ARCHETYPE Microscopic findings - Lung cancer (openEHR-EHR-CLUSTER.microscopy_lung_carcinoma.v1)

ARCHETYPE ID	openEHR-EHR-CLUSTER.microscopy_lung_carcinoma.v1
Concept	Microscopic findings - Lung cancer
Description	Microscopic anatomical pathology findings related to lung cancer.
Use	To record detailed findings about microscopic examination of tissue related to lung cancer. Use as a component archetype in the context of a suite of archetypes that make up a histopathology report i.e. OBSERVATION.lab_test.histopathology.
Misuse	Not designed to be used within any other archetype other than OBSERVATION.lab_test.histopathology.
Purpose	To record detailed findings about lung cancer found on microscopic histopathological examination.
References	The Royal College of Pathologists. Dataset for lung cancer histopathology reports [Internet]. 2007 Sep ;[cited 2009 Jul 27 ] Available from: http://www.rcpath.org/index.asp?PageID=1159 College of American Pathologists. Histopathology Lung protocol [Internet]. [cited 2009 Jul 27 ] Available from: http://www.cap.org/apps/docs/committees/cancer/cancer_protocols/2005/lung05_pw.pdf Royal College of Pathologists of Australasia. Lung 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/LUNG%20CANCER%20STRUCTURED%20PATHOLOGY%20REPORTING%20PROTOCOL%20for%20web.pdf
Copyright	copyright (c) 2010 openEHR foundation
Authors	Author name: Dr Ian McNicoll Organisation: Ocean Informatics, UK Email: ian.mcnicoll@oceaninformatics.com Date originally authored: 17/06/2009
Other Details Language	Author name: Dr Ian McNicoll Organisation: Ocean Informatics, UK Email: ian.mcnicoll@oceaninformatics.com Date originally authored: 17/06/2009
Other Details (Language Independent)	References: The Royal College of Pathologists. Dataset for lung cancer histopathology reports [Internet]. 2007 Sep ;[cited 2009 Jul 27 ] Available from: http://www.rcpath.org/index.asp?PageID=1159 College of American Pathologists. Histopathology Lung protocol [Internet]. [cited 2009 Jul 27 ] Available from: http://www.cap.org/apps/docs/committees/cancer/cancer_protocols/2005/lung05_pw.pdf Royal College of Pathologists of Australasia. Lung 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/LUNG%20CANCER%20STRUCTURED%20PATHOLOGY%20REPORTING%20PROTOCOL%20for%20web.pdf MD5-CAM-1.0.1: 86AF8B0C42DE41792B2F647581EAC4A2
Keywords	histopathology, cancer, laboratory, lung, lab, malignancy, bronchial, pathology, respiratory
Lifecycle	Initial
Language used	en
Citeable Identifier	1013.1.415
items
Local tissue invasion findings	Local tissue invasion findings: Findings related to local tissue invasion.
Visceral pleural invasion	Visceral pleural invasion: Details of visceral pleural invasion by tumour. Include: openEHR-EHR-CLUSTER.tumour_invasion.v1 Exclude: All not explicitly included archetypes
Arterial invasion	Arterial invasion: Details of arterial invasion by tumour. Include: openEHR-EHR-CLUSTER.tumour_invasion.v1 Exclude: All not explicitly included archetypes
Venous invasion	Venous invasion: Details of venous invasion by tumour. Include: openEHR-EHR-CLUSTER.tumour_invasion.v1 Exclude: All not explicitly included archetypes
Lymphatic invasion	Lymphatic invasion: Details of lymphatic invasion by tumour. Include: openEHR-EHR-CLUSTER.tumour_invasion.v1 Exclude: All not explicitly included archetypes
Perineural invasion	Perineural invasion: Details of perineural invasion by tumour. Include: openEHR-EHR-CLUSTER.tumour_invasion.v1 Exclude: All not explicitly included archetypes
Direct tissue invasion	Direct tissue invasion: Details of direct invasion of local tissue by tumour. Include: openEHR-EHR-CLUSTER.tumour_invasion.v1 Exclude: All not explicitly included archetypes
Bronchial resection margin findings	Bronchial resection margin findings: Findings related to bronchial surgical resection margin.
Bronchial resection margin	Bronchial resection margin: Details of bronchial surgical resection margin. Include: openEHR-EHR-CLUSTER.tumour_resection_margins.v1 Exclude: All not explicitly included archetypes
Nature of involvement	Nature of involvement: If the bronchial margin is involved by tumour, the nature of that involvement. at0282::Invasive carcinoma [Invasive carcinoma involvement of the bronchial margin.] at0283::In-situ carcinoma [In-situ carcinoma involvement of the bronchial margin.] at0284::Indeterminate [The nature of bronchial margin involvement has not been determined.]
Extent of invasion	Extent of invasion: If the tumour is invasive, the extent of invasion at the bronchial resection margin. at0286::Limited to bronchial tissue [Invasion at the bronchial margin is limited to bronchial tissue.] at0287::Infiltrates peri-bronchial soft tissue [Invasion at the bronchial margin infiltrates per-bronchial soft tissue.] at0288::Indeterrminate [Extent of invasion at bronchial margin has not been determined.]
Vascular resection margin findings	Vascular resection margin findings: Findings related to vascular surgical resection margin.
Vascular resection margin	Vascular resection margin: Details of vascular surgical resection margin. Include: openEHR-EHR-CLUSTER.tumour_resection_margins.v1 Exclude: All not explicitly included archetypes
Nature of involvement	Nature of involvement: If the vascular margin is involved by tumour, the nature of that involvement. Choice of: Coded Text at0278::Tumour thrombus present in the lumen of the vessel [Tumour thrombus is present in the lumen of the vessel.] at0279::Vessel wall involved by tumour [Vessel wall is involved by tumour.] at0280::Indeterminate [The nature of vascular involvement at the resection margin has not been determined.] Text
Other resection margin findings	Other resection margin findings: Findings related to other resection margins.
Other resection margin	Other resection margin: Details of other resection margin. Include: openEHR-EHR-CLUSTER.tumour_resection_margins.v1
In-situ carcinoma findings	In-situ carcinoma findings: Findings related to in-situ carcinoma.
In-situ carcinoma	In-situ carcinoma: Finding of in-situ carcinoma. at0253::Present [In-situ carcinoma is present.] at0254::Absent [In-situ carcinoma is absent.] at0255::Indeterminate [Presence of in-situ carcinoma has not been determined.]
Description	Description: A text description of in-situ carcinoma.
Lymph node findings	Lymph node findings: Findings related to the lymph node involvement by tumour.
Lymph node details	Lymph node details: Details of lymph node metastasis. Include: openEHR-EHR-CLUSTER.lymph_node_metastases.v1 Exclude: All not explicitly included archetypes
Additional findings	Additional findings: Additional histopathological findings.
Additional finding	Additional finding: Findings of an additional histopathological finding. Choice of: Coded Text at0258::Metaplasia [Metaplasia is present.] at0259::Inflammation [Inflammation is present.] at0260::Emphysema [Emphysema is present.] at0261::Interstitial fibrosis [Interstitial fibrosis is present.] Text
Description	Description: A text description of additional histopathological findings.
Other contributors	Koray Atalag, University of Auckland, New Zealand Matt Cordell, NEHTA, Australia Sam Heard, Ocean Informatics, Australia Heather Leslie, Ocean Informatics, Australia David McKillop, NEHTA, Australia Cathy Richardson, NEHTA, Australia
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