ARCHETYPE TNM staging - Colorectal cancer (Sixth edition) (openEHR-EHR-CLUSTER.tnm_staging-colorectal.v1)

ARCHETYPE IDopenEHR-EHR-CLUSTER.tnm_staging-colorectal.v1
ConceptTNM staging - Colorectal cancer (Sixth edition)
DescriptionTNM staging classification for colorectal cancer (Sixth edition).
UseUse for TNM Sixth Edition of colorectal cancer staging
MisuseDo not use for editions of TNM classification, other than Sixth edition.
PurposeTo record the TNM staging classification for colorectal cancer (Sixth edition).
ReferencesGreene 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.

American Joint Committee on Cancer. TNM schema files [Internet]. [cited 2009 Jul 27 ]
Available from: http://www.cancerstaging.org/education/tnmschema/tnmschema.html


Copyrightcopyright (c) 2009 openEHR Foundation
AuthorsAuthor name: Dr Ian McNicoll
Organisation: Ocean Informatics, UK
Email: ian.mcnicoll@oceaninformatics.com
Date originally authored: 27/07/2009
Other Details LanguageAuthor name: Dr Ian McNicoll
Organisation: Ocean Informatics, UK
Email: ian.mcnicoll@oceaninformatics.com
Date originally authored: 27/07/2009
OtherDetails Language Independent{references=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. American Joint Committee on Cancer. TNM schema files [Internet]. [cited 2009 Jul 27 ] Available from: http://www.cancerstaging.org/education/tnmschema/tnmschema.html , MD5-CAM-1.0.1=2239A78D1B8E76864BE773F671CFAC53}
Keywordstumour, TNM, malignancy, cancer, staging, classification, colon, rectum, anus, anal, bowel, rectal, lymph node, metastasis
LifecycleAuthorDraft
Language useden
Citeable Identifier1013.1.421
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Sam Heard, Ocean Informatics, Australia, originalLanguage=en, translators=, subjectOfData=unconstrained, archetypeTranslationTree=null, topLevelToAshis={events=[], context=[], capabilities=[], activities=[], protocol=[], identities=[], source=[], credentials=[], state=[], items=[ResourceSimplifiedHierarchyItem [path=/items[at0002], code=at0002, itemType=CLUSTER, level=1, text=Clinical (cTNM), description=Clinical TNM pre-treatment classification based on physical examination, imaging and biopsies., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=0..*, cardinalityText=Minimum of 0 items, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0002]/items[at0003], code=at0003, itemType=ELEMENT, level=2, text=Primary tumour (T), description=Clincal 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=
  • TX [Primary tumour cannot be assessed.]
  • T0 [No evidence of primary tumour.]
  • Tis [Carcinoma in situ: intraepithelial or invasion of lamina propria.]
  • T1 [Tumour invades submucosa.]
  • T2 [Tumour invades muscularis propria.]
  • T3 [Tumour invades through muscularis propria into subserosa or into non-peritonealized pericolic or perirectal tissues.]
  • T4 [Tumour directly invades other organs or structures and/or perforates visceral peritoneum.]
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  • NX [Regional lymph nodes cannot be assessed.]
  • N0 [No regional lymph node metastasis.]
  • N1 [Metastasis in 1 to 3 regional lymph nodes.]
  • N2 [Metastasis in 4 or more regional lymph nodes.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0002]/items[at0005], code=at0005, 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=
  • MX [Distant metastasis cannot be assessed.]
  • M0 [No distant metastasis.]
  • M1 [Distant metastasis]
, 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=
  • RX [Presence of residual tumour cannot be assessed.]
  • R0 [No residual tumour.]
  • R1 [Microscopic residual tumour.]
  • R2 [Macroscopic residual tumour.]
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  • Stage 0 [Tis N0 M0]
  • Stage I [T1 N0 M0, T2 N0 M0]
  • Stage IIA [T3 N0 M0]
  • Stage IIB [T4 N0 N0]
  • Stage IIIA [T1,2 N1 M0]
  • Stage IIIB [T3,T4 N1 M0]
  • Stage IIIC [Any T N2 M0]
  • Stage IV [Any T Any N M1]
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  • pTX [Cannot be assessed.]
  • pT0 [No evidence of primary tumour.]
  • pTis - no invasion [Carcinoma in situ, intraepithelial (no invasion).]
  • pTis - invasion [Carcinoma in situ, invasion of lamina propria.]
  • pT1 [Tumor invades submucosa.]
  • pT2 [Tumor invades muscularis propria.]
  • pT3 [Tumour invades through muscularis propria into subserosa or into non-peritonealized pericolic or perirectal tissues.]
