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

ARCHETYPE IDopenEHR-EHR-CLUSTER.tnm_staging-prostate.v1
ConceptTNM staging - Prostate cancer (Sixth edition)
DescriptionTNM Staging classification for prostate cancer (Sixth edition).
UseUse only for the Sixth edition of TNM prostate classification.
MisuseNot to be used for other editions of TNM classification. Not to be to stage transitional cell carcinoma of the prostate.
PurposeTo record the TNM staging classification for prostate cancer (Sixth Edition).
ReferencesAmerican 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.

Copyrightcopyright (c) 2009 openEHR Foundation
AuthorsAuthor name: Dr Ian McNicoll
Organisation: Ocean Informatics, United Kingdom
Email: ian.mcnicoll@oceaninformatics.com
Date originally authored: 27/07/2009
Other Details LanguageAuthor 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}
Keywordstumour, TNM, malignancy, cancer, staging, classification, grade, grading, stage, lymph node, metastasis, prostate
LifecycleAuthorDraft
Language useden
Citeable Identifier1013.1.524
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Sam Heard Ocean Informatics Australia
Koray Atalag, University of Auckland, New Zealand, 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=1..*, cardinalityText=, 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.]
  • T1 [Clinically inapparent tumour not palpable or visible by imaging.]
  • T1a [Tumour incidental histological finding in 5% or less of tissue resected.]
  • T1b [Tumour incidental histological finding in more than 5% of tissue resected.]
  • T1c [Tumour identified by needle biopsy.]
  • T2 [Tumour confined within prostate.]
  • T2a [Tumour involves one half of one lobe or less.]
  • T2b [Tumour involves more than half of one lobe, but not both lobes.]
  • T2c [Tumour involves both lobes.]
  • T3 [Tumour extends through the prostatic capsule.]
  • T3a [Extracapsular extension (unilateral or bilateral).]
  • T3b [Tumour invades seminal vesicle(s).]
  • T4 [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[at0002]/items[at0004], code=at0004, itemType=ELEMENT, level=2, text=Regional lymph nodes (N), description=Clinical 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=
  • NX [Regional nodes cannot be assessed.]
  • N0 [No metastasis to regional lymph nodes.]
  • N1 [Metastasis in 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 present.]
  • M1a [Metastasis to non-regional lymph nodes.]
  • M1b [Metastasis to bone(s).]
  • M1c [Metastasis to other site(s) with or without bone disease.]
, 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.]
, 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. May include additional TNM descriptors., 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], ResourceSimplifiedHierarchyItem [path=/items[at0002]/items[at0014], code=at0014, itemType=ELEMENT, level=2, text=Clinical stage grouping, description=The TNM Clinical 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=
  • Stage I [T1a,N0,M0,G1]
  • Stage II [T1a,N0,M0,G2-4; T1b-c,N0,M0,AnyG; T1-2,N0,M0,AnyG]
  • Stage III [T3,N0,M0,AnyG]
  • Stage IV [T4,N0,M0,AnyG; AnyT,N1,M0,AnyG; AnyT,AnyN,M1,AnyG]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0002]/items[at0012], code=at0012, itemType=ELEMENT, level=2, text=Comment, description=A text comment on the Clinical 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], ResourceSimplifiedHierarchyItem [path=/items[at0006], code=at0006, itemType=CLUSTER, level=1, text=Pathological (pTNM), description=Pathological staging. 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=, 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=
  • pTX [Primary tumour cannot be assessed.]
  • pT0 [No evidence of primary tumour.]
  • pT2 [Tumour confined within prostate.]
  • pT2a [Tumour involves one half of one lobe or less.]
  • pT2b [Tumour involves more than half of one lobe, but not both lobes.]
  • pT2c [Tumour involves both lobes.]
  • pT3 [Tumour extends through the prostatic capsule.]
  • pT3a [Extracapsular extension (unilateral or bilateral).]
  • pT3b [Tumour invades seminal vesicle(s).]
  • 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=
  • pNX [Regional nodes cannot be assessed.]
  • pN0 [No metastasis to regional lymph nodes.]
  • pN1 [Metastasis in regional lymph nodes.]
  • 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=
  • pMX [Distant metastasis cannot be assessed.]
  • pM0 [No distant metastasis.]
