| ARCHETYPE ID | openEHR-EHR-CLUSTER.tnm_staging_7th-colorectal.v1 |
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| Concept | Tumour - Colorectal Cancer TNM staging 7th Edition |
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| Description | For the classification and grading of colorectal cancer using the TNM classification 7th Edition. |
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| Misuse | Use only for TNM 7th Edition colorecal cancer staging. |
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| Purpose | To record the classification and grading of colorectal cancer using the TNM classification 7th 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: AD3C9868BD585A9611A94C812D64EDFD
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| Keywords | tumour, TNM, malignancy, cancer, staging, classification, grade, grading, stage, lymph node, metastasis, colorectal |
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| Lifecycle | AuthorDraft |
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| Language used | en |
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| Citeable Identifier | 1013.1.657 |
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| items | |
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| Primary tumour (T) | Primary tumour (T): Assessment of the primary tumour.
- at0.52::TX [Primary tumour cannot be assessed.]
- at0.53::T0 [No evidence of primary tumour.]
- at0.54::Tis [Carcinoma in situ: intraepithelial or invasion of lamina propria.]
- at0.55::T1 [Tumour invades submucosa.]
- at0.56::T2 [Tumour invades muscularis propria.]
- at0.57::T3 [Tumour invades through the muscularis propria into pericolorectal tissues.]
- at0.58::T4a [Tumour penetrates to the surface of the visceral peritoneum.]
- at0.59::T4b [Tumour directly invades or is adherent to other organs or structures.]
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| Regional lymph nodes (N) | Regional lymph nodes (N): Assessment of the regional lymph nodes.
- at0.60::NX [Regional lymph nodes cannot be assessed.]
- at0.61::N0 [No regional lymph node metastasis.]
- at0.62::N1 [Metastasis in 1-3 regional lymph nodes.]
- at0.63::N1a [Metastasis in one regional lymph node.]
- at0.64::N1b [Metastasis in 2-3 regional lymph nodes.]
- at0.65::N1c [Tumour deposit(s) in the subserosa, mesentery, or nonperitonealised pericolic or perirectal tissues without regional nodal metastasis.]
- at0.66::N2 [Metastasis in 4 or more regional lymph nodes]
- at0.67::N2a [Metastasis in 4-6 regional lymph nodes.]
- at0.68::N2b [Metastasis in 7 or more regional lymph nodes.]
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| Distant metastasis (M) | Distant metastasis (M): Assessment of distant metastasis.
- at0.69::MX [Distant metastasis cannot be assessed.]
- at0.70::M0 [No distant metastasis.]
- at0.71::M1 [Distant metastasis.]
- at0.72::M1a [Metastasis confined to one organ or site (e.g., liver, lung, ovary, nonregional node).]
- at0.73::M1b [Metastases in more than one organ/site or the peritoneum.]
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| Residual tumour (R) | Residual tumour (R): Assessment of post-treatment residual tumour.
- at0.74::R0 [R0 - as per AJCC TNM classification 7th Edition.]
- at0.75::R1 [R1 - as per AJCC TNM classification 7th Edition.]
- at0.76::R2 [R2 - as per AJCC TNM classification 7th Edition.]
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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.
- at0.77::Stage 0 [Stage 0 - as per AJCC TNM classification 7th Edition.]
- at0.78::Stage I [Stage 1 - as per AJCC TNM classification 7th Edition.]
- at0.79::Stage IIA [Stage IIA - as per AJCC TNM classification 7th Edition.]
- at0.80::Stage IIB [Stage IIB - as per AJCC TNM classification 7th Edition.]
- at0.81::Stage IIC [Stage IIC - as per AJCC TNM classification 7th Edition.]
- at0.82::Stage IIIA [Stage IIIA - as per AJCC TNM classification 7th Edition.]
- at0.83::Stage IIIB [Stage IIIB - as per AJCC TNM classification 7th Edition.]
- at0.84::Stage IIIC [Stage IIIC - as per AJCC TNM classification 7th Edition.]
- at0.85::Stage IVA [Stage IVA - as per AJCC TNM classification 7th Edition.]
- at0.86::Stage IVB [Stage IVB - as per AJCC TNM classification 7th Edition.]
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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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