archetype (adl_version=1.4) openEHR-EHR-CLUSTER.tnm_staging.v1 concept [at0000] -- Tumour - TNM Cancer staging language original_language = <[ISO_639-1::en]> description original_author = < ["name"] = <"Dr Ian McNicoll"> ["organisation"] = <"Ocean Informatics Scotland"> ["email"] = <"ian.mcnicoll@oceaninformatics.com"> ["date"] = <"27/07/2009"> > details = < ["en"] = < language = <[ISO_639-1::en]> purpose = <"A framework archetype for the recording of classification and grading of malignancies using the TNM classification. TNM is the Each malignancy has a unique TNM staging classification and it would be normal to further constrain this archetype to reflect these individual requirements."> use = <"May be specialised or template-constrained for each particular tumour. e.g. TNM classification for bronchial carcinoma"> keywords = <"tumour", "TNM", "malignancy", "cancer", "staging", "classification", "grade", "grading", "stage", "lymph node", "metastasis"> misuse = <"Should not normally be used for TNM classification without specialisation or template-constraints"> copyright = <"copyright (c) 2009 openEHR Foundation"> > > lifecycle_state = <"AuthorDraft"> other_contributors = <"Heather Leslie Ocean Informatics Australia", "Sam Heard Ocean Informatics Australia", "Koray Atalag, University of Auckland, New Zealand"> other_details = < ["MD5-CAM-1.0.1"] = <"8CBC0E9AFBB0603DA802A38BEC1D0FA6"> ["references"] = <"American Joint Committee on Cancer. TNM schema files [Internet]. [cited 2009 Jul 27 ] Available from: http://www.cancerstaging.org/education/tnmschema/tnmschema.html Greene FL, Page DL, Fleming ID. et al, eds, for the American Joint Committee on Cancer. AJCC Cancer Staging Manual. 6th ed. New York, NY: Springer-Verlag; 2002. "> > definition CLUSTER[at0000] matches { -- Tumour - TNM Cancer staging items cardinality matches {0..*; unordered} matches { CLUSTER[at0002] occurrences matches {0..1} matches { -- Clinical (cTNM) items cardinality matches {0..*; unordered} matches { ELEMENT[at0003] occurrences matches {0..1} matches { -- Primary tumour (T) value matches { DV_TEXT matches {*} } } ELEMENT[at0004] occurrences matches {0..1} matches { -- Regional lymph nodes (N) value matches { DV_TEXT matches {*} } } ELEMENT[at0005] occurrences matches {0..1} matches { -- Distant metastasis (M) value matches { DV_TEXT matches {*} } } ELEMENT[at0025] occurrences matches {0..1} matches { -- Residual tumour (R) value matches { DV_CODED_TEXT matches { defining_code matches { [local:: at0026, -- RX at0027, -- RO at0028, -- R1 at0029] -- R2 } } } } ELEMENT[at0010] occurrences matches {0..1} matches { -- Clinical staging value matches { DV_TEXT matches {*} } } ELEMENT[at0014] occurrences matches {0..1} matches { -- Clinical stage grouping value matches { DV_TEXT matches {*} } } ELEMENT[at0012] occurrences matches {0..1} matches { -- Comment value matches { DV_TEXT matches {*} } } } } CLUSTER[at0006] occurrences matches {0..1} matches { -- Pathological (pTNM) items cardinality matches {0..*; unordered} matches { ELEMENT[at0007] occurrences matches {0..1} matches { -- Primary tumour (pT) value matches { DV_TEXT matches {*} } } ELEMENT[at0008] occurrences matches {0..1} matches { -- Regional lymph node (pN) value matches { DV_TEXT matches {*} } } ELEMENT[at0009] occurrences matches {0..1} matches { -- Distant metastasis (pM) value matches { DV_TEXT matches {*} } } ELEMENT[at0030] occurrences matches {0..1} matches { -- Residual tumour (pR) value matches { DV_CODED_TEXT matches { defining_code matches { [local:: at0031, -- RX at0032, -- RO at0033, -- R1 at0034] -- R2 } } } } ELEMENT[at0035] occurrences matches {0..1} matches { -- Histopathological grading (G) value matches { DV_CODED_TEXT matches { defining_code matches { [local:: at0038, -- GX at0039, -- G1 at0040, -- G2 