ARCHETYPE Macroscopic findings - Colorectal cancer (openEHR-EHR-CLUSTER.macroscopy_colorectal_carcinoma.v1)

ARCHETYPE IDopenEHR-EHR-CLUSTER.macroscopy_colorectal_carcinoma.v1
ConceptMacroscopic findings - Colorectal cancer
DescriptionMacroscopic anatomical pathology findings related to colorectal cancer.
UseTo record detailed findings about macroscopic examination of tissue related to colo-rectal cancer. Use as a component archetype in the context of a suite of archetypes that make up a histopathology report ie OBSERVATION.lab_test.histopathology and CLUSTER.microscopy_colorectal_carcinoma.
MisuseNot designed to be used within any other archetype other than OBSERVATION.lab_test.histopathology.
PurposeTo record detailed findings about colorectal cancer found on macroscopic histopathological examination.
ReferencesCollege of American Pathologists. Protocol for the Examination of Specimens from Patients with Primary Carcinomas of the Colon and Rectum [Internet]. 2009 Mar ;[cited 2009 Jul 28 ]
Available from: http://www.cap.org/apps/docs/committees/cancer/cancer_protocols/2008/colonrectum08_pw.pdf

Royal College of Pathologists. Dataset for colorectal cancer (2nd edition) [Internet]. 2007 Dec 4;[cited 2009 Jul 29 ]
Available from: http://www.rcpath.org/index.asp?PageID=1153

Royal College of Pathologists of Australasia. Colorectal 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/COLORECTAL%20CANCER%20STRUCTURED%20REPORTING%20PROTOCOL%20for%20web.pdf








Copyrightcopyright (c) 2010 openEHR foundation
AuthorsForfatternavn: Dr Ian McNicoll
Organisasjon: Ocean Informatics, UK
E-post: ian.mcnicoll@oceaninformatics.com
Opprinnelig skrevet dato: 17/06/2009
Other Details LanguageForfatternavn: Dr Ian McNicoll
Organisasjon: Ocean Informatics, UK
E-post: ian.mcnicoll@oceaninformatics.com
Opprinnelig skrevet dato: 17/06/2009
OtherDetails Language Independent{references=College of American Pathologists. Protocol for the Examination of Specimens from Patients with Primary Carcinomas of the Colon and Rectum [Internet]. 2009 Mar ;[cited 2009 Jul 28 ] Available from: http://www.cap.org/apps/docs/committees/cancer/cancer_protocols/2008/colonrectum08_pw.pdf Royal College of Pathologists. Dataset for colorectal cancer (2nd edition) [Internet]. 2007 Dec 4;[cited 2009 Jul 29 ] Available from: http://www.rcpath.org/index.asp?PageID=1153 Royal College of Pathologists of Australasia. Colorectal 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/COLORECTAL%20CANCER%20STRUCTURED%20REPORTING%20PROTOCOL%20for%20web.pdf , MD5-CAM-1.0.1=4243B86239E008CE0500331D107393A5}
Keywordshistopathology, cancer, laboratory, lab, malignancy, pathology, colonic, rectal, anal, GI, gastrointestinal, bowel
LifecycleAuthorDraft
Language useden
Citeable Identifier1078.36.2031
AllArchetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=null, archetypeConceptDescription=Macroscopic anatomical pathology findings related to colorectal cancer., archetypeConceptComment=null, otherContributors=Koray Atalag, University of Auckland, New Zealand
Matt Cordell, NEHTA, Australia
Heather Leslie,Ocean Informatics,Australia
David McKillop, NEHTA, Australia
Cathy Richardson, NEHTA, Australia
David Rowed, Ocean Informatics, Australia, originalLanguage=en, translators=, subjectOfData=ubegrenset, archetypeTranslationTree=null, topLevelToAshis={context=[], state=[], capabilities=[], contacts=[], details=[], identities=[], description=[], events=[], source=[], protocol=[], items=[ResourceSimplifiedHierarchyItem [path=/items[at0347], code=at0347, itemType=SLOT, level=1, text=Tumour dimensions, description=Details of maximum dimensions of the tumour., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Valgfritt, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Inkluder:
openEHR-EHR-CLUSTER.physical_properties.v1 og spesialiseringer, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0330], code=at0330, itemType=ELEMENT, level=1, text=Maximum extramuscular extension, description=The maximum extramuscular extension of the tumour., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Valgfritt, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=null, values=Egenskap: Length
Enheter:
  • >=0.0 mm
