ARCHETYPE Microscopic findings - Prostate cancer (openEHR-EHR-CLUSTER.microscopy_prostate_carcinoma.v0)

Name: Microscopic findings - Prostate cancer
License: http://creativecommons.org/licenses/by-sa/3.0/

ARCHETYPE ID	openEHR-EHR-CLUSTER.microscopy_prostate_carcinoma.v0
Concept	Microscopic findings - Prostate cancer
Description	Microscopic anatomical pathology findings related to prostate cancer.
Use	To record detailed findings about microscopic examination of prostate cancer as part of an anatomical pathology result. Use as a component archetype in the context of a suite of archetypes that make up a histopathology report ie OBSERVATION.lab_test.histopathology.
Misuse	Not designed to be used within any other archetype other than OBSERVATION.lab_test.histopathology.
Purpose	To record detailed findings about prostate cancer found on microscopic examination.
References	Royal College of Pathologists of Australasia. Prostate Cancer (Radical Prostatectomy) 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/PROSTATE%20CANCER%20RAD%20PROS%20STRUCTURED%20REPORTING%20PROTOCOL%20for%20web.pdf Royal College of Pathologists. Dataset for prostate cancer histopathology reports [Internet]. 2009 ;[cited 2009 Jul 30 ] Available from: http://www.rcpath.org/index.asp?PageID=1164 College of American Pathologists. Protocol for the examination of specimens from patients with invasive carcinomas of the prostate gland [Internet]. 2007 Apr ;[cited 2009 Jul 30 ] Available from: http://www.cap.org/apps/docs/committees/cancer/cancer_protocols/2006/prostate06_ckw.pdf
Copyright	© openEHR Foundation
Authors	Author name: Dr Ian McNicoll Organisation: Ocean Informatics, UK Email: ian.mcnicoll@oceaninformatics.com Date originally authored: 17/06/2009
Other Details Language	Author name: Dr Ian McNicoll Organisation: Ocean Informatics, UK Email: ian.mcnicoll@oceaninformatics.com Date originally authored: 17/06/2009
OtherDetails Language Independent	{licence=This work is licensed under the Creative Commons Attribution-ShareAlike 3.0 License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/3.0/., custodian_organisation=openEHR Foundation, references=Royal College of Pathologists of Australasia. Prostate Cancer (Radical Prostatectomy) 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/PROSTATE%20CANCER%20RAD%20PROS%20STRUCTURED%20REPORTING%20PROTOCOL%20for%20web.pdf Royal College of Pathologists. Dataset for prostate cancer histopathology reports [Internet]. 2009 ;[cited 2009 Jul 30 ] Available from: http://www.rcpath.org/index.asp?PageID=1164 College of American Pathologists. Protocol for the examination of specimens from patients with invasive carcinomas of the prostate gland [Internet]. 2007 Apr ;[cited 2009 Jul 30 ] Available from: http://www.cap.org/apps/docs/committees/cancer/cancer_protocols/2006/prostate06_ckw.pdf , original_namespace=org.openehr, original_publisher=openEHR Foundation, custodian_namespace=org.openehr, MD5-CAM-1.0.1=97295325987015804EC826164BEB65B6, build_uid=5b2d037a-123d-4f26-b78b-2ec6dd057a80, revision=0.0.1-alpha}
Keywords	histopathology, cancer, laboratory, prostate, histology, malignancy, lab, pathology
Lifecycle	in_development
UID	87d5a992-7b7a-4655-954b-121964b0601b
Language used	en
Citeable Identifier	1013.1.380
Revision Number	0.0.1-alpha
All	Archetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=null, archetypeConceptDescription=Microscopic anatomical pathology findings related to prostate cancer., archetypeConceptComment=null, otherContributors=David Rowed, Ocean Informatics, Australia Heather Leslie, Ocean Informatics, Australia Matt Cordell, NEHTA, Australia David McKillop, NEHTA, Australia Cathy Richardson, NEHTA, Australia Koray Atalag, University of Auckland, New Zealand David Ellis, RCPA, Australia, originalLanguage=en, translators= Arabic (Syria): Mona Saleh , subjectOfData=unconstrained, archetypeTranslationTree=null, topLevelToAshis={identities=[], other_participations=[], events=[], details=[], provider=[], items=[ResourceSimplifiedHierarchyItem [path=/items[at0160], code=at0160, itemType=CLUSTER, level=1, text=Tumour quantification, description=Estimate of the amount of primary prostate tumour., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=1.., cardinalityText= (Cardinality: 1.., unordered), subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0160]/items[at0234], code=at0234, itemType=CLUSTER, level=2, text=Surgical resection specimen, description=Quantification results from specimens obtained from open surgical resection., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=1.., cardinalityText= (Cardinality: 1.., unordered), subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0160]/items[at0234]/items[at0161], code=at0161, itemType=ELEMENT, level=3, text=Proportion of tumour involvement, description=Proportion of prostate tissue involved by tumour., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_PROPORTION, bindings=null, values= Percent Numerator: 0.0..100.0 Assumed value: false , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0160]/items[at0234]/items[at0156], code=at0156, itemType=CLUSTER, level=3, text=3D volume estimation, description=Estimate of 3D volume of the primary prostate tumour., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=1.., cardinalityText= (Cardinality: 1.., unordered), subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0160]/items[at0234]/items[at0156]/items[at0158], code=at0158, itemType=ELEMENT, level=4, text=Qualitative estimation , description=Qualitative estimate of the amount of primary prostate 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= at0214::Minimal tumour [Minimal tumour is present.] at0215::Unifocal tumour [Unifocal tumour is present.] at0216::Multifocal or extensive tumour [Multifocal or extensive tumour is present.] at0217::Indeterminate [A qualitative estimate of tumour volume has not been determined.