| ARCHETYPE ID | openEHR-EHR-CLUSTER.tnm_staging_7th-lung.v1 |
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| Concept | Tumour - Lung cancer TNM staging 7th Edition |
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| Description | TNM Staging classification for lung cancer (Seventh edition). |
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| Use | Use only for the Seventh edition of TNM lung cancer classification. |
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| Misuse | Not to be used for pleural mesothelioma, sarcoma or other rare lung tumours.
Not to be used for other editions of TNM classification. |
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| Purpose | To record the TNM staging classification for lung cancer (Seventh Edition). |
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| References | Sobin LH. TNM Classification of Malignant Tumours 7th Edition. John Wiley and Sons; 2009. |
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| Copyright | copyright (c) 2010 openEHR foundation |
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| Authors | Author name: Dr Ian McNicoll
Organisation: Ocean Informatics Scotland
Email: ian.mcnicoll@oceaninformatics.com
Date originally authored: 27/07/2009
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| Other Details Language | Author name: Dr Ian McNicoll
Organisation: Ocean Informatics Scotland
Email: ian.mcnicoll@oceaninformatics.com
Date originally authored: 27/07/2009
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| Other Details (Language Independent) | - References: Sobin LH. TNM Classification of Malignant Tumours 7th Edition. John Wiley and Sons; 2009.
- MD5-CAM-1.0.1: E8744BA45A466468F8CDBAD835B53AE5
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| Keywords | tumour, TNM, malignancy, cancer, staging, classification, grade, grading, stage, lymph node, metastasis, lung, bronchial |
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| Lifecycle | AuthorDraft |
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| Language used | en |
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| Citeable Identifier | 1013.1.656 |
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| items | |
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| Primary tumour (T) | Primary tumour (T): Assessment of the primary tumour.
- at0.52::TX [TX - as defined by AJCC/UICC TNM system (7th edition) Lung cancer.]
- at0.53::T0 [T0 - as defined by AJCC/UICC TNM system (7th edition) Lung cancer.]
- at0.54::Tis [Tis - as defined by AJCC/UICC TNM system (7th edition) Lung cancer.]
- at0.55::T1 [T1 - as defined by AJCC/UICC TNM system (7th edition) Lung cancer.]
- at0.56::T1a [T1a - as defined by AJCC/UICC TNM system (7th edition) Lung cancer.]
- at0.57::T1b [T1b - as defined by AJCC/UICC TNM system (7th edition) Lung cancer.]
- at0.58::T2 [T2 - as defined by AJCC/UICC TNM system (7th edition) Lung cancer.]
- at0.59::T2a [T2a - as defined by AJCC/UICC TNM system (7th edition) Lung cancer.]
- at0.60::T2b [T2b - as defined by AJCC/UICC TNM system (7th edition) Lung cancer.]
- at0.61::T3 [T3- as defined by AJCC/UICC TNM system (7th edition) Lung cancer.]
- at0.62::T4 [T4 - as defined by AJCC/UICC TNM system (7th edition) Lung cancer.]
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| Regional lymph nodes (N) | Regional lymph nodes (N): Assessment of the regional lymph nodes.
- at0.63::NX [Regional nodes cannot be assessed.]
- at0.64::N0 [No metastasis to regional lymph nodes.]
- at0.65::N1 [Metastasis in ipsilateral peribronchial and/or ipsilateral hilar lymph nodes and intrapulmonary nodes, including involvement by direct extension.]
- at0.66::N2 [Metastasis in ipsilateral mediastinal and/or subcarinal lymph node(s).]
- at0.67::N3 [Metastasis in contralateral mediastinal, contralateral hilar, ipsilateral or contralateral scalene, or supraclavicular lymph node(s).]
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| Distant metastasis (M) | Distant metastasis (M): Assessment of distant metastasis.
- at0.68::MX [Distant metastasis cannot be assessed.]
- at0.69::M0 [No distant metastasis.]
- at0.70::M1 [Distant metastasis present.]
- at0.71::M1a [Separate tumour with pleural nodules or malignant pleural (or pericardial)nodule(s) in a contralateral lobe; tumour with pleural nodules or malignant pleural (or pericardial).]
- at0.72::M1b [Distant metastasis.]
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| Residual tumour (R) | Residual tumour (R): Assessment of post-treatment residual tumour.
- at0.73::RX [Presence of residual tumour cannot be assessed.]
- at0.74::R0 [No residual tumour.]
- at0.75::R(is) [Carcimoma in situ.]
- at0.76::R1 [Microscopic residual tumour. Invasive mucosal carcinoma or peribronchial infiltration.]
- at0.77::R2 [Macroscopic residual tumour.]
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| Histopathological grading (G) | Histopathological grading (G): TNM histopathological grading classification.
- at0047::GX [Grade of differentiation cannot be assessed.]
- at0048::G1 [Well differentiated.]
- at0049::G2 [Moderately differentiated.]
- at0050::G3 [Poorly differentiated.]
- at0051::G4 [Undifferentiated.]
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| Overall staging | Overall staging: The overall staging derived from each T, N and M component e.g T1aM0NX. May include additional TNM descriptors. |
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| Descriptors | Descriptors: Additional tumour specific TNM descriptors. |
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| Descriptor | Descriptor: Additional tumour specific TNM descriptor. |
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| Stage grouping | Stage grouping: The TNM Stage grouping.
- at0.78::Stage 0 [Stage 0 - as defined by AJCC/UICC TNM system (7th edition) Lung cancer.]
- at0.79::Stage IA [Stage IA - as defined by AJCC/UICC TNM system (7th edition) Lung cancer.]
- at0.80::Stage IB [Stage 1B - as defined by AJCC/UICC TNM system (7th edition) Lung cancer.]
- at0.81::Stage IIA [Stage IA - as defined by AJCC/UICC TNM system (7th edition) Lung cancer.]
- at0.82::Stage IIB [Stage IIB - as defined by AJCC/UICC TNM system (7th edition) Lung cancer.]
- at0.83::Stage IIIA [Stage IIIA - as defined by AJCC/UICC TNM system (7th edition) Lung cancer.]
- at0.84::Stage IIIB [Stage IIIB - as defined by AJCC/UICC TNM system (7th edition) Lung cancer.]
- at0.85::Stage IV [Stage IV - as defined by AJCC/UICC TNM system (7th edition) Lung cancer.]
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| Comment | Comment: A text comment on the staging. |
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| Other contributors | Heather Leslie Ocean Informatics Australia
Sam Heard Ocean Informatics Australia
Koray Atalag, University of Auckland, New Zealand |
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| Translators | |
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