ARCHETYPE Gleason Score (openEHR-EHR-CLUSTER.gleason_score.v0)

ARCHETYPE IDopenEHR-EHR-CLUSTER.gleason_score.v0
ConceptGleason Score
DescriptionGleason Score (ISUP2005 version) - a prostate cancer grading score ratified by the International Society of Urological Pathologists (ISUP), including Gleason Grade Groups.
UseUse to record findings related to the Gleason Score (ISUP2005 version) - a prostate cancer grading score ratified by the International Society of Urological Pathologists (ISUP). Use as a component archetype in the context of a suite of archetypes that make up a histopathology report ie OBSERVATION.laboratory_test.histopathology.
PurposeTo record findings related to the Gleason Score (ISUP2005 version) - a prostate cancer grading score ratified by the International Society of Urological Pathologists (ISUP).
ReferencesDerived from: Gleason Score, Draft archetype [Internet]. Apperta UK, Apperta UK Clinical Knowledge Manager [cited: 2022-03-31]. Available from: https://ckm.apperta.org/ckm/archetypes/1051.32.376

Gleason grading system. In: Wikipedia, the free encyclopedia [Internet]. 2016 [cited 2016 May 31]. Available from: https://en.wikipedia.org/w/index.php?title=Gleason_grading_system&oldid=722952620

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

Epstein JI, Zelefsky MJ, Sjoberg DD, Nelson JB, Egevad L, Magi-Galluzzi C, Vickers AJ, Parwani AV, Reuter VE, Fine SW, Eastham JA. A contemporary prostate cancer grading system: a validated alternative to the Gleason score. European urology. 2016 Mar 31;69(3):428-35.
Copyright© copyright (c) 2010 openEHR foundation, Clinical Models UK, openEHR Foundation
AuthorsAuthor name: Ian McNicoll
Organisation: freshEHR Clinical Informatics UK
Email: ian@freshehr.com
Date originally authored: 2016-05-31
Other Details LanguageAuthor name: Ian McNicoll
Organisation: freshEHR Clinical Informatics UK
Email: ian@freshehr.com
Date originally authored: 2016-05-31
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=Derived from: Gleason Score, Draft archetype [Internet]. Apperta UK, Apperta UK Clinical Knowledge Manager [cited: 2022-03-31]. Available from: https://ckm.apperta.org/ckm/archetypes/1051.32.376 Gleason grading system. In: Wikipedia, the free encyclopedia [Internet]. 2016 [cited 2016 May 31]. Available from: https://en.wikipedia.org/w/index.php?title=Gleason_grading_system&oldid=722952620 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 Epstein JI, Zelefsky MJ, Sjoberg DD, Nelson JB, Egevad L, Magi-Galluzzi C, Vickers AJ, Parwani AV, Reuter VE, Fine SW, Eastham JA. A contemporary prostate cancer grading system: a validated alternative to the Gleason score. European urology. 2016 Mar 31;69(3):428-35., original_namespace=org.openehr, original_publisher=openEHR Foundation, custodian_namespace=org.openehr, MD5-CAM-1.0.1=968C0057975B130668E213CFADB16AF6, build_uid=bfc2f470-8482-4606-9eab-35de2c1f730f, ip_acknowledgements=This artefact includes content from SNOMED Clinical Terms® (SNOMED CT®) which is copyrighted material of the International Health Terminology Standards Development Organisation (IHTSDO). Where an implementation of this artefact makes use of SNOMED CT content, the implementer must have the appropriate SNOMED CT Affiliate license - for more information contact https://www.snomed.org/snomed-ct/get-snomed or info@snomed.org., revision=0.0.1-alpha}
Keywordshistopathology, cancer, laboratory, prostate, histology, malignancy, lab, pathology, Gleason, score, grade, grading
Lifecyclein_development
UID8109a0e2-209f-4d6f-8d3c-a4cf282a270b
Language useden
Citeable Identifier1013.1.6163
Revision Number0.0.1-alpha
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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=, subjectOfData=unconstrained, archetypeTranslationTree=null, topLevelToAshis={other_participations=[], state=[], identities=[], protocol=[], context=[], source=[], credentials=[], events=[], target=[], description=[], relationships=[], provider=[], details=[], data=[], ism_transition=[], contacts=[], activities=[], capabilities=[], items=[ResourceSimplifiedHierarchyItem [path=/items[at0166], code=at0166, itemType=ELEMENT, level=1, text=Primary Gleason grade, description=The primary Gleason grade., 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: Grade 1 [The cancerous prostate closely resembles normal prostate tissue. The glands are small, well-formed, and closely packed.]
2: Grade 2 [The tissue still has well-formed glands, but they are larger and have more tissue between them.]
3: 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: Grade 4 [The tissue has few recognizable glands. Many cells are invading the surrounding tissue.]
5: 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[at0182], code=at0182, itemType=ELEMENT, level=1, text=Secondary Gleason grade, description=The secondary Gleason grade., 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: Grade 1 [The cancerous prostate closely resembles normal prostate tissue. The glands are small, well-formed, and closely packed.]
2: Grade 2 [The tissue still has well-formed glands, but they are larger and have more tissue between them.]
3: 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: Grade 4 [The tissue has few recognizable glands. Many cells are invading the surrounding tissue.]
5: 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[at0183], code=at0183, itemType=ELEMENT, level=1, text=Tertiary Gleason grade, description=The tertiary Gleason grade., 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: Grade 1 [The cancerous prostate closely resembles normal prostate tissue. The glands are small, well-formed, and closely packed.]
2: Grade 2 [The tissue still has well-formed glands, but they are larger and have more tissue between them.]
3: 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: Grade 4 [The tissue has few recognizable glands. Many cells are invading the surrounding tissue.]
5: 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[at0197], code=at0197, itemType=ELEMENT, level=1, text=Total Gleason score, description=The sum of the primary and secondary Gleason grades., comment=The total Gleason score does not take account of the tertiary Gleason grade., 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: >=2; max: <=10

, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0265], code=at0265, itemType=ELEMENT, level=1, text=Gleason Grade Group, description=The Gleason Grade Group., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=1: Grade Group 1 [Gleason score less than or equal to 6.]
2: Grade Group 2 [Gleason score 7 (Primary grade 3 + Secondary grade 4).]
3: Grade Group 3 [Gleason score 7 (Primary grade 4 + Secondary grade 3).]
4: Grade Group 4 [Gleason score 8.]
5: Grade Group 5 [Gleason score 9-10.]
, extendedValues=null]], content=[]}, 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=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=null, extendedValues=null]}, addHierarchyItemsTo=items, currentHierarchyItemsForAdding=[ResourceSimplifiedHierarchyItem [path=/items[at0166], code=at0166, itemType=ELEMENT, level=1, text=Primary Gleason grade, description=The primary Gleason grade., 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: Grade 1 [The cancerous prostate closely resembles normal prostate tissue. The glands are small, well-formed, and closely packed.]
2: Grade 2 [The tissue still has well-formed glands, but they are larger and have more tissue between them.]
3: 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: Grade 4 [The tissue has few recognizable glands. Many cells are invading the surrounding tissue.]
5: 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[at0182], code=at0182, itemType=ELEMENT, level=1, text=Secondary Gleason grade, description=The secondary Gleason grade., 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: Grade 1 [The cancerous prostate closely resembles normal prostate tissue. The glands are small, well-formed, and closely packed.]
2: Grade 2 [The tissue still has well-formed glands, but they are larger and have more tissue between them.]
3: 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: Grade 4 [The tissue has few recognizable glands. Many cells are invading the surrounding tissue.]
5: 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[at0183], code=at0183, itemType=ELEMENT, level=1, text=Tertiary Gleason grade, description=The tertiary Gleason grade., 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: Grade 1 [The cancerous prostate closely resembles normal prostate tissue. The glands are small, well-formed, and closely packed.]
2: Grade 2 [The tissue still has well-formed glands, but they are larger and have more tissue between them.]
3: 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: Grade 4 [The tissue has few recognizable glands. Many cells are invading the surrounding tissue.]
5: 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[at0197], code=at0197, itemType=ELEMENT, level=1, text=Total Gleason score, description=The sum of the primary and secondary Gleason grades., comment=The total Gleason score does not take account of the tertiary Gleason grade., 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: >=2; max: <=10

, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0265], code=at0265, itemType=ELEMENT, level=1, text=Gleason Grade Group, description=The Gleason Grade Group., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=1: Grade Group 1 [Gleason score less than or equal to 6.]
2: Grade Group 2 [Gleason score 7 (Primary grade 3 + Secondary grade 4).]
3: Grade Group 3 [Gleason score 7 (Primary grade 4 + Secondary grade 3).]
4: Grade Group 4 [Gleason score 8.]
5: Grade Group 5 [Gleason score 9-10.]
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