet, und der Stadieneinteilung der Malignität. Dieser Archetyp wurde entworfen, um in einem ENTRY- ggf. einem CLUSTER-Archetyp, der einen klinischen oder pathologischen Kontext für den TNM-Datensatz bereitstellt, verschachtelt zu werden - zum Beispiel: der SLOT \"Spezifische Details\" im Archetyp EVALUATION.problem_diagnosis; oder verschachtelt in einem geeigneten histopathologiebezogenen CLUSTER-Archetyp im Kontext OBSERVATION.laboratory_test_result. Jeder Krebs hat einen Satz eindeutigen pTNM-Klassifikationswerte. Dieser Archetyp kann unter Verwendung einer Spezialisierung oder eines Templates für jede Tumorentität und jede Auflage der TNM-Klassifikation weiter eingeschränkt werden, um individuelle Anforderungen zu berücksichtigen. Bei bestimmten Tumorarten wie Hodgkin-Lymphomen und anderen Non-Hodgkin-Lymphomen wird zur Bestimmung des Ausmaßes und der Prognose von Krankheiten ein anderes System verwendet. In diesem Fall wird nur die Stadieneinteilung definiert."> keywords = <"TNM, Krebs, Tumor, pTNM, Grading, Einstufung, Malignität, Klassifikation, Einteilung, Stadium, Neoplasie", ...> misuse = <"Nicht zur Darstellung der klinischen TNM-Klassifikation verwenden - verwenden Sie für diesen Zweck den Archetyp CLUSTER.tnm."> copyright = <"© openEHR Foundation, Nasjonal IKT HF, openEHR Foundation"> > ["nb"] = < language = <[ISO_639-1::nb]> purpose = <"For å registrere patologisk klassifikasjon og gradering av maligne tumorer ved å bruke TNM-systemet."> use = <"For å registrere patologisk klassifikasjon og gradering av maligne tumorer, ved å bruke TNM-systemet, betegnet som pTNM. Arketypen er laget for å benyttes i en ENTRY arketype som vil gi den kliniske- eller patologiske konteksten for TNM registreringen. For eksempel: I SLOTet \"Spesifikke detaljer\" i arketypen EVALUATION.problem_diagnose (Problem/diagnose), eller nøstet i en relevant histopatologirelatert CLUSTER-arketype som igjen nøstes i laboratoriesvar-arketypen. (OBSERVATION.laboratory_test_result). Hver kreftform har et sett av unike TNM klassifikasjonsverdier. Det antas at denne arketypen blir tilpasset for å ivareta de unike kravene til hver tumortype i henhold til aktuell utgave av TNM-klassifikasjonen. Dette vil gjøres enten ved å bruke en spesialisering av arketypen eller i et templat. For noen bestemte kreftformer, som Hodgkins eller non-Hodgkins lymfom vil andre klassifikasjonssystemer benyttes for å angi omfang av sykdom eller prognose. I disse tilfellene vil kun stadium defineres."> keywords = <"TNM, kreft, svulst, tumor, pTNM, gradering, staging, malignitet, klassifikasjon, gruppering, grouping, stage, neoplasi, maligne tumorer, neoplastisk vekst, metastase, spredning, canser, cancer, carsinoma", ...> misuse = <"Skal ikke brukes for å registrere klinisk TNM-klassifikasjon. Bruk arketypen CLUSTER.tnm (TNM-klassifikasjon klinisk) for dette formålet."> copyright = <"© openEHR Foundation, Nasjonal IKT HF, openEHR Foundation"> > ["en"] = < language = <[ISO_639-1::en]> purpose = <"To record the pathological classification and stage grouping of malignancies using the TNM system."> use = <"Use to record the pathological classification, designated as pTNM, and stage grouping of malignancies. This archetype has been designed to be nested inside an ENTRY or appropriate CLUSTER archetype which will provide a clinical or pathological context for the TNM record - for example: the 'Specific details' SLOT within the EVALUATION.problem_diagnosis archetype; or nested in an appropriate histopathology-related CLUSTER archetype within the OBSERVATION.laboratory_test_result context. Each cancer has a set of unique pTNM classification values. It is expected that this archetype will be further constrained to reflect the unique requirements for each tumour and edition of the TNM classification, using either an archetype specialisation or a template. With certain types of tumours, such as Hodgkin and other non-Hodgkin lymphomas, a different system for designating the extent of disease and prognosis is used. In these circumstances only the stage group is defined."> keywords = <"TNM, cancer, tumour, pTNM, grading, staging, malignancy, classification, grouping, stage, neoplasia", ...> misuse = <"Not to be used to record the TNM clinical classification - use the CLUSTER.tnm archetype for this purpose."