archetype (adl_version=1.4) openEHR-EHR-CLUSTER.macroscopy_colorectal_carcinoma.v1 concept [at0000] -- Macroscopic findings - Colorectal cancer language original_language = <[ISO_639-1::en]> description original_author = < ["name"] = <"Dr Ian McNicoll"> ["organisation"] = <"Ocean Informatics, UK"> ["email"] = <"ian.mcnicoll@oceaninformatics.com"> ["date"] = <"17/06/2009"> > details = < ["en"] = < language = <[ISO_639-1::en]> purpose = <"To record detailed findings about colorectal cancer found on macroscopic histopathological examination."> use = <"To record detailed findings about macroscopic examination of tissue related to colo-rectal cancer. Use as a component archetype in the context of a suite of archetypes that make up a histopathology report ie OBSERVATION.lab_test.histopathology and CLUSTER.microscopy_colorectal_carcinoma."> keywords = <"histopathology", "cancer", "laboratory", "lab", "malignancy", "pathology", "colonic", "rectal", "anal", "GI", "gastrointestinal", "bowel"> misuse = <"Not designed to be used within any other archetype other than OBSERVATION.lab_test.histopathology."> copyright = <"© openEHR Foundation"> > > lifecycle_state = <"AuthorDraft"> other_contributors = <"Koray Atalag, University of Auckland, New Zealand", "Matt Cordell, NEHTA, Australia", "Heather Leslie,Ocean Informatics,Australia", "David McKillop, NEHTA, Australia", "Cathy Richardson, NEHTA, Australia", "David Rowed, Ocean Informatics, Australia"> other_details = < ["references"] = <"College of American Pathologists. Protocol for the Examination of Specimens from Patients with Primary Carcinomas of the Colon and Rectum [Internet]. 2009 Mar ;[cited 2009 Jul 28 ] Available from: http://www.cap.org/apps/docs/committees/cancer/cancer_protocols/2008/colonrectum08_pw.pdf Royal College of Pathologists. Dataset for colorectal cancer (2nd edition) [Internet]. 2007 Dec 4;[cited 2009 Jul 29 ] Available from: http://www.rcpath.org/index.asp?PageID=1153 Royal College of Pathologists of Australasia. Colorectal Cancer Structured Reporting Protocol (1st Edition 2010). [Internet]. 2010;[cited 2010 Mar 21 ] Available from: http://www.rcpa.edu.au//static/File/Asset%20library/public%20documents/Publications/StructuredReporting/COLORECTAL%20CANCER%20STRUCTURED%20REPORTING%20PROTOCOL%20for%20web.pdf"> ["MD5-CAM-1.0.1"] = <"4243B86239E008CE0500331D107393A5"> > definition CLUSTER[at0000] matches { -- Macroscopic findings - Colorectal cancer items cardinality matches {1..*; unordered} matches { allow_archetype CLUSTER[at0347] occurrences matches {0..1} matches { -- Tumour dimensions include archetype_id/value matches {/openEHR-EHR-CLUSTER\.physical_properties(-[a-zA-Z0-9_]+)*\.v1/} } ELEMENT[at0330] occurrences matches {0..1} matches { -- Maximum extramuscular extension value matches { C_DV_QUANTITY < property = <[openehr::122]> list = < ["1"] = < units = <"mm"> magnitude = <|>=0.0|> > > > } } ELEMENT[at0331] occurrences matches {0..1} matches { -- Distance of tumour to nearest cut-end value matches { C_DV_QUANTITY < property = <[openehr::122]> list = < ["1"] = < units = <"mm"> magnitude = <|>=0.0|> > > > } } ELEMENT[at0332] occurrences matches {0..1} matches { -- Distance of tumour to circumferential margin value matches { C_DV_QUANTITY < property = <[openehr::122]> list = < ["1"] = < units = <"mm"> magnitude = <|>=0.0|> > > > } } ELEMENT[at0353] occurrences matches {0..1} matches { -- Distance of tumour from dentate line value matches { C_DV_QUANTITY < property = <[openehr::122]> list = < ["1"] = < units = <"mm"> magnitude = <|>=0.0|> > > > } } ELEMENT[at0333] occurrences matches {0..1} matches { -- Anastomotic doughnuts submitted value matches { DV_BOOLEAN matches { value matches {True, False} } } } CLUSTER[at0349] occurrences matches {0..1} matches { -- Tumour perforation items cardinality matches {1..*; unordered} matches { ELEMENT[at0334] occurrences matches {0..1} matches { -- Tumour perforation value matches { DV_CODED_TEXT matches { defining_code matches { [local:: at0344, -- Present at0345, -- Absent at0346] -- Indeterminate } } } } ELEMENT[at0350] occurrences matches {0..1} matches { -- Perforation location value matches { DV_CODED_TEXT matches { defining_code matches { [local:: at0351, -- Serosal at0352] -- Retro/infra peritoneal } } } } ELEMENT[at0354] occurrences matches {0..1} matches { -- Comment value matches { DV_TEXT matches {*} } } } } CLUSTER[at0335] occurrences matches {0..1} matches { -- For rectal tumours items cardinality matches {1..