at0041, -- G3 at0042] -- G4 } } } } ELEMENT[at0011] occurrences matches {0..1} matches { -- Pathological staging value matches { DV_TEXT matches {*} } } ELEMENT[at0015] occurrences matches {0..1} matches { -- Pathological stage grouping value matches { DV_TEXT matches {*} } } ELEMENT[at0013] occurrences matches {0..1} matches { -- Comment value matches { DV_TEXT matches {*} } } } } } } ontology term_definitions = < ["en"] = < items = < ["at0000"] = < text = <"Tumour - TNM Cancer staging"> description = <"A framework for the classification and grading of malignancies using the TNM classification system."> > ["at0002"] = < text = <"Clinical (cTNM)"> description = <"Clinical TNM pre-treatment classification based on physical examination, imaging and biopsies."> > ["at0003"] = < text = <"Primary tumour (T)"> description = <"Clincal assessment of the primary tumour."> > ["at0004"] = < text = <"Regional lymph nodes (N)"> description = <"Clinical assessment of the regional lymph nodes."> > ["at0005"] = < text = <"Distant metastasis (M)"> description = <"Clinical assessment of distant metastasis."> > ["at0006"] = < text = <"Pathological (pTNM)"> description = <"Pathological staging. Based on the clinical staging, results of procedures and pathological/histo-pathological assessment."> > ["at0007"] = < text = <"Primary tumour (pT)"> description = <"Pathological assessment of the primary tumour."> > ["at0008"] = < text = <"Regional lymph node (pN)"> description = <"Pathological assessment of the regional lymph nodes."> > ["at0009"] = < text = <"Distant metastasis (pM)"> description = <"Pathological assessment of distant metastases."> > ["at0010"] = < text = <"Clinical staging"> description = <"The overall Clinical staging derived from each T, N and M component e.g T1aM0NX. May include additional TNM descriptors."> > ["at0011"] = < text = <"Pathological staging"> description = <"The overall Pathological staging derived from each pT, pN and pM component. May include additional TNM descriptors."> > ["at0012"] = < text = <"Comment"> description = <"A text comment on the Clinical staging."> > ["at0013"] = < text = <"Comment"> description = <"A text comment on the Pathological staging."> > ["at0014"] = < text = <"Clinical stage grouping"> description = <"The TNM Clinical stage grouping."> > ["at0015"] = < text = <"Pathological stage grouping"> description = <"The TNM Pathological stage grouping."> > ["at0025"] = < text = <"Residual tumour (R)"> description = <"Clinical assessment of post-treatment residual tumour."> > ["at0026"] = < text = <"RX"> description = <"Presence of residual tumour cannot be assessed."> > ["at0027"] = < text = <"RO"> description = <"No residual tumour."> > ["at0028"] = < text = <"R1"> description = <"Microscopic residual tumour."> > ["at0029"] = < text = <"R2"> description = <"Macroscopic residual tumour."> > ["at0030"] = < text = <"Residual tumour (pR)"> description = <"Pathological assessment of post-treatment residual tumour."> > ["at0031"] = < text = <"RX"> description = <"Presence of residual tumour cannot be assessed. "> > ["at0032"] = < text = <"RO"> description = <"No residual tumour."> > ["at0033"] = < text = <"R1"> description = <"Microscopic residual tumour."> > ["at0034"] = < text = <"R2"> description = <"Macroscopic residual tumour."> > ["at0035"] = < text = <"Histopathological grading (G)"> description = <"TNM histopathological grading classification. "> > ["at0038"] = < text = <"GX"> description = <"Grade of differentiation cannot be assessed."> > ["at0039"] = < text = <"G1"> description = <"Well differentiated."> > ["at0040"] = < text = <"G2"> description = <"Moderately differentiated."> > ["at0041"] = < text = <"G3"> description = <"Poorly differentiated."> > ["at0042"] = < text = <"G4"> description = <"Undifferentiated"> > > > >