> copyright = <"© openEHR Foundation, Nasjonal IKT HF, openEHR Foundation"> > > lifecycle_state = <"in_development"> other_contributors = <"Vebjørn Arntzen, Oslo University Hospital, Norway (openEHR Editor)", "Silje Ljosland Bakke, Nasjonal IKT HF, Norway (openEHR Editor)", "Hildegard Franke, freshEHR Clinical Informatics Ltd. UK", "Sergey Kovalenko, Chelyabinsk Regional Children Hospital, Russia", "Sabine Leh, Haukeland University Hospital, Department of Pathology, Norway (openEHR Editor)", "Miha Lenic, Marand, Slovenia", "Heather Leslie, Atomica Informatics, Australia (openEHR Editor)", "Ian McNicoll, freshEHR Clinical Informatics Ltd. UK", "SARA PRETE, Abinsula, Italy", "Natalia Strauch, Medizinische Hochschule Hannover, Germany", "Norwegian Review Summary, Nasjonal IKT HF, Norway", "John Tore Valand, Helse Bergen, Norway (openEHR Editor)"> other_details = < ["licence"] = <"This work is licensed under the Creative Commons Attribution-ShareAlike 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/4.0/."> ["custodian_organisation"] = <"Ocean Informatics"> ["references"] = <"Derived from: Brierley JD, Gospodarowicz MK, Wittekind C. TNM Classification of Malignant Tumours, 8th Edition. Wiley-Springer; 2016. 272 p. Principles of Cancer Staging. AJCC American Joint Committee on Cancer; [cited 2019 03 15]. Available at: https://facs.groupdropbox.com/share/ac03e57b3ea913ab7d728f5a9f621e84/download?file_ids[]=13911553. TNM Classification Help (Manual for Cancer Staging); [cited 2019 10 04]. Available at: http://cancerstaging.blogspot.com/."> ["current_contact"] = <"Heather Leslie, Atomica Informatics, heather.leslie@atomicainformatics.com"> ["original_namespace"] = <"com.oceaninformatics"> ["original_publisher"] = <"Ocean Informatics"> ["custodian_namespace"] = <"com.oceaninformatics"> ["MD5-CAM-1.0.1"] = <"7FB411B010286AD6CAC66A486CD824DB"> ["build_uid"] = <"a5de05c9-4d8c-4a1f-925e-7abd80dc07f4"> ["revision"] = <"0.0.1-alpha"> > definition CLUSTER[at0000.1] matches { -- TNM pathological classification items cardinality matches {1..*; unordered} matches { ELEMENT[at0001] occurrences matches {0..1} matches { -- Anatomical site value matches { DV_TEXT matches {*} } } ELEMENT[at0002] occurrences matches {0..1} matches { -- Anatomical subsite value matches { DV_TEXT matches {*} } } ELEMENT[at0003.1] occurrences matches {0..1} matches { -- Primary tumour (pT) value matches { DV_TEXT matches {*} } } ELEMENT[at0004.1] occurrences matches {0..1} matches { -- Regional lymph nodes (pN) value matches { DV_TEXT matches {*} } } ELEMENT[at0005.1] occurrences matches {0..1} matches { -- Distant metastasis (pM) value matches { DV_TEXT matches {*} } } ELEMENT[at0006] occurrences matches {0..1} matches { -- Histopathological grade (G) value matches { DV_TEXT matches {*} } } ELEMENT[at0007] occurrences matches {0..1} matches { -- Residual tumour (R) value matches { DV_CODED_TEXT matches { defining_code matches { [local:: at0008, -- RX at0009, -- R0 at0010, -- R1 at0011] -- R2 } } } } ELEMENT[at0012] occurrences matches {0..1} matches { -- Lymphatic invasion (L) value matches { DV_CODED_TEXT matches { defining_code matches { [local:: at0013, -- LX at0014, -- L0 at0015] -- L1 } } } } ELEMENT[at0016] occurrences matches {0..1} matches { -- Venous invasion (V) value matches { DV_CODED_TEXT matches { defining_code matches { [local:: at0017, -- VX at0018, -- V0 at0019, -- V1 at0020] -- V2 } } } } ELEMENT[at0021] occurrences matches {0..1} matches { -- Perineural invasion (Pn) value matches { DV_CODED_TEXT matches { defining_code matches { [local:: at0022, -- PnX at0023, -- Pn0 at0024] -- Pn1 } } } } ELEMENT[at0.1] occurrences matches {0..1} matches { -- Sentinel node (sn) value matches { DV_BOOLEAN matches { value matches {true} } } } ELEMENT[at0.2] occurrences matches {0..1} matches { -- Micrometastases (mi) value matches { DV_BOOLEAN matches { value matches {true} } } } ELEMENT[at0.3] occurrences matches {0..1} matches { -- Regional lymph node ITC value matches { DV_CODED_TEXT matches { defining_code matches { [local:: at0.4, -- i- at0.5, -- i+ at0.6, -- mol- at0.7] -- mol+ } } } } ELEMENT[at0.8] occurrences matches {0..1} matches { -- Distant metastasis ITC value matches { DV_CODED_TEXT matches { defining_code matches { [local:: at0.4, -- i- at0.5, -- i+ at0.6, -- mol- at0.7] -- mol+ } } } } ELEMENT[at0025.1] occurrences matches {0..1} matches { -- Multiple primary tumours (m) value matches { DV_COUNT matches {*} DV_BOOLEAN matches {*} } } ELEMENT[at0026] occurrences matches {0..1} matches { -- Multimodality therapy (y) value matches { DV_BOOLEAN matches { value matches {true} } } } ELEMENT[at0027] occurrences