ARCHETYPE TNM staging - Prostate cancer (Sixth edition) (openEHR-EHR-CLUSTER.tnm_staging-prostate.v1)

ARCHETYPE ID	openEHR-EHR-CLUSTER.tnm_staging-prostate.v1
Concept	TNM staging - Prostate cancer (Sixth edition)
Description	TNM Staging classification for prostate cancer (Sixth edition).
Use	Use only for the Sixth edition of TNM prostate classification.
Misuse	Not to be used for other editions of TNM classification. Not to be to stage transitional cell carcinoma of the prostate.
Purpose	To record the TNM staging classification for prostate cancer (Sixth Edition).
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.
Copyright	copyright (c) 2009 openEHR Foundation
Authors	Author name: Dr Ian McNicoll Organisation: Ocean Informatics, United Kingdom Email: ian.mcnicoll@oceaninformatics.com Date originally authored: 27/07/2009
Other Details Language	Author name: Dr Ian McNicoll Organisation: Ocean Informatics, United Kingdom Email: ian.mcnicoll@oceaninformatics.com Date originally authored: 27/07/2009
OtherDetails Language Independent	{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. , MD5-CAM-1.0.1=C01843F6E3EA9FAE62C779D985320584}
Keywords	tumour, TNM, malignancy, cancer, staging, classification, grade, grading, stage, lymph node, metastasis, prostate
Lifecycle	AuthorDraft
Language used	en
Citeable Identifier	1051.32.320
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text=Clinical staging, description=The overall Clinical staging derived from each T, N and M component e.g T1aM0NX. 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Based on the clinical staging, results of procedures and pathological/histo-pathological assessment., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=1.., cardinalityText= (Cardinality: 1.., unordered), subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006]/items[at0007], code=at0007, itemType=ELEMENT, level=2, text=Primary tumour (pT), description=Pathological assessment of the primary tumour., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values= at0.57::pTX [Primary tumour cannot be assessed.] at0.58::pT0 [No evidence of primary tumour.] at0.63::pT2 [Tumour confined within prostate.] at0.64::pT2a [Tumour involves one half of one lobe or less.] at0.65::pT2b [Tumour involves more than half of one lobe, but not both lobes.] at0.66::pT2c [Tumour involves both lobes.] at0.67::pT3 [Tumour extends through the prostatic capsule.] at0.68::pT3a [Extracapsular extension (unilateral or bilateral).] at0.69::pT3b [Tumour invades seminal vesicle(s).] at0.70::pT4 [Tumour is fixed or invades adjacent structures other than seminal vesicles: bladder neck, external sphincter, rectum, levator muscles, or pelvic wall.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006]/items[at0008], code=at0008, itemType=ELEMENT, level=2, text=Regional lymph node (pN), description=Pathological assessment of the regional lymph nodes., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values= at0.90::pNX [Regional nodes cannot be assessed.] at0.91::pN0 [No metastasis to regional lymph nodes.] at0.92::pN1 [Metastasis in regional lymph nodes.] at0.105::pN1mi [Metastasis to regional nodes no larger than 0.2cm.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006]/items[at0009], code=at0009, itemType=ELEMENT, level=2, text=Distant metastasis (pM), description=Pathological assessment of distant metastases., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values= at0.99::pMX [Distant metastasis cannot be assessed.] at0.100::pM0 [No distant metastasis.] at0.101::pM1 [Distant metastasis present.] at0.102::pM1a [Metastasis to non-regional lymph nodes.] at0.103::pM1b [Metastasis to bone(s).] at0.104::pM1c [Metastasis to other site(s) with or without bone disease.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006]/items[at0030], code=at0030, itemType=ELEMENT, level=2, text=Residual tumour (pR), description=Pathological assessment of post-treatment residual tumour., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values= at0031::pRX [Presence of residual tumour cannot be assessed. ] at0032::pR0 [No residual tumour.] at0033::pR1 [Microscopic residual tumour.] at0034::pR2 [Macroscopic residual tumour.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006]/items[at0035], code=at0035, itemType=ELEMENT, level=2, text=Histopathological grading (G), description=TNM histopathological grading classification. , comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values= at0038::GX [Grade of differentiation cannot be assessed.] at0039::G1 [Well differentiated.] at0040::G2 [Moderately differentiated.] at0041::G3 [Poorly differentiated.] at0042::G4 [Undifferentiated.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006]/items[at0011], code=at0011, itemType=ELEMENT, level=2, text=Pathological staging, description=The overall Pathological staging derived from each pT, pN and pM component. May include additional TNM descriptors., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006]/items[at0015], code=at0015, itemType=ELEMENT, level=2, text=Pathological stage grouping, description=The TNM Pathological stage grouping., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values= at0.110::Stage I [T1a,N0,M0,G1] at0.111::Stage II [T1a,N0,M0,G2-4; T1b-c,N0,M0,AnyG; T1-2,N0,M0,AnyG] at0.112::Stage III [T3,N0,M0,AnyG] at0.113::Stage IV [T4,N0,M0,AnyG; AnyT,N1,M0,AnyG; AnyT,AnyN,M1,AnyG] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006]/items[at0013], code=at0013, itemType=ELEMENT, level=2, text=Comment, description=A text comment on the Pathological staging., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null]], minIndents={}, termBindingRetrievalErrorMessage=null]