archetype (adl_version=1.4)
	openEHR-EHR-CLUSTER.tnm_staging_7th.v1

concept
	[at0000]	-- Tumour - TNM Cancer staging 7th Edition
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 7th Edition. 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) 2010 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"] = <"DDDA3560727BB4E2A3373FACF8F9C61B">
		["references"] = <"Sobin LH. TNM Classification of Malignant Tumours 7th Edition.  John Wiley and Sons; 2009.">
	>

definition
	CLUSTER[at0000] matches {	-- Tumour - TNM Cancer staging 7th Edition
		items cardinality matches {1..*; 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_TEXT matches {*}
				}
			}
			ELEMENT[at0046] occurrences matches {0..1} matches {	-- Histopathological grading (G)
				value matches {
					DV_CODED_TEXT matches {
						defining_code matches {
							[local::
							at0047, 	-- GX
							at0048, 	-- G1
							at0049, 	-- G2
							at0050, 	-- G3
							at0051]	-- G4
						}
					}
				}
			}
			ELEMENT[at0010] occurrences matches {0..1} matches {	-- Overall staging
				value matches {
					DV_TEXT matches {*}
				}
			}
			CLUSTER[at0052] occurrences matches {0..1} matches {	-- Descriptors
				items cardinality matches {1..*; unordered} matches {
					ELEMENT[at0053] occurrences matches {0..*} matches {	-- Descriptor
						value matches {
							DV_TEXT matches {*}
						}
					}
				}
			}
			ELEMENT[at0014] occurrences matches {0..1} matches {	-- Stage grouping
				value matches {
					DV_TEXT matches {*}
				}
			}
			ELEMENT[at0012] occurrences matches {0..1} matches {	-- Comment
				value matches {
					DV_TEXT matches {*}
				}
			}
		}
	}

ontology
	term_definitions = <
		["en"] = <
			items = <
				["at0000"] = <
					text = <"Tumour - TNM Cancer staging 7th Edition">
					description = <"A framework for the classification and grading of malignancies using the TNM classification system 7th Edition.">
				>
				["at0003"] = <
					text = <"Primary tumour (T)">
					description = <"Assessment of the primary tumour.">
				>
				["at0004"] = <
					text = <"Regional lymph nodes (N)">
					description = <"Assessment of the regional lymph nodes.">
				>
				["at0005"] = <
					text = <"Distant metastasis (M)">
					description = <"Assessment of distant metastasis.">
				>
				["at0010"] = <
					text = <"Overall staging">
					description = <"The overall staging derived from each T, N and M component e.g T1aM0NX. May include additional TNM descriptors.">
				>
				["at0012"] = <
					text = <"Comment">
					description = <"A text comment on the staging.">
				>
				["at0014"] = <
					text = <"Stage grouping">
					description = <"The TNM Stage grouping.">
				>
				["at0025"] = <
					text = <"Residual tumour (R)">
					description = <"Assessment of post-treatment residual tumour.">
				>
				["at0046"] = <
					text = <"Histopathological grading (G)">
					description = <"TNM histopathological grading classification. ">
				>
				["at0047"] = <
					text = <"GX">
					description = <"Grade of differentiation cannot be assessed.">
				>
				["at0048"] = <
					text = <"G1">
					description = <"Well differentiated.">
				>
				["at0049"] = <
					text = <"G2">
					description = <"Moderately differentiated.">
				>
				["at0050"] = <
					text = <"G3">
					description = <"Poorly differentiated.">
				>
				["at0051"] = <
					text = <"G4">
					description = <"Undifferentiated.">
				>
				["at0052"] = <
					text = <"Descriptors">
					description = <"Additional tumour specific TNM descriptors.">
				>
				["at0053"] = <
					text = <"Descriptor">
					description = <"Additional tumour specific TNM descriptor.">
				>
			>
		>
	>