matches {0..1} matches { -- Recurrent (r) value matches { DV_BOOLEAN matches { value matches {true} } } } ELEMENT[at0028] occurrences matches {0..1} matches { -- Autopsy (a) value matches { DV_BOOLEAN matches { value matches {true} } } } ELEMENT[at0029.1] occurrences matches {0..1} matches { -- Carcinoma in situ (is) value matches { DV_BOOLEAN matches { value matches {true} } } } ELEMENT[at0030.1] occurrences matches {0..1} matches { -- pTNM assessment value matches { DV_TEXT matches {*} } } ELEMENT[at0031.1] occurrences matches {0..1} matches { -- Stage grouping value matches { DV_TEXT matches {*} } } ELEMENT[at0032] occurrences matches {0..1} matches { -- TNM Edition value matches { DV_TEXT matches {*} } } } } ontology term_definitions = < ["en"] = < items = < ["at0.1"] = < text = <"Sentinel node (sn)"> description = <"Presence of metastasis within one or more sentinel node(s)."> comment = <"Record only if true, designated by addition of the suffix 'sn'. For example: 'pN0(sn) No sentinel lymph node metastasis' or 'pN1(sn) Sentinel lymph node metastasis'."> > ["at0.2"] = < text = <"Micrometastases (mi)"> description = <"Presence of micrometastases in the regional lymph drainage area of the primary tumour."> comment = <"Record only if true, designated by addition of the suffix 'mi'. For example: 'pN1(mi)'."> > ["at0.3"] = < text = <"Regional lymph node ITC"> description = <"Presence of isolated tumour cells (ITC) detected by H&E stains or immunohistochemistry in regional lymph nodes."> comment = <"For example 'pN0(i-) No regional lymph node metastasis histologically, negative morphological findings for ITC'; 'pN0(mol+) No regional lymph node metastasis histologically, positive non morphological findings for ITC'; or 'pN0(i+)(sn) No sentinel lymph node metastasis histologically, positive morphological findings for ITC'."> > ["at0.4"] = < text = <"i-"> description = <"Negative morphological findings for ITC."> > ["at0.5"] = < text = <"i+"> description = <"Positive morphological findings for ITC."> > ["at0.6"] = < text = <"mol-"> description = <"Negative non-morphological findings for ITC."> > ["at0.7"] = < text = <"mol+"> description = <"Positive non-morphological findings for ITC."> > ["at0.8"] = < text = <"Distant metastasis ITC"> description = <"Presence of isolated tumour cells (ITC) detected by H&E stains or immunohistochemistry as distant metastases, such as bone marrow."> comment = <"For example: 'pM0(i+)' or 'pM0(mol+)'."> > ["at0000.1"] = < text = <"TNM pathological classification"> description = <"A framework for the pathological classification and stage grouping of malignancies using the TNM system."> comment = <"Designated as pTNM."> > ["at0001"] = < text = <"Anatomical site"> description = <"The anatomical site where the assessed tumour is situated."> comment = <"For example: stomach; or small intestine."> > ["at0002"] = < text = <"Anatomical subsite"> description = <"The anatomical subsite where the assessed tumour is situated."> comment = <"For example: cardia, fundus, corpus, antrum and pylorus (stomach); or duodenum, jejunum or ileum (small intestine)."> > ["at0003"] = < text = <"*Primary tumour (T)(en)"> description = <"*Assessment of the primary tumour.(en)"> > ["at0003.1"] = < text = <"Primary tumour (pT)"> description = <"Assessment of the primary tumour."> comment = <"Designated as 'pT'. Coding with a T code appropriate for the tumour type and anatomical site is expected. For example: 'pT1'; or 'pT3'."> > ["at0004"] = < text = <"*Regional lymph nodes (N)(en)"> description = <"*Assessment of the regional lymph nodes.(en)"> > ["at0004.1"] = < text = <"Regional lymph nodes (pN)"> description = <"Assessment of the regional lymph nodes."> comment = <"Designated as 'pN'. Coding with an N code appropriate for the tumour type and anatomical site is expected. For example: 'pNX'; or 'pN2'."> > ["at0005"] = < text = <"*Distant metastasis (M)(en)"> description = <"*Assessment of distant metastasis.(en)"> > ["at0005.1"] = < text = <"Distant metastasis (pM)"> description = <"Assessment of distant metastasis."> comment = <"Designated as 'pM'. Coding with an M code appropriate for the tumour type and anatomical site is expected. For example: 'pM1'."> > ["at0006"] = < text = <"Histopathological grade (G)"> description = <"Histopathological grading of the tumour."