*; unordered} matches { ELEMENT[at0336] occurrences matches {0..1} matches { -- Relationship to anterior peritoneal reflection value matches { DV_CODED_TEXT matches { defining_code matches { [local:: at0341, -- Entirely above at0342, -- Astride at0343] -- Entirely below } } } } ELEMENT[at0337] occurrences matches {0..1} matches { -- Intactness of the mesorectum value matches { DV_CODED_TEXT matches { defining_code matches { [local:: at0338, -- Incomplete at0339, -- Nearly complete at0340, -- Complete at0348] -- Indeterminate } } } } } } } } ontology term_definitions = < ["en"] = < items = < ["at0000"] = < text = <"Macroscopic findings - Colorectal cancer"> description = <"Macroscopic anatomical pathology findings related to colorectal cancer."> > ["at0330"] = < text = <"Maximum extramuscular extension"> description = <"The maximum extramuscular extension of the tumour."> > ["at0331"] = < text = <"Distance of tumour to nearest cut-end"> description = <"The distance of the tumour to the nearest cut-end (i.e. proximal or distal margin). It is the measurement from the nearest cut end of the specimen and not the non-peritonealised (i.e. circumferential or radial) margin."> > ["at0332"] = < text = <"Distance of tumour to circumferential margin"> description = <"The distance of the tumour to the circumferential or radial margin. It is the measurement to the non-peritonealised margin and not to the nearest cut-end (i.e. proximal,distal)."> > ["at0333"] = < text = <"Anastomotic doughnuts submitted"> description = <"Have anastomotic doughnuts been submitted for analysis?"> > ["at0334"] = < text = <"Tumour perforation"> description = <"Finding of tumour perforation."> > ["at0335"] = < text = <"For rectal tumours"> description = <"Findings related solely to rectal tumours."> > ["at0336"] = < text = <"Relationship to anterior peritoneal reflection"> description = <"The relationship of rectal tumour to the anterior peritoneal reflection."> > ["at0337"] = < text = <"Intactness of the mesorectum"> description = <"An assessment of the intactness of the mesorectum."> > ["at0338"] = < text = <"Incomplete"> description = <"The mesorectum is incompletely intact."> > ["at0339"] = < text = <"Nearly complete"> description = <"The mesorectum is nearly completely intact."> > ["at0340"] = < text = <"Complete"> description = <"The mesorectum is completely intact."> > ["at0341"] = < text = <"Entirely above"> description = <"The tumour is entirely above the level of the peritoneal reflection anteriorly."> > ["at0342"] = < text = <"Astride"> description = <"The tumour is astride (or at) the level of the peritoneal reflection anteriorly."> > ["at0343"] = < text = <"Entirely below"> description = <"The tumour is entirely below the level of the peritoneal reflection anteriorly."> > ["at0344"] = < text = <"Present"> description = <"Tumour perforation is present."> > ["at0345"] = < text = <"Absent"> description = <"Tumour perforation is absent."> > ["at0346"] = < text = <"Indeterminate"> description = <"Presence of tumour perforation has not been determined."> > ["at0347"] = < text = <"Tumour dimensions"> description = <"Details of maximum dimensions of the tumour."> > ["at0348"] = < text = <"Indeterminate"> description = <"Intactness of the mesorectum has not been determined."> > ["at0349"] = < text = <"Tumour perforation"> description = <"Findings related to tumour perforation."> > ["at0350"] = < text = <"Perforation location"> description = <"The location of a perforation, if present."> > ["at0351"] = < text = <"Serosal"> description = <"The perforation is serosal."> > ["at0352"] = < text = <"Retro/infra peritoneal"> description = <"The perforation is retro/infra peritoneal."> > ["at0353"] = < text = <"Distance of tumour from dentate line"> description = <"For abdominoperineal resection specimens, distance of tumour from the dentate line."> > ["at0354"] = < text = <"Comment"> description = <"Furrher text comment on the perforation."> > > > >