  • pT4a [Tumor penetrates the visceral peritoneum.]
  • pT4b [Tumor directly invades other organs or structures.]
, 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=
  • pNX [Cannot be assessed.]
  • pT0 [No regional lymph node metastasis.]
  • pN1 [Metastasis in 1 to 3 regional lymph nodes.]
  • pN2 [Metastasis in 4 or more regional lymph nodes.]
, 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=
  • pMX [Cannot be assessed.]
  • pM0 [No distant metastasis.]
  • pM1 [*]
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  • RX [Presence of residual tumour cannot be assessed. ]
  • R0 [No residual tumour.]
  • R1 [Microscopic residual tumour.]
  • R2 [Macroscopic residual tumour.]
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  • GX [Grade of differentiation cannot be assessed.]
  • G1 [Well differentiated.]
  • G2 [Moderately differentiated.]
  • G3 [Poorly differentiated.]
  • G4 [Undifferentiated.]
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  • Stage 0 [Tis N0 M0]
  • Stage I [T1 N0 M0, T2 N0 M0]
  • Stage IIA [T3 N0 M0]
  • Stage IIB [T4 N0 N0]
  • Stage IIIA [T1,2 N1 M0]
  • Stage IIIB [T3,T4 N1 M0]
  • Stage IIIC [Any T N2 M0]
  • Stage IV [Any T Any N M1]
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  • TX [Primary tumour cannot be assessed.]
  • T0 [No evidence of primary tumour.]
  • Tis [Carcinoma in situ: intraepithelial or invasion of lamina propria.]
  • T1 [Tumour invades submucosa.]
  • T2 [Tumour invades muscularis propria.]
  • T3 [Tumour invades through muscularis propria into subserosa or into non-peritonealized pericolic or perirectal tissues.]
  • T4 [Tumour directly invades other organs or structures and/or perforates visceral peritoneum.]
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  • NX [Regional lymph nodes cannot be assessed.]
  • N0 [No regional lymph node metastasis.]
  • N1 [Metastasis in 1 to 3 regional lymph nodes.]
  • N2 [Metastasis in 4 or more regional lymph nodes.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0002]/items[at0005], code=at0005, 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=
  • MX [Distant metastasis cannot be assessed.]
  • M0 [No distant metastasis.]
  • M1 [Distant metastasis]
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  • RX [Presence of residual tumour cannot be assessed.]
  • R0 [No residual tumour.]
  • R1 [Microscopic residual tumour.]
  • R2 [Macroscopic residual tumour.]
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  • Stage 0 [Tis N0 M0]
  • Stage I [T1 N0 M0, T2 N0 M0]
  • Stage IIA [T3 N0 M0]
  • Stage IIB [T4 N0 N0]
  • Stage IIIA [T1,2 N1 M0]
  • Stage IIIB [T3,T4 N1 M0]
  • Stage IIIC [Any T N2 M0]
  • Stage IV [Any T Any N M1]
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  • pTX [Cannot be assessed.]
  • pT0 [No evidence of primary tumour.]
  • pTis - no invasion [Carcinoma in situ, intraepithelial (no invasion).]
  • pTis - invasion [Carcinoma in situ, invasion of lamina propria.]
  • pT1 [Tumor invades submucosa.]
  • pT2 [Tumor invades muscularis propria.]
  • pT3 [Tumour invades through muscularis propria into subserosa or into non-peritonealized pericolic or perirectal tissues.]
  • pT4a [Tumor penetrates the visceral peritoneum.]
  • pT4b [Tumor directly invades other organs or structures.]
, 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=
  • pNX [Cannot be assessed.]
  • pT0 [No regional lymph node metastasis.]
  • pN1 [Metastasis in 1 to 3 regional lymph nodes.]
  • pN2 [Metastasis in 4 or more regional lymph nodes.]
, 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=
  • pMX [Cannot be assessed.]
  • pM0 [No distant metastasis.]
  • pM1 [*]
, 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=
  • RX [Presence of residual tumour cannot be assessed. ]
  • R0 [No residual tumour.]
  • R1 [Microscopic residual tumour.]
  • R2 [Macroscopic residual tumour.]
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  • GX [Grade of differentiation cannot be assessed.]
  • G1 [Well differentiated.]
  • G2 [Moderately differentiated.]
  • G3 [Poorly differentiated.]
  • G4 [Undifferentiated.]
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  • Stage 0 [Tis N0 M0]
  • Stage I [T1 N0 M0, T2 N0 M0]
  • Stage IIA [T3 N0 M0]
  • Stage IIB [T4 N0 N0]
  • Stage IIIA [T1,2 N1 M0]
  • Stage IIIB [T3,T4 N1 M0]
  • Stage IIIC [Any T N2 M0]
  • Stage IV [Any T Any N M1]
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