> comment = <"Pretreatment histopathological assessment may be determined from a limited biopsy prior to formal resection. Coding with a G code appropriate for the identified tumour type and anatomical site is expected. For example: 'G2'; 'GX'; or 'low grade' for bone and soft tissue sarcoma classification."> > ["at0007"] = < text = <"Residual tumour (R)"> description = <"Assessment of the presence of residual tumour after treatment."> comment = <"For example: 'R2 (Macroscopic residual tumour)'."> > ["at0008"] = < text = <"RX"> description = <"Presence of residual tumour cannot be assessed."> > ["at0009"] = < text = <"R0"> description = <"No residual tumour."> > ["at0010"] = < text = <"R1"> description = <"Microscopic residual tumour."> > ["at0011"] = < text = <"R2"> description = <"Macroscopic residual tumour."> > ["at0012"] = < text = <"Lymphatic invasion (L)"> description = <"Assessment of invasion into the lymphatic system."> comment = <"For example: 'L0 (No lymphatic invasion)'."> > ["at0013"] = < text = <"LX"> description = <"Lymphatic invasion cannot be assessed."> > ["at0014"] = < text = <"L0"> description = <"No lymphatic invasion."> > ["at0015"] = < text = <"L1"> description = <"Lymphatic invasion."> > ["at0016"] = < text = <"Venous invasion (V)"> description = <"Assessment of invasion into the venous system."> comment = <"For example: 'V1 (Microscopic venous invasion)'."> > ["at0017"] = < text = <"VX"> description = <"Venous invasion cannot be assessed."> > ["at0018"] = < text = <"V0"> description = <"No venous invasion."> > ["at0019"] = < text = <"V1"> description = <"Microscopic venous invasion."> > ["at0020"] = < text = <"V2"> description = <"Macroscopic venous invasion."> > ["at0021"] = < text = <"Perineural invasion (Pn)"> description = <"Assessment of invasion into the space surrounding nerves."> comment = <"For example: 'Pn0 (No perineural invasion)'."> > ["at0022"] = < text = <"PnX"> description = <"Perineural invasion cannot be assessed."> > ["at0023"] = < text = <"Pn0"> description = <"No perineural invasion."> > ["at0024"] = < text = <"Pn1"> description = <"Perineural invasion."> > ["at0025"] = < text = <"*Multiple primary tumours (m)(en)"> description = <"*Presence of multiple simultaneous primary tumours at a single site.(en)"> > ["at0025.1"] = < text = <"Multiple primary tumours (m)"> description = <"Presence of multiple simultaneous primary tumours at a single site."> comment = <"Designated as a suffix, either as the letter 'm' or the number of primary tumours. For example: 'pT2(m)' or 'pT2(4)'."> > ["at0026"] = < text = <"Multimodality therapy (y)"> description = <"Assessment is performed during or following initial multimodality therapy."> comment = <"Record as true, designated by addition of the prefix 'y'. For example: 'yTNM'."> > ["at0027"] = < text = <"Recurrent (r)"> description = <"Assessment is performed for a recurring cancer after a disease-free interval."> comment = <"Record as true, designated by addition of the prefix 'r'."> > ["at0028"] = < text = <"Autopsy (a)"> description = <"Assessment is performed at postmortem examination."> comment = <"Record as true, designated by addition of the prefix 'a'."> > ["at0029"] = < text = <"*Carcinoma in situ (is)(en)"> description = <"*Presence of carcinoma in situ associated with the primary tumour.(en)"> > ["at0029.1"] = < text = <"Carcinoma in situ (is)"> description = <"Presence of carcinoma in situ associated with the primary tumour."> comment = <"Record as true, designated by addition of the suffix 'is'. For example: 'pT3(m, is)' or 'pT2(3, is)' or 'pT2(is)'."> > ["at0030"] = < text = <"*TNM assessment(en)"> description = <"*Concatenation of 'pT', 'N' and 'M' assessments plus any optional assessments of 'G', 'R', 'L', 'V', prefixes and/or suffixes, as applicable.(en)"> > ["at0030.1"] = < text = <"pTNM assessment"> description = <"Concatenation of 'pT', 'pN' and 'pM' assessments plus any optional assessments of 'G', 'R', 'L', 'V', prefixes and/or suffixes, as applicable."> > ["at0031"] = < text = <"*Stage grouping(en)"> description = <"*The categorisation of the anatomical stage of the tumour, usually based on TNM assessment.(en)"> > ["at0031.1"] = < text = <"Stage grouping"> description = <"The categorisation of the anatomical stage of the tumour, usually based on pTNM assessment."> comment = <"For example: carcinoma in situ is categorised as stage 0; or tumours with distant metastasis are categorised as stage IV."> > ["at0032"] = < text = <"TNM Edition"> description = <"The edition of the TNM classification system used for the assessment."