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0160]/items[at0234]/items[at0156]/items[at0036], code=at0036, itemType=SLOT, level=4, text=Dominant tumour node dimensions, description=Dimensions of the dominant tumour node., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include: openEHR-EHR-CLUSTER.physical_properties.v1 Exclude: All not explicitly included archetypes, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0160]/items[at0234]/items[at0156]/items[at0185], code=at0185, itemType=ELEMENT, level=4, text=Estimation methodology, description=A description of the methodology used to estimate tumour volume., 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[at0160]/items[at0221], code=at0221, itemType=CLUSTER, level=2, text=Fine needle aspiration biopsy (FNAB) specimen, description=Quantification results from specimens obtained by fine needle aspiration biopsy (FNAB)., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=1.., cardinalityText= (Cardinality: 1.., unordered), subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0160]/items[at0221]/items[at0165], code=at0165, itemType=ELEMENT, level=3, text=Proportion of positive cores, description=Proportion of tumour positive prostate cores out of the total number of prostate cores. , comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_PROPORTION, bindings=null, values= Ratio Percent Numerator: 0.0..100.0 , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0160]/items[at0221]/items[at0198], code=at0198, itemType=ELEMENT, level=3, text=Ratio of linear distance of carcinoma to length of cores, description=Ratio of the linear distance of prostatic carcinoma to the length of prostatic cores., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_PROPORTION, bindings=null, values= Ratio Numerator: 0.0..100.0 , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0160]/items[at0221]/items[at0199], code=at0199, itemType=ELEMENT, level=3, text=Other quantification, description=A description of the method and result of other type of quantification., 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[at0160]/items[at0222], code=at0222, itemType=CLUSTER, level=2, text=Transurethral resection(TUR) specimen, description=Quantification results from a specimen obtained by transurethral resection (TUR)., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=1.., cardinalityText= (Cardinality: 1.., unordered), subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0160]/items[at0222]/items[at0224], code=at0224, itemType=ELEMENT, level=3, text=Proportion of positive chips, description=Proportion of tumour positive prostatic chips out of the total number of prostatic chips. , comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_PROPORTION, bindings=null, values= Ratio Percent Numerator: 0.0..100.0 , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0160]/items[at0222]/items[at0162], code=at0162, itemType=ELEMENT, level=3, text=Tumour found incidentally at histopathology, description=Where tumour has been found incidentally on histopathological examination, the extent of tumour found. This is used as part of the cTNM classification of prostate cancer., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values= at0163::Tumour incidental histologic finding in no more than 5% of tissue resected [Prostate tumour is an incidental histologic finding in no more than 5% of tissue resected.] at0164::Tumour incidental histologic finding in more than 5% of tissue resected [Prostate tumour is an incidental histological finding in more than 5% of tissue resected.] at0246::Indeterminate [The extent of tumour incidental histologic finding has not been determined.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0015], code=at0015, itemType=CLUSTER, level=1, text=Gleason Score, description=Gleason Score (ISUP2005 version) - a prostate cancer grading score ratified by the International Society of Urological Pathologists (ISUP)., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=1.., cardinalityText= (Cardinality: 1.., unordered), subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0015]/items[at0166], code=at0166, itemType=ELEMENT, level=2, text=Primary Gleason grade, description=The primary Gleason score., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=[SNOMED-CT::384994009 \| Primary Gleason pattern], values=1: at0250::Grade 1 [The cancerous prostate closely resembles normal prostate tissue. The glands are small, well-formed, and closely packed.] 2: at0251::Grade 2 [The tissue still has well-formed glands, but they are larger and have more tissue between them.] 3: at0252::Grade 3 [The tissue still has recognizable glands, but the cells are darker. At high magnification, some of these cells have left the glands and are beginning to invade the surrounding tissue.] 4: at0253::Grade 4 [The tissue has few recognizable glands. Many cells are invading the surrounding tissue.] 