ARCHETYPE TNM staging - Melanoma of skin (Sixth edition) (openEHR-EHR-CLUSTER.tnm_staging-melanoma.v1)

ARCHETYPE ID	openEHR-EHR-CLUSTER.tnm_staging-melanoma.v1
Concept	TNM staging - Melanoma of skin (Sixth edition)
Description	TNM Staging classification for melanoma of skin (Sixth edition).
Use	Use only for the Sixth edition of TNM melanoma of skin classification.
Misuse	Not to be used for other editions of TNM classification.
Purpose	To record the TNM staging classification for melanoma of skin (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 Scotland Email: ian.mcnicoll@oceaninformatics.com Date originally authored: 27/07/2009
Other Details Language	Author name: Dr Ian McNicoll Organisation: Ocean Informatics Scotland 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=77DA0DB2120ED76F3EF208EF4AC1468E}
Keywords	tumour, TNM, malignancy, cancer, staging, classification, grade, grading, stage, lymph node, metastasis, melanoma
Lifecycle	AuthorDraft
Language used	en
Citeable Identifier	1051.32.325
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itemType=ELEMENT, level=2, text=Distant metastasis (M), description=Clinical assessment of distant metastasis., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values= at0.78::MX [Distant metastasis cannot be assessed. ] at0.79::M0 [No distant metastasis. ] at0.80::M1 [Distant metastasis. ] at0.81::M1a [Metastasis to skin, subcutaneous tissue or lymph node(s) beyond the regional lymph nodes. ] at0.82::M1b [Metastasis to lung. ] at0.83::M1c [Metastasis to other sites, or any site with elevated serum lactic dehydrogenase (LDH). ] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0002]/items[at0025], code=at0025, itemType=ELEMENT, level=2, text=Residual tumour (R), description=Clinical 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= at0026::RX [Presence of residual tumour cannot be assessed.] at0027::R0 [No residual tumour.] at0028::R1 [Microscopic residual tumour.] at0029::R2 [Macroscopic residual tumour.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0002]/items[at0010], code=at0010, itemType=ELEMENT, level=2, 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= at0.43::pTX [Primary tumour cannot be assessed. ] at0.44::pT0 [No evidence of primary tumour. ] at0.45::pTis [Melanoma in situ (Clark level I) (atypical melanocytic hyperplasia, severe melanocytic dysplasia, not an invasive malignant lesion). ] at0.46::pT1 [Tumour 1 mm or less in thickness. ] at0.47::pT3 [Clark level II or III, without ulceration. ] at0.48::pT1b [Clark level IV or V, or with ulceration. ] at0.49::pT2 [Tumour more than 1 mm but not more than 2 mm in thickness. ] at0.50::pT2a [ Tumour more than 1 mm but not more than 2 mm in thickness, without ulceration. ] at0.51::pT2b [ Tumour more than 1 mm but not more than 2 mm in thickness, with ulceration. ] at0.52::pT3 [Tumour more than 2 mm but not more than 4 mm in thickness. ] at0.53::pT3a [Tumour more than 2 mm but not more than 4 mm in thickness, without ulceration. ] at0.54::pT3b [Tumour more than 2 mm but not more than 4 mm in thickness with ulceration. ] at0.55::pT4 [Tumour more than 4 mm in thickness. ] at0.56::pT4a [Tumour more than 4 mm in thickness, without ulceration. ] at0.57::pT4b [Tumour more than 4 mm in thickness, with ulceration. ] , 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= at0.68::NX [Regional lymph nodes cannot be assessed. ] at0.69::N0 [No regional lymph node metastasis. ] at0.70::N1 [Metastasis in one regional lymph node. ] at0.71::N1a [Only microscopic metastasis (clinically occult). ] at0.72::N1b [Macroscopic metastasis (clinically apparent). ] at0.73::N2 [Metastasis in two or three regional lymph nodes or intralymphatic regional metastasis. ] at0.74::N2a [Only microscopic nodal metastasis. ] at0.75::N2b [Macroscopic nodal metastasis. ] at0.76::N2c [Satellite or in-transit metastasis without regional nodal metastasis. ] at0.77::N3 [Metastasis in four or more regional lymph nodes, or matted metastatic regional lymph nodes, or satellite or in-transit metastasis with metastasis in regional lymph node(s). ] , 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= at0.84::pMX [Distant metastasis cannot be assessed. ] at0.85::pM0 [No distant metastasis. ] at0.86::pM1 [Distant metastasis. ] at0.87::pM1a [Metastasis to skin, subcutaneous tissue or lymph node(s) beyond the regional lymph nodes. ] at0.88::pM1b [Metastasis to lung. ] at0.89::pM1c [Metastasis to other sites, or any site with elevated serum lactic dehydrogenase (LDH). ] , 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