> > > > ["nb"] = < items = < ["at0.1"] = < text = <"Vaktpostlymfeknute (sn)"> description = <"Funn av metastaser i en eller flere vaktpostlymfeknute(r)."> comment = <"Registrer bare hvis sann. Angis ved å tilføye \"sn\". For eksempel \"pN0(sn) Ingen metastase i vaktpostlymfeknute\", eller \"pN1(sn) Metastase i vaktpostlymfeknute\"."> > ["at0.2"] = < text = <"Mikrometastaser (mi)"> description = <"Funn av mikrometastaser i lymfedrenasjeområdet til primærsvulsten."> comment = <"Registreres bare hvis sann. Angis ved å legge til \"mi\", for eksempel \"pN1(mi)\"."> > ["at0.3"] = < text = <"Regional lymfeknute ITC"> description = <"Funn av isolerte tumorceller (ITC), ved bruk av HE-farging eller immunhistokjemi i regionale lymfeknuter."> comment = <"For eksempel \"pN0(i-) Ingen metastaser i regionale lymfeknuter histologisk, negativt morfologisk funn for ITC\", \"pN0(mol+) Ingen metastaser i regionale lymfeknuter histologisk, positive funn non-morfologisk av ITC\" eller \"pN0(i+)(sn) Ingen metastase i vaktpostlymfeknute histologisk, positive morfologiske funn av ITC."> > ["at0.4"] = < text = <"i-"> description = <"Ingen morfologiske funn av ITC."> > ["at0.5"] = < text = <"i+"> description = <"Funn av morfologisk ITC."> > ["at0.6"] = < text = <"mol-"> description = <"Ingen non-morfologiske funn av ITC."> > ["at0.7"] = < text = <"mol+"> description = <"Non-morfologiske funn av ITC."> > ["at0.8"] = < text = <"Fjernmetastase (pM)"> description = <"Funn av isolerte tumorceller (ITC), oppdaget ved HE-farging eller immunhistokjemi som fjernmetastaser, for eksempel i beinmarg."> comment = <"For eksempel \"pM0(i+) eller \"pM0(mol+)."> > ["at0000.1"] = < text = <"TNM-klassifikasjon patologi"> description = <"Et rammeverk for patologisk klassifikasjon og gradering av maligne tumorer i henhold til TNM-systemet."> comment = <"Betegnes som pTNM."> > ["at0001"] = < text = <"Anatomisk lokalisering"> description = <"Den anatomiske lokaliseringen der tumoren befinner seg."> comment = <"For eksempel: \"Magesekk\" eller \"Tynntarm\"."> > ["at0002"] = < text = <"Underordnet anatomisk lokalisasjon"> description = <"Den underordnede anatomiske lokaliseringer til tumoren."> comment = <"For eksempel: kardia, fundus, corpus, antrum og pylorus (mageport), eller duodenum, jejunum eller ileum."> > ["at0003"] = < text = <"Primærtumor (pT)"> description = <"Vurdering av primærtumoren."> comment = <"*Designated as 'T' or 'T'. Coding with a T code appropriate for the tumour type and anatomical site is expected. For example: 'T1'; or 'T3'. (en)"> > ["at0003.1"] = < text = <"Primærtumor (pT)"> description = <"Vurdering av primærtumoren."> comment = <"Angis som \"pT\". Den identifiserte tumortypen og den anatomiske lokaliseringen kodes med en relevant T-kode, for eksempel p\"T1\" eller \"pT3\"."> > ["at0004"] = < text = <"Regionale lymfeknuter (N)"> description = <"Vurdering av de regionale lymfeknutene."> comment = <"*Designated as 'N' or 'cN'. Coding with an N code appropriate for the tumour type and anatomical site is expected. For example: 'NX'; or 'N2'. (en)"> > ["at0004.1"] = < text = <"Regionale lymfeknuter (pN)"> description = <"Vurdering av de regionale lymfeknutene."> comment = <"Angis som \"pN\". Den identifiserte tumortypen og den anatomiske lokaliseringen kodes med en relevant N-kode, for eksempel \"pNX\" eller \"pN2\"."> > ["at0005"] = < text = <"Fjernmetastase (M)"> description = <"Vurdering av fjernmetastase."> comment = <"*Designated as 'M' or 'cM'. Coding with an M code appropriate for the tumour type and anatomical site is expected. For example: 'M1'; 'M1a'; 'M1 PUL'; or 'M0'. (en)"> > ["at0005.1"] = < text = <"Fjernmetastase (pM)"> description = <"Vurdering av fjernmetastase."> comment = <"Angis som \"pM\". Den identifiserte tumortypen og den anatomiske lokaliseringen kodes med en relevant M-kode, for eksempel \"pM1\"."> > ["at0006"] = < text = <"Histopatologisk gradering (G)"> description = <"Histopatologisk gradering av tumoren."> comment = <"Histopatologisk vurdering før annen behandling er gitt, kan gjøres på grunnlag av en biopsi før kirurgisk reseksjon. Gradering av den identifiserte tumoren og den anatomiske lokaliseringen kodes med en relevant G-kode. For eksempel: \"G2\", \"GX\", eller \"Lavgradig\" for klassifisering av ben- eller bløtvevssarkom."> > ["at0007"] = < text = <"Residualtumor (R)"> description = <"Vurdering av tilstedeværelse av gjenværende tumor etter behandling."> comment = <"For eksempel \"R2 (Makroskopisk resttumor)\"."