5: at0254::Grade 5 [The tissue does not have recognizable glands. There are often just sheets of cells throughout the surrounding tissue.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0015]/items[at0182], code=at0182, itemType=ELEMENT, level=2, text=Secondary Gleason grade, description=The secondary Gleason score., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=[SNOMED-CT::384995005 \| Secondary Gleason pattern], values=1: at0255::Grade 1 [The cancerous prostate closely resembles normal prostate tissue. The glands are small, well-formed, and closely packed.] 2: at0256::Grade 2 [The tissue still has well-formed glands, but they are larger and have more tissue between them.] 3: at0257::Grade 3 [The tissue still has recognizable glands, but the cells are darker. At high magnification, some of these cells have left the glands and are beginning to invade the surrounding tissue.] 4: at0258::Grade 4 [The tissue has few recognizable glands. Many cells are invading the surrounding tissue.] 5: at0259::Grade 5 [The tissue does not have recognizable glands. There are often just sheets of cells throughout the surrounding tissue.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0015]/items[at0183], code=at0183, itemType=ELEMENT, level=2, text=Tertiary Gleason grade, description=The tertiary Gleason score., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=[SNOMED-CT::385002007 \| Tertiary Gleason pattern], values=1: at0260::Grade 1 [The cancerous prostate closely resembles normal prostate tissue. The glands are small, well-formed, and closely packed.] 2: at0261::Grade 2 [The tissue still has well-formed glands, but they are larger and have more tissue between them.] 3: at0262::Grade 3 [The tissue still has recognizable glands, but the cells are darker. At high magnification, some of these cells have left the glands and are beginning to invade the surrounding tissue.] 4: at0263::Grade 4 [The tissue has few recognizable glands. Many cells are invading the surrounding tissue.] 5: at0264::Grade 5 [The tissue does not have recognizable glands. There are often just sheets of cells throughout the surrounding tissue.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0015]/items[at0197], code=at0197, itemType=ELEMENT, level=2, text=Total Gleason score, description=The sum of the primary, secondary and tertiary Gleason scores., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=[SNOMED-CT::372278000 \| Gleason score], values=min: >=0 , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0245], code=at0245, itemType=SLOT, level=1, text=Tumour invasion, description=Details of tumour invasion to local tissues., comment=null, uncommonOntologyItems=null, occurencesFormal=0.., occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:* openEHR-EHR-CLUSTER.tumour_invasion.v1 Exclude: All not explicitly included archetypes, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0021], code=at0021, itemType=CLUSTER, level=1, text=Surgical resection margins, description=Findings related to tumour at multiple surgical resection margins., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=1.., cardinalityText= (Cardinality: 1.., unordered), subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0021]/items[at0237], code=at0237, itemType=CLUSTER, level=2, text=Surgical resection margin, description=Findings related to a single surgical resection margin., comment=null, uncommonOntologyItems=null, occurencesFormal=0.., occurencesText=Optional, repeating, cardinalityFormal=1..1, cardinalityText=Maximum of 1 item, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0021]/items[at0237]/items[at0084], code=at0084, itemType=SLOT, level=3, text=Resection margin detail , description=Details of tumour at an individual surgical resection margin., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:* openEHR-EHR-CLUSTER.tumour_resection_margins.v1 Exclude: All not explicitly included archetypes, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0021]/items[at0237]/items[at0184], code=at0184, itemType=ELEMENT, level=3, text=Gleason score at involved margin, description=The Gleason score at a surgical margin involved with tumour., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=min: >=0 , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0021]/items[at0237]/items[at0238], code=at0238, itemType=ELEMENT, level=3, text=Relation to prostatic capsule, description=Findings of the relation of the resection margin to the prostatic capsule., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values= at0239::Intraprostatic [The surgical margin has been developed within the prostatic capsule. Sometimes termed 'capsular incision' (CI).] at0240::Extraprostatic [The surgical margin has been developed external to the prostatic capsule.] at0241::Indeterminate [The relation of the surgical margin to the prostatic capsule has not been determined.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0021]/items[at0237]/items[at0249], code=at0249, itemType=ELEMENT, level=3, text=Benign glands, description=Finding of benign glands at the surgical margin, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values= at0265::Present [Benign glands are present at the surgical margin.] at0266::Absent [Benign glands are absent from the surgical margin] at0267::Indeterminate [Presence of benign glands at the surgical margin has not been determined.