ARCHETYPE Neurologic Assessment in Neuro-Oncology (NANO) scale (openEHR-EHR-OBSERVATION.neurologic_assessment_in_neuro_oncology_scale.v0)

ARCHETYPE IDopenEHR-EHR-OBSERVATION.neurologic_assessment_in_neuro_oncology_scale.v0
ConceptNeurologic Assessment in Neuro-Oncology (NANO) scale
DescriptionThe NANO scale is a tool for assessing neurologic function in patients with brain tumor.
UseUse to record the result for each component parameter for the NANO-scale and to calculate the total score.
PurposeTo record the result for each component parameter for the NANO-scale and to calculate the total score.
ReferencesNayak L, DeAngelis LM, Brandes AA, Peereboom DM, Galanis E, Lin NU, Soffietti R, Macdonald DR, Chamberlain M, Perry J, Jaeckle K, Mehta M, Stupp R, Muzikansky A, Pentsova E, Cloughesy T, Iwamoto FM, Tonn JC, Vogelbaum MA, Wen PY, van den Bent MJ, Reardon DA. The Neurologic Assessment in Neuro-Oncology (NANO) scale: a tool to assess neurologic function for integration into the Response Assessment in Neuro-Oncology (RANO) criteria. Neuro Oncol. 2017 May 1;19(5):625-635. doi: 10.1093/neuonc/nox029. Review. PubMed PMID: 28453751; PubMed Central PMCID: PMC5464449.
Copyright© openEHR Foundation, Nasjonal IKT HF, openEHR Foundation
AuthorsAuthor name: Bjørn Næss
Organisation: DIPS AS
Email: bna@dips.no
Date originally authored: 2023-04-21
Other Details LanguageAuthor name: Bjørn Næss
Organisation: DIPS AS
Email: bna@dips.no
Date originally authored: 2023-04-21
OtherDetails Language Independent{licence=This work is licensed under the Creative Commons Attribution-ShareAlike 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/4.0/., custodian_organisation=openEHR Foundation, references=Nayak L, DeAngelis LM, Brandes AA, Peereboom DM, Galanis E, Lin NU, Soffietti R, Macdonald DR, Chamberlain M, Perry J, Jaeckle K, Mehta M, Stupp R, Muzikansky A, Pentsova E, Cloughesy T, Iwamoto FM, Tonn JC, Vogelbaum MA, Wen PY, van den Bent MJ, Reardon DA. The Neurologic Assessment in Neuro-Oncology (NANO) scale: a tool to assess neurologic function for integration into the Response Assessment in Neuro-Oncology (RANO) criteria. Neuro Oncol. 2017 May 1;19(5):625-635. doi: 10.1093/neuonc/nox029. Review. PubMed PMID: 28453751; PubMed Central PMCID: PMC5464449., original_namespace=org.openehr, original_publisher=openEHR Foundation, custodian_namespace=org.openehr, MD5-CAM-1.0.1=8B08544B10380897008625A641B1C594, build_uid=74233012-22fe-4d0c-8557-eb3551c01df6, revision=0.0.1-alpha}
Keywordsneurologic function, NANO, brain tumor, assessment, CNS, neuro-oncology, outcome
Lifecyclein_development
UID2e902458-f7f3-4a71-9c92-c69c5fe5a91c
Language useden
Citeable Identifier1013.1.7006
Revision Number0.0.1-alpha
AllArchetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=null, archetypeConceptDescription=The NANO scale is a tool for assessing neurologic function in patients with brain tumor., archetypeConceptComment=null, otherContributors=, originalLanguage=en, translators=
  • Norwegian Bokmål: Ivar Berge, Oslo University Hospital, iberge@ous-hf.no

  • , subjectOfData=unconstrained, archetypeTranslationTree=null, topLevelToAshis={items=[], description=[], context=[], activities=[], identities=[], capabilities=[], provider=[], protocol=[], content=[], source=[], credentials=[], events=[ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002], code=at0002, itemType=EVENT, level=2, text=Any event, description=Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVENT, bindings=null, values=null, extendedValues=null]], data=[ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0004], code=at0004, itemType=ELEMENT, level=4, text=Gait, description=Walking is ideally assessed by at least 10 steps., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=0: Normal
    1: Abnormal but walks without assistance
    2: Abnormal and requires assistance (companion, cane, walker, etc.)