> > ["at0008"] = < text = <"RX"> description = <"Det kan ikke vurderes om resttumor er til stede."> > ["at0009"] = < text = <"R0"> description = <"Ingen resttumor"> > ["at0010"] = < text = <"R1"> description = <"Mikroskopisk resttumor."> > ["at0011"] = < text = <"R2"> description = <"Makroskopisk resttumor."> > ["at0012"] = < text = <"Invasjon i lymfekar (L)"> description = <"Vurdering av invasjon inn i lymfekar."> comment = <"For eksempel \"L0 (Ingen invasjon i lymfekar)\"."> > ["at0013"] = < text = <"LX"> description = <"Det kan ikke vurderes om invasjon i lymfekar er tilstede."> > ["at0014"] = < text = <"L0"> description = <"Ingen invasjon i lymfekar."> > ["at0015"] = < text = <"L1"> description = <"Invasjon i lymfekar."> > ["at0016"] = < text = <"Veneinfiltrasjon (V)"> description = <"Vurdering av veneinfiltrasjon."> comment = <"For eksempel \"V1 (Mikroskopisk veneinfiltrasjon)\"."> > ["at0017"] = < text = <"VX"> description = <"Veneinfiltrasjon kan ikke vurderes."> > ["at0018"] = < text = <"V0"> description = <"Ingen veneinfiltrasjon."> > ["at0019"] = < text = <"V1"> description = <"Mikroskopisk veneinfiltrasjon."> > ["at0020"] = < text = <"V2"> description = <"Makroskopisk veneinfiltrasjon."> > ["at0021"] = < text = <"Perineural infiltrasjon (Pn)"> description = <"Vurdering av infiltrasjon inn i vev i tilslutning til nerver."> comment = <"For eksempel \"Pn0 (Ingen perineural infiltrasjon)\"."> > ["at0022"] = < text = <"PnX"> description = <"Det kan ikke vurderes om perineural infiltrasjon er tilstede."> > ["at0023"] = < text = <"Pn0"> description = <"Ingen perineural infiltrasjon."> > ["at0024"] = < text = <"Pn1"> description = <"Perineural infiltrasjon."> > ["at0025"] = < text = <"Multiple primærtumores (m)"> description = <"Tilstedeværelse av multiple samtidige primærsvulster på ett enkelt sted."> comment = <"*Designated as a suffix, either as the letter 'm' or the number of primary tumours. For example: 'pT2(m)' or 'T2(4)'. (en)"> > ["at0025.1"] = < text = <"Multiple primærtumorer (m)"> description = <"Funn av multiple samtidige primærsvulster på ett enkelt sted."> comment = <"Angis med en tilføyelse, enten bokstaven \"m\" eller som antallet av primærsvulster, for eksempel \"pT2(m)\" eller \"pT2(4)."> > ["at0026"] = < text = <"Multimodal behandling (y)"> description = <"Vurdering er utført under eller etter den første multimodale behandlingen."> comment = <"Angis ved å legge til prefikset \"y\", for eksempel \"yTNM\"."> > ["at0027"] = < text = <"Tilbakefall (r)"> description = <"Vurdering er utført for en tilbakevendende kreft etter en kreftfri periode."> comment = <"Angis ved å legge til prefikset \"r\"."> > ["at0028"] = < text = <"Obduksjon (a)"> description = <"Vurderingen er gjort ved en undersøkelse post mortem."> comment = <"Angis med å legge til prefikset \"a\"."> > ["at0029"] = < text = <"Carcinoma in situ (is)"> description = <"Tilstedeværelse av carcinoma in situ i tilknytning til primærsvulsten."> comment = <"*Record as true, designated by addition of the suffix 'is'. For example: 'pT3(m, is)' or 'T2(3, is)' or 'T2(is)'. (en)"> > ["at0029.1"] = < text = <"Carcinoma in situ (is)"> description = <"Funn av carcinoma in situ i tilknytning til primærtumor."> comment = <"Angis med en tilføyelse av \"is\". For eksempel \"pT3(m, is)\", \"pT2(3, is)\" eller \"pT2(is)."> > ["at0030"] = < text = <"TNM-vurdering"> description = <"*Concatenation of 'pT', 'N' and 'M' assessments plus any optional assessments of 'G', 'R', 'L', 'V', prefixes and/or suffixes, as applicable. (en)"> > ["at0030.1"] = < text = <"pTNM-vurdering"> description = <"Sammentrekning av vurdering av \"pT\", \"pN\" og \"pM\", pluss eventuelle tilleggsvurderinger av \"G\", \"R\", \"L\", \"V\", prefiks og/eller tillegg der det er passende."> > ["at0031"] = < text = <"Gruppering av stadium"> description = <"*The categorisation of the anatomical stage of the tumour, usually based on TNM assessment.” (en)"> comment = <"*For example: carcinoma in situ is categorised as stage 0; or tumours with distant metastasis are categorised as stage IV. (en)"> > ["at0031.1"] = < text = <"Stadium"> description = <"Kategoriseringen av tumorens stadium, vanligvis basert på pTNM vurderingen."> comment = <"For eksempel: Karsinom in situ er kategorisert som stadium 0, tumorer med fjernmetastaser er kategorisert som stadium IV."> > ["at0032"] = < text = <"TNM-utgave"> description = <"TNM-utgaven som er brukt for å bestemme TNM-klassifiseringen."