  • pM1 [Distant metastasis present.]
  • pM1a [Metastasis to non-regional lymph nodes.]
  • pM1b [Metastasis to bone(s).]
  • 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=
  • pRX [Presence of residual tumour cannot be assessed. ]
  • pR0 [No residual tumour.]
  • pR1 [Microscopic residual tumour.]
  • pR2 [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 I [T1a,N0,M0,G1]
  • Stage II [T1a,N0,M0,G2-4; T1b-c,N0,M0,AnyG; T1-2,N0,M0,AnyG]
  • Stage III [T3,N0,M0,AnyG]
  • Stage IV [T4,N0,M0,AnyG; AnyT,N1,M0,AnyG; AnyT,AnyN,M1,AnyG]
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  • TX [Primary tumour cannot be assessed.]
  • T0 [No evidence of primary tumour.]
  • T1 [Clinically inapparent tumour not palpable or visible by imaging.]
  • T1a [Tumour incidental histological finding in 5% or less of tissue resected.]
  • T1b [Tumour incidental histological finding in more than 5% of tissue resected.]
  • T1c [Tumour identified by needle biopsy.]
  • T2 [Tumour confined within prostate.]
  • T2a [Tumour involves one half of one lobe or less.]
  • T2b [Tumour involves more than half of one lobe, but not both lobes.]
  • T2c [Tumour involves both lobes.]
  • T3 [Tumour extends through the prostatic capsule.]
  • T3a [Extracapsular extension (unilateral or bilateral).]
  • T3b [Tumour invades seminal vesicle(s).]
  • T4 [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[at0002]/items[at0004], code=at0004, itemType=ELEMENT, level=2, text=Regional lymph nodes (N), description=Clinical 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=
  • NX [Regional nodes cannot be assessed.]
  • N0 [No metastasis to regional lymph nodes.]
  • N1 [Metastasis in 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 present.]
  • M1a [Metastasis to non-regional lymph nodes.]
  • M1b [Metastasis to bone(s).]
  • M1c [Metastasis to other site(s) with or without bone disease.]
, 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 I [T1a,N0,M0,G1]
  • Stage II [T1a,N0,M0,G2-4; T1b-c,N0,M0,AnyG; T1-2,N0,M0,AnyG]
  • Stage III [T3,N0,M0,AnyG]
  • Stage IV [T4,N0,M0,AnyG; AnyT,N1,M0,AnyG; AnyT,AnyN,M1,AnyG]
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  • pTX [Primary tumour cannot be assessed.]
  • pT0 [No evidence of primary tumour.]
  • pT2 [Tumour confined within prostate.]
  • pT2a [Tumour involves one half of one lobe or less.]
  • pT2b [Tumour involves more than half of one lobe, but not both lobes.]
  • pT2c [Tumour involves both lobes.]
  • pT3 [Tumour extends through the prostatic capsule.]
  • pT3a [Extracapsular extension (unilateral or bilateral).]
  • pT3b [Tumour invades seminal vesicle(s).]
  • 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=
  • pNX [Regional nodes cannot be assessed.]
  • pN0 [No metastasis to regional lymph nodes.]
  • pN1 [Metastasis in regional lymph nodes.]
  • 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=
  • pMX [Distant metastasis cannot be assessed.]
  • pM0 [No distant metastasis.]
  • pM1 [Distant metastasis present.]
  • pM1a [Metastasis to non-regional lymph nodes.]
  • pM1b [Metastasis to bone(s).]
  • 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=
  • pRX [Presence of residual tumour cannot be assessed. ]
  • pR0 [No residual tumour.]
  • pR1 [Microscopic residual tumour.]
  • 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=
  • GX [Grade of differentiation cannot be assessed.]
  • G1 [Well differentiated.]
  • G2 [Moderately differentiated.]
  • G3 [Poorly differentiated.]
  • G4 [Undifferentiated.]
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  • Stage I [T1a,N0,M0,G1]
  • Stage II [T1a,N0,M0,G2-4; T1b-c,N0,M0,AnyG; T1-2,N0,M0,AnyG]
  • Stage III [T3,N0,M0,AnyG]
  • Stage IV [T4,N0,M0,AnyG; AnyT,N1,M0,AnyG; AnyT,AnyN,M1,AnyG]
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