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0331], code=at0331, itemType=ELEMENT, level=1, text=Distance of tumour to nearest cut-end, description=The distance of the tumour to the nearest cut-end (i.e. proximal or distal margin). It is the measurement from the nearest cut end of the specimen and not the non-peritonealised (i.e. circumferential or radial) margin., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Valgfritt, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=null, values=Egenskap: Length
Enheter:
  • >=0.0 mm
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0332], code=at0332, itemType=ELEMENT, level=1, text=Distance of tumour to circumferential margin, description=The distance of the tumour to the circumferential or radial margin. It is the measurement to the non-peritonealised margin and not to the nearest cut-end (i.e. proximal,distal)., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Valgfritt, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=null, values=Egenskap: Length
Enheter:
  • >=0.0 mm
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0353], code=at0353, itemType=ELEMENT, level=1, text=Distance of tumour from dentate line, description=For abdominoperineal resection specimens, distance of tumour from the dentate line., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Valgfritt, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=null, values=Egenskap: Length
Enheter:
  • >=0.0 mm
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0333], code=at0333, itemType=ELEMENT, level=1, text=Anastomotic doughnuts submitted, description=Have anastomotic doughnuts been submitted for analysis?, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Valgfritt, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0349], code=at0349, itemType=CLUSTER, level=1, text=Tumour perforation, description=Findings related to tumour perforation., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Valgfritt, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0349]/items[at0334], code=at0334, itemType=ELEMENT, level=2, text=Tumour perforation, description=Finding of tumour perforation., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Valgfritt, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Present [Tumour perforation is present.]
  • Absent [Tumour perforation is absent.]
  • Indeterminate [Presence of tumour perforation has not been determined.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0349]/items[at0350], code=at0350, itemType=ELEMENT, level=2, text=Perforation location, description=The location of a perforation, if present., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Valgfritt, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Serosal [The perforation is serosal.]
  • Retro/infra peritoneal [The perforation is retro/infra peritoneal.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0349]/items[at0354], code=at0354, itemType=ELEMENT, level=2, text=Comment, description=Furrher text comment on the perforation., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Valgfritt, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0335], code=at0335, itemType=CLUSTER, level=1, text=For rectal tumours, description=Findings related solely to rectal tumours., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Valgfritt, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0335]/items[at0336], code=at0336, itemType=ELEMENT, level=2, text=Relationship to anterior peritoneal reflection, description=The relationship of rectal tumour to the anterior peritoneal reflection., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Valgfritt, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Entirely above [The tumour is entirely above the level of the peritoneal reflection anteriorly.]
  • Astride [The tumour is astride (or at) the level of the peritoneal reflection anteriorly.]
  • Entirely below [The tumour is entirely below the level of the peritoneal reflection anteriorly.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0335]/items[at0337], code=at0337, itemType=ELEMENT, level=2, text=Intactness of the mesorectum, description=An assessment of the intactness of the mesorectum., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Valgfritt, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Incomplete [The mesorectum is incompletely intact.]
  • Nearly complete [The mesorectum is nearly completely intact.]
  • Complete [The mesorectum is completely intact.]
  • Indeterminate [Intactness of the mesorectum has not been determined.]