> > > > ["de"] = < items = < ["at0.1"] = < text = <"Sentinel-Knoten (sn)"> description = <"Das Vorhandensein von Metastasierung innerhalb eines oder mehrerer Sentinel-Knoten."> comment = <"Ist als \"WAHR\", gekennzeichnet durch das Hinzufügen des Suffix \"sn\", darzustellen. Zum Beispiel: \"pN0(sn) Keine Sentinel-Lymphknotenmetastasen\" oder \"pN1(sn) Sentinel-Lymphknotenmetastasen\"."> > ["at0.2"] = < text = <"Mikrometastasen (mi)"> description = <"Das Vorhandensein von Mikrometastasen im regionalen Lymphabflussgebiet des Primärtumors."> comment = <"Ist als \"WAHR\", gekennzeichnet durch das Hinzufügen des Suffix \"mi\", darzustellen. Zum Beispiel: \"pN1(mi)\"."> > ["at0.3"] = < text = <"Regionäre Lymphknoten ITC"> description = <"Das Vorhandensein von isolierten Tumorzellen (ITC), die durch H&E-Färbung oder Immunhistochemie in regionären Lymphknoten nachgewiesen wurden."> comment = <"Zum Beispiel „pN0(i-) Histologisch keine regionäre Lymphknotenmetastasierung, negative morphologische Befunde für ITC“; „pN0(mol+) Histologisch keine regionäre Lymphknotenmetastasierung, positiver nichtmorphologischer Befund für ITC“; oder „pN0(i+)(sn) Histologisch keine Sentinel-Lymphknotenmetastasen, positiver morphologischer Befund für ITC“."> > ["at0.4"] = < text = <"i-"> description = <"Negative morphologische Befunde für ITC"> > ["at0.5"] = < text = <"i+"> description = <"Positive morphologische Befunde für ITC."> > ["at0.6"] = < text = <"mol-"> description = <"Negative nichtmorphologische Befunde für ITC."> > ["at0.7"] = < text = <"mol+"> description = <"Positive morphologische Befunde für ITC."> > ["at0.8"] = < text = <"Fernmetastasierung ITC"> description = <"Das Vorhandensein von isolierten Tumorzellen (ITC), die durch H&E-Färbung oder Immunhistochemie in Fernmetastasen wie im Knochenmark nachgewiesen wurden."> comment = <"Zum Beispiel: \"pM0(i+)\" oder \"pM0(mol+)\"."> > ["at0000.1"] = < text = <"Pathologische TNM-Klassifikation"> description = <"Ein Archetyp für die pathologische Klassifikation und die Einteilung der Malignität in Stadien anhand des TNM-Systems."> comment = <"Bezeichnet als pTNM."> > ["at0001"] = < text = <"Anatomische Lokalisation"> description = <"Die anatomische Stelle, an der sich der beurteilte Tumor befindet."> comment = <"Zum Beispiel: Magen; oder Dünndarm."> > ["at0002"] = < text = <"Anatomischer Unterbereich der Lokalisation"> description = <"Der anatomische Unterbereich der Lokalisation, an der sich der beurteilte Tumor befindet."> comment = <"Zum Beispiel: Kardia, Fundus, Corpus, Antrum und Pylorus (Magen); oder Zwölffingerdarm, Jejunum oder Ileum (Dünndarm)."> > ["at0003"] = < text = <"Primärtumor (T)"> description = <"Die Beurteilung des Primärtumors."> > ["at0003.1"] = < text = <"Primärtumor (pT)"> description = <"Die Beurteilung des Primärtumors."> comment = <"Wird als \"pT\" bezeichnet. Die Kodierung mit einem T-Code, der der identifizierten Art des Tumors und der anatomischen Lokalisation entspricht, wird erwartet. Zum Beispiel: \"pT1\"; oder \"pT3\"."> > ["at0004"] = < text = <"Regionäre Lymphknoten (N)"> description = <"Die Beurteilung der regionären Lymphknoten."> > ["at0004.1"] = < text = <"Regionäre Lymphknoten (pN)"> description = <"Die Beurteilung der regionären Lymphknoten."> comment = <"Wird als \"pN\" bezechnet. Die Kodierung mit einem N-Code, der der identifizierten Art des Tumors und der anatomischen Lokalisation entspricht, wird erwartet. Zum Beispiel: \"pNX\"; oder \"pN2\"."> > ["at0005"] = < text = <"Fernmetastasierung (M)"> description = <"Die Beurteilung der Fernmetastasierung."> > ["at0005.1"] = < text = <"Fernmetastasierung (pM)"> description = <"Die Beurteilung der Fernmetastasierung."> comment = <"Wird als \"pM\" bezeichnet. Die Kodierung mit einem M-Code, der der identifizierten Art des Tumors und der anatomischen Lokalisation entspricht, wird erwartet. Zum Beispiel: \"pM1\"."> > ["at0006"] = < text = <"Histopathologisches Grading (G)"> description = <"Histopathologisches Grading des Tumors."> comment = <"Die prätherapeutische histopathologische Beurteilung kann aus einer begrenzten Biopsie vor der formalen Resektion bestimmt werden. Die Kodierung mit einem G-Code, der der identifizierten Art des Tumors und der anatomischen Lokalisation entspricht, wird erwartet. Zum Beispiel: \"G2\"; \"GX\"; oder \"niedriges Grading\" zur Klassifizierung von Knochen- und Weichteilsarkomen."> > ["at0007"] = < text = <"Residualtumor (R)"> description = <"Die Beurteilung des Vorhandenseins eines Resttumors nach der Behandlung."