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0181], code=at0181, itemType=CLUSTER, level=1, text=Seminal vesicle, description=Findings related to tumour involvement in seminal vesicles., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=1.., cardinalityText= (Cardinality: 1.., unordered), subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0181]/items[at0172], code=at0172, itemType=ELEMENT, level=2, text=Seminal vesicle involvement, description=Findings of tumour involvement in seminal vesicles., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values= at0173::Present - bilateral [Tumour is present in both seminal vesicles.] at0174::Present - left [Tumour is present in only the left seminal vesicle.] at0175::Present - right [Tumour is present in only the right seminal vesicle.] at0176::Absent [Tumour is absent from both seminal vesicle.] at0177::Indeterminate [Presence of tumour in seminal vesicles has not been determined.] at0248::Present [Tumour is present in seminal vesicles..] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0181]/items[at0247], code=at0247, itemType=ELEMENT, level=2, text=Description, description=A text description of seminal vesicle involvement by tumour., 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[at0030], code=at0030, itemType=CLUSTER, level=1, text=Lymph node findings, description=Findings related to the involvement of tumour in lymph nodes., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=1.., cardinalityText= (Cardinality: 1.., unordered), subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0030]/items[at0087], code=at0087, itemType=SLOT, level=2, text=Lymph node detail , description=Details of tumour at a single lymph node., comment=null, uncommonOntologyItems=null, occurencesFormal=0.., occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:* openEHR-EHR-CLUSTER.lymph_node_metastases.v1 Exclude: All not explicitly included archetypes, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0269], code=at0269, itemType=ELEMENT, level=1, text=Bladder neck involvement, description=Finding of involvement by tumour of the bladder neck., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values= at0270::Present [Blaader neck involvement by tumour is present.] at0271::Absent [Bladder neck involvement by tumour is absent.] at0272::Indeterminate [Bladder neck involvement by tumour has not been determined.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0273], code=at0273, itemType=CLUSTER, level=1, text=Tumour zones, description=Findings of tumour zone., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=1.., cardinalityText= (Cardinality: 1.., unordered), subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0273]/items[at0274], code=at0274, itemType=ELEMENT, level=2, text=Tumour zone, description=Finding of zone(s) involved by tumour., comment=null, uncommonOntologyItems=null, occurencesFormal=0.., occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values= at0275::Peripheral [Peripheral zone is involved by tumour.] at0276::Central [Central zone is involved by tumour.] at0277::Transition [Transition zone is involved by tumour.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0179], code=at0179, itemType=CLUSTER, level=1, text=Additional findings, description=Additional histological findings related to prostate cancer., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=1.., cardinalityText= (Cardinality: 1.., unordered), subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0179]/items[at0178], code=at0178, itemType=ELEMENT, level=2, text=Addtional finding, description=Additional histological finding related to prostate cancer., comment=null, uncommonOntologyItems=null, occurencesFormal=0.., occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of: Coded Text at0194::Inflammation [Tissue inflammation is present.] at0195::High grade prostatic intraepithelial neoplasia (PIN) [High grade prostatic intraepithelial neoplasia (PIN) is present.] at0196::Atypical adenomatous hyperplasia [Atypical adenomatous hyperplasia is present.] at0218::Nodular prostatic hyperplasia [Nodular prostatic hyperplasia is present.] at0219::Absent [Additional pathological findings are absent.] Text , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0179]/items[at0220], code=at0220, itemType=ELEMENT, level=2, text=Description, description=A text description of additional pathological findings., 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]], description=[], protocol=[], ism_transition=[], context=[], data=[], activities=[], relationships=[], credentials=[], target=[], source=[], state=[], content=[], contacts=[], capabilities=[]}, topLevelItems={items=ResourceSimplifiedHierarchyItem [path=ROOT_/, code=at0000, itemType=CLUSTER, level=0, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=1.., cardinalityText= (Cardinality: 1.., unordered), subCardinalityFormal=null, subCardinalityText=null, 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subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0160]/items[at0234]/items[at0161], code=at0161, itemType=ELEMENT, level=3, text=Proportion of tumour involvement, description=Proportion of prostate tissue involved by tumour., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_PROPORTION, bindings=null, values= Percent Numerator: 0.0..100.0 Assumed value: false , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0160]/items[at0234]/items[at0156], code=at0156, itemType=CLUSTER, level=3, text=3D volume estimation, description=Estimate of 3D volume of the primary prostate tumour., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=1.., cardinalityText= (Cardinality: 1.., unordered), subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0160]/items[at0234]/items[at0156]/items[at0158], code=at0158, itemType=ELEMENT, level=4, text=Qualitative estimation , description=Qualitative estimate of the amount of primary prostate 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= at0214::Minimal tumour [Minimal tumour is present.] at0215::Unifocal tumour [Unifocal tumour is present.] at0216::Multifocal or extensive tumour [Multifocal or extensive tumour is present.] at0217::Indeterminate [A qualitative estimate of tumour volume has not been determined.] , extendedValues=null], ResourceSimplifiedHierarchyItem 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The glands are small, well-formed, and closely packed.] 2: at0251::Grade 2 [The tissue still has well-formed glands, but they are larger and have more tissue between them.] 3: at0252::Grade 3 [The tissue still has recognizable glands, but the cells are darker. At high magnification, some of these cells have left the glands and are beginning to invade the surrounding tissue.] 4: at0253::Grade 4 [The tissue has few recognizable glands. Many cells are invading the surrounding tissue.] 5: at0254::Grade 5 [The tissue does not have recognizable glands. There are often just sheets of cells throughout the surrounding tissue.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0015]/items[at0182], code=at0182, itemType=ELEMENT, level=2, text=Secondary Gleason grade, description=The secondary Gleason score., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=[SNOMED-CT::384995005 \| Secondary Gleason pattern], values=1: at0255::Grade 1 [The cancerous prostate closely resembles normal prostate tissue. The glands are small, well-formed, and closely packed.] 2: at0256::Grade 2 [The tissue still has well-formed glands, but they are larger and have more tissue between them.] 3: at0257::Grade 3 [The tissue still has recognizable glands, but the cells are darker. At high magnification, some of these cells have left the glands and are beginning to invade the surrounding tissue.] 4: at0258::Grade 4 [The tissue has few recognizable glands. Many cells are invading the surrounding tissue.] 5: at0259::Grade 5 [The tissue does not have recognizable glands. There are often just sheets of cells throughout the surrounding tissue.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0015]/items[at0183], code=at0183, itemType=ELEMENT, level=2, text=Tertiary Gleason grade, description=The tertiary Gleason score., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=[SNOMED-CT::385002007 \| Tertiary Gleason pattern], values=1: at0260::Grade 1 [The cancerous prostate closely resembles normal prostate tissue. The glands are small, well-formed, and closely packed.] 2: at0261::Grade 2 [The tissue still has well-formed glands, but they are larger and have more tissue between them.] 3: at0262::Grade 3 [The tissue still has recognizable glands, but the cells are darker. At high magnification, some of these cells have left the glands and are beginning to invade the surrounding tissue.] 4: at0263::Grade 4 [The tissue has few recognizable glands. Many cells are invading the surrounding tissue.] 5: at0264::Grade 5 [The tissue does not have recognizable glands. There are often just sheets of cells throughout the surrounding tissue.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0015]/items[at0197], code=at0197, itemType=ELEMENT, level=2, text=Total Gleason score, description=The sum of the primary, secondary and tertiary Gleason scores., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=[SNOMED-CT::372278000 \| Gleason score], values=min: >=0 , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0245], code=at0245, itemType=SLOT, level=1, text=Tumour invasion, description=Details of tumour invasion to local tissues., comment=null, uncommonOntologyItems=null, occurencesFormal=0.., occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:* openEHR-EHR-CLUSTER.tumour_invasion.v1 Exclude: All not explicitly included archetypes, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0021], code=at0021, itemType=CLUSTER, level=1, text=Surgical resection margins, description=Findings related to tumour at multiple surgical resection margins., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=1.., cardinalityText= (Cardinality: 1.., unordered), subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0021]/items[at0237], code=at0237, itemType=CLUSTER, level=2, text=Surgical resection margin, description=Findings related to a single surgical resection margin., comment=null, uncommonOntologyItems=null, occurencesFormal=0.., occurencesText=Optional, repeating, cardinalityFormal=1..1, cardinalityText=Maximum of 1 item, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0021]/items[at0237]/items[at0084], code=at0084, itemType=SLOT, level=3, text=Resection margin detail , description=Details of tumour at an individual surgical resection margin., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:* openEHR-EHR-CLUSTER.tumour_resection_margins.v1 Exclude: All