, extendedValues=null]], credentials=[], ism_transition=[], data=[], relationships=[], other_participations=[], target=[], content=[], provider=[], activities=[]}, topLevelItems={items=ResourceSimplifiedHierarchyItem [path=ROOT_/, code=at0000, itemType=CLUSTER, level=0, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Obligatorisk, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=null, extendedValues=null]}, addHierarchyItemsTo=items, currentHierarchyItemsForAdding=[ResourceSimplifiedHierarchyItem [path=/items[at0347], code=at0347, itemType=SLOT, level=1, text=Tumour dimensions, description=Details of maximum dimensions of the tumour., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Valgfritt, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Inkluder:
openEHR-EHR-CLUSTER.physical_properties.v1 og spesialiseringer, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0330], code=at0330, itemType=ELEMENT, level=1, text=Maximum extramuscular extension, description=The maximum extramuscular extension of the tumour., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Valgfritt, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=null, values=Egenskap: Length
Enheter:
  • >=0.0 mm
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0331], code=at0331, itemType=ELEMENT, level=1, text=Distance of tumour to nearest cut-end, description=The distance of the tumour to the nearest cut-end (i.e. proximal or distal margin). It is the measurement from the nearest cut end of the specimen and not the non-peritonealised (i.e. circumferential or radial) margin., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Valgfritt, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=null, values=Egenskap: Length
Enheter:
  • >=0.0 mm
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0332], code=at0332, itemType=ELEMENT, level=1, text=Distance of tumour to circumferential margin, description=The distance of the tumour to the circumferential or radial margin. It is the measurement to the non-peritonealised margin and not to the nearest cut-end (i.e. proximal,distal)., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Valgfritt, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=null, values=Egenskap: Length
Enheter:
  • >=0.0 mm
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0353], code=at0353, itemType=ELEMENT, level=1, text=Distance of tumour from dentate line, description=For abdominoperineal resection specimens, distance of tumour from the dentate line., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Valgfritt, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=null, values=Egenskap: Length
Enheter:
  • >=0.0 mm
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0333], code=at0333, itemType=ELEMENT, level=1, text=Anastomotic doughnuts submitted, description=Have anastomotic doughnuts been submitted for analysis?, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Valgfritt, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0349], code=at0349, itemType=CLUSTER, level=1, text=Tumour perforation, description=Findings related to tumour perforation., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Valgfritt, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0349]/items[at0334], code=at0334, itemType=ELEMENT, level=2, text=Tumour perforation, description=Finding of tumour perforation., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Valgfritt, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Present [Tumour perforation is present.]
  • Absent [Tumour perforation is absent.]
  • Indeterminate [Presence of tumour perforation has not been determined.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0349]/items[at0350], code=at0350, itemType=ELEMENT, level=2, text=Perforation location, description=The location of a perforation, if present., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Valgfritt, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Serosal [The perforation is serosal.]
  • Retro/infra peritoneal [The perforation is retro/infra peritoneal.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0349]/items[at0354], code=at0354, itemType=ELEMENT, level=2, text=Comment, description=Furrher text comment on the perforation., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Valgfritt, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0335], code=at0335, itemType=CLUSTER, level=1, text=For rectal tumours, description=Findings related solely to rectal tumours., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Valgfritt, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0335]/items[at0336], code=at0336, itemType=ELEMENT, level=2, text=Relationship to anterior peritoneal reflection, description=The relationship of rectal tumour to the anterior peritoneal reflection., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Valgfritt, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Entirely above [The tumour is entirely above the level of the peritoneal reflection anteriorly.]
  • Astride [The tumour is astride (or at) the level of the peritoneal reflection anteriorly.]
  • Entirely below [The tumour is entirely below the level of the peritoneal reflection anteriorly.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0335]/items[at0337], code=at0337, itemType=ELEMENT, level=2, text=Intactness of the mesorectum, description=An assessment of the intactness of the mesorectum., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Valgfritt, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Incomplete [The mesorectum is incompletely intact.]
  • Nearly complete [The mesorectum is nearly completely intact.]
  • Complete [The mesorectum is completely intact.]
  • Indeterminate [Intactness of the mesorectum has not been determined.]
, extendedValues=null]], minIndents={}, termBindingRetrievalErrorMessage=null]