> comment = <"Zum Beispiel: \"R2 (Makroskopischer Residualtumor)\"."> > ["at0008"] = < text = <"RX"> description = <"Das Vorhandensein von Residualtumor kann nicht beurteilt werden."> > ["at0009"] = < text = <"R0"> description = <"Kein Residualtumor."> > ["at0010"] = < text = <"R1"> description = <"Mikroskopischer Residualtumor."> > ["at0011"] = < text = <"R2"> description = <"Makroskopischer Residualtumor."> > ["at0012"] = < text = <"Lymphgefäßinvasion (L)"> description = <"Die Beurteilung der Invasion in das lymphathische System."> comment = <"Zum Beispiel: \"L0 (Keine Lymphgefäßinvasion)\"."> > ["at0013"] = < text = <"LX"> description = <"Die Lymphgefäßinvasion kann nicht beurteilt werden."> > ["at0014"] = < text = <"L0"> description = <"Keine Lymphgefäßinvasion."> > ["at0015"] = < text = <"L1"> description = <"Lymphgefäßinvasion."> > ["at0016"] = < text = <"Veneninvasion (V)"> description = <"Die Beurteilung der Invasion in das venöse System."> comment = <"Zum Beispiel: \"V1 (Mikroskopische Veneninvasion)\"."> > ["at0017"] = < text = <"VX"> description = <"Die Veneninvasion kann nicht beurteilt werden."> > ["at0018"] = < text = <"V0"> description = <"Keine Veneninvasion."> > ["at0019"] = < text = <"V1"> description = <"Mikroskopische Veneninvasion."> > ["at0020"] = < text = <"V2"> description = <"Makroskopische Veneninvasion."> > ["at0021"] = < text = <"Perineurale Invasion (Pn)"> description = <"Die Beurteilung der Invasion in den Bereich, der die Nerven umgibt."> comment = <"Zum Beispiel: \"Pn0 (keine Perineurale Invasion)\"."> > ["at0022"] = < text = <"PnX"> description = <"Die Perineurale Invasion kann nicht beurteilt werden"> > ["at0023"] = < text = <"Pn0"> description = <"Keine Perineurale Invasion."> > ["at0024"] = < text = <"Pn1"> description = <"Perineurale Invasion."> > ["at0025"] = < text = <"Multiple Primärtumoren (m)"> description = <"Das Vorhandensein multipler simultaner Primärtumoren mit einer Lokalisation."> > ["at0025.1"] = < text = <"Multiple Primärtumoren (m)"> description = <"Das Vorhandensein multipler simultaner Primärtumoren mit einer Lokalisation."> comment = <"Bezeichnet als Suffix, entweder als Buchstabe \"m\" oder als Anzahl der Primärtumoren. Zum Beispiel: \"pT2(m)\" oder \"pT2(4)\"."> > ["at0026"] = < text = <"Multimodale Therapie (y)"> description = <"Die Beurteilung erfolgt während oder nach einer initialen multimodalen Therapie."> comment = <"Ist als \"WAHR\", gekennzeichnet durch das Hinzufügen des Präfix \"y\", darzustellen. Zum Beispiel: \"yTNM\"."> > ["at0027"] = < text = <"Rezidiv (r)"> description = <"Die Beurteilung erfolgt für einen rezidivierenden Tumor nach einem tumorfreien Zeitintervall."> comment = <"Ist als \"WAHR\", gekennzeichnet durch das Hinzufügen des Präfix \"r\", darzustellen."> > ["at0028"] = < text = <"Autopsie (a)"> description = <"Die Beurteilung erfolgt bei der postmortalen Untersuchung."> comment = <"Ist als \"WAHR\", gekennzeichnet durch das Hinzufügen des Präfix \"a\", darzustellen."> > ["at0029"] = < text = <"Carcinoma in situ (is)"> description = <"Das Vorhandensein von primärtumor-assoziierten Carcinoma in situ."> > ["at0029.1"] = < text = <"Carcinoma in situ (is)"> description = <"Das Vorhandensein von primärtumor-assoziierten Carcinoma in situ."> comment = <"Ist als \"WAHR\", gekennzeichnet durch das Hinzufügen des Suffix \"is\", darzustellen. Zum Beispiel: \"pT3(m, is)\" oder \"pT2(3, is)\" oder \"pT2(is)\"."> > ["at0030"] = < text = <"TNM-Bewertung"> description = <"Verknüpfung von Bewertungen \"T\", \"N\" und \"M\" sowie ggf. optionale Bewertungen von „G“, „R“, „L“, „V“, Präfixen und / oder Suffixen."> > ["at0030.1"] = < text = <"pTNM-Bewertung"> description = <"Verknüpfung von \"pT\", \"pN\" und \"pM\"-Bewertungen sowie ggf. optionale Bewertungen von „G“, „R“, „L“, „V“, Präfixen und / oder Suffixen."> > ["at0031"] = < text = <"Stadiumeinteilung"> description = <"Die Kategorisierung des anatomischen Stadiums des Tumors, in der Regel basierend auf die TNM-Bewertung."> > ["at0031.1"] = < text = <"Stadiumeinteilung"> description = <"Die Kategorisierung des anatomischen Stadiums des Tumors, in der Regel basierend auf die TNM-Bewertung."> comment = <"Zum Beispiel: Carcinoma in situ wird in das Stadium 0 eingeteilt; oder Tumoren mit Fernmetastasen werden in das Stadium IV eingruppiert."> > ["at0032"] = < text = <"TNM Auflage"> description = <"Die Auflage, auf der die TNM-Klassifikation basiert, die für die Beurteilung verwendet wurde."> > > > >