not explicitly included archetypes, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0021]/items[at0237]/items[at0184], code=at0184, itemType=ELEMENT, level=3, text=Gleason score at involved margin, description=The Gleason score at a surgical margin involved with tumour., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=min: >=0 , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0021]/items[at0237]/items[at0238], code=at0238, itemType=ELEMENT, level=3, text=Relation to prostatic capsule, description=Findings of the relation of the resection margin to the prostatic capsule., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values= at0239::Intraprostatic [The surgical margin has been developed within the prostatic capsule. Sometimes termed 'capsular incision' (CI).] at0240::Extraprostatic [The surgical margin has been developed external to the prostatic capsule.] at0241::Indeterminate [The relation of the surgical margin to the prostatic capsule has not been determined.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0021]/items[at0237]/items[at0249], code=at0249, itemType=ELEMENT, level=3, text=Benign glands, description=Finding of benign glands at the surgical margin, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values= at0265::Present [Benign glands are present at the surgical margin.] at0266::Absent [Benign glands are absent from the surgical margin] at0267::Indeterminate [Presence of benign glands at the surgical margin has not been determined.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0181], code=at0181, itemType=CLUSTER, level=1, text=Seminal vesicle, description=Findings related to tumour involvement in seminal vesicles., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=1.., cardinalityText= (Cardinality: 1.., unordered), subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0181]/items[at0172], code=at0172, itemType=ELEMENT, level=2, text=Seminal vesicle involvement, description=Findings of tumour involvement in seminal vesicles., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values= at0173::Present - bilateral [Tumour is present in both seminal vesicles.] at0174::Present - left [Tumour is present in only the left seminal vesicle.] at0175::Present - right [Tumour is present in only the right seminal vesicle.] at0176::Absent [Tumour is absent from both seminal vesicle.] at0177::Indeterminate [Presence of tumour in seminal vesicles has not been determined.] at0248::Present [Tumour is present in seminal vesicles..] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0181]/items[at0247], code=at0247, itemType=ELEMENT, level=2, text=Description, description=A text description of seminal vesicle involvement by tumour., 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[at0030], code=at0030, itemType=CLUSTER, level=1, text=Lymph node findings, description=Findings related to the involvement of tumour 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involvement by tumour of the bladder neck., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values= at0270::Present [Blaader neck involvement by tumour is present.] at0271::Absent [Bladder neck involvement by tumour is absent.] at0272::Indeterminate [Bladder neck involvement by tumour has not been determined.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0273], code=at0273, itemType=CLUSTER, level=1, text=Tumour zones, description=Findings of tumour zone., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=1.., cardinalityText= (Cardinality: 1.., unordered), subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0273]/items[at0274], code=at0274, itemType=ELEMENT, level=2, text=Tumour zone, description=Finding of zone(s) involved by tumour., comment=null, uncommonOntologyItems=null, occurencesFormal=0.., occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values= at0275::Peripheral [Peripheral zone is involved by tumour.] at0276::Central [Central zone is involved by tumour.] at0277::Transition [Transition zone is involved by tumour.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0179], code=at0179, itemType=CLUSTER, level=1, text=Additional findings, description=Additional histological findings related to prostate cancer., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=1.., cardinalityText= (Cardinality: 1.., unordered), subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0179]/items[at0178], code=at0178, itemType=ELEMENT, level=2, text=Addtional finding, description=Additional histological finding related to prostate cancer., comment=null, uncommonOntologyItems=null, occurencesFormal=0.., occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of: Coded Text at0194::Inflammation [Tissue inflammation is present.] at0195::High grade prostatic intraepithelial neoplasia (PIN) [High grade prostatic intraepithelial neoplasia (PIN) is present.] at0196::Atypical adenomatous hyperplasia [Atypical adenomatous hyperplasia is present.] at0218::Nodular prostatic hyperplasia [Nodular prostatic hyperplasia is present.] at0219::Absent [Additional pathological findings are absent.] Text , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0179]/items[at0220], code=at0220, itemType=ELEMENT, level=2, text=Description, description=A text description of additional pathological findings., 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]], minIndents={}, termBindingRetrievalErrorMessage=null]