    3: Unable to walk
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0009], code=at0009, itemType=ELEMENT, level=4, text=Strength, description=Test each limb separately. Recommend assess proximal (above knee or elbow) and distal (below knee or elbow) major muscle groups. Score should reflect worse performing area. Patients with baseline level 3 function in one major muscle group/limb can be scored based on assessment of other major muscle group/limbs., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=0: Normal
    1: Movement present but decreased against resistance
    2: Movement present but none against resistance
    3: No movement
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0014], code=at0014, itemType=ELEMENT, level=4, text=Ataxia(upper extremity), description=Non-evaluable if strength is compromised. Trunk/lower extermities assessed by gait domain. Particulary important for patients with brainstem and cerebellar tumors. Score based on test respons of at least 3 attempts., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=0: Able to finger to nose touch without difficulty
    1: Able to finger to nose touch but difficult
    2: Unable to finger to nose touch
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0018], code=at0018, itemType=ELEMENT, level=4, text=Sensation, description=Recommend evaluating major body areas separately (face, limbs, trunk). Score should reflect worse performing area. Sensory modality includes but not limited to light touch, pinprick, temperature and proprioception. Patients with baseline level 2 function in one major body area can be scored based on assessment of other major body areas., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=0: Normal
    1: Decreased but aware of sensory modality
    2: Unaware of sensory modality
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0022], code=at0022, itemType=ELEMENT, level=4, text=Visual fields, description=Patients who require corrective lenses should be evaluated while wearing corrective lenses. Each eye should be evaluated and score should reflect the worst performing eye., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=0: Normal
    1: Inconsistent or equivocal parital hemianopsia (≥ quadrantopsia)
    2: Consistent or equivocal partial hemianopsia (≥ quadrantopsia)
    3: Complete hemianopsia
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0027], code=at0027, itemType=ELEMENT, level=4, text=Facial strength, description=Particularly important for brainstem tumors. Weakness includes nasolabial fold flattening, asymmetric smile and difficulty elevating eyebrows., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=0: Normal
    1: Mild/moderate weakness
    2: Severe facial weakness
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0031], code=at0031, itemType=ELEMENT, level=4, text=Language, description=Asses based on spoken speech. Non-verbal cues or writing should not be included., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=0: Normal
    1: Abnormal but easily conveys meaning to examiner [Includes word finding difficulty; few paraphasic errors/neologisms/word substitutions;but able to form sentences (full/broken).]
    2: Abnormal and difficulty conveying meaning to examiner [Includes liability to form sentences (<4 words per phrase/sentence); limited word output; fluent but "empty" speech.]
    3: Abnormal. If verbal, unable to delivery meaning to the examiner OR non-verbal (mute/global aphasia)
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0036], code=at0036, itemType=ELEMENT, level=4, text=Level of consciousness, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=0: Normal
    1: Drowsy (easily arousable)
    2: Somnolent (difficult to arouse)
    3: Unarousable/coma
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0041], code=at0041, itemType=ELEMENT, level=4, text=Behavior, description=Particulary important for frontal lobe tumors. Alteration includes but is not limited to apathy, disinhibition and confusion. Consider subclinical seizures for significant alteration., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=0: Normal
    1: Mild/moderate alteration
    2: Severe alteration
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0045], code=at0045, itemType=ELEMENT, level=4, text=Total sum of score, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=, extendedValues=null]], contacts=[], ism_transition=[], details=[], relationships=[], state=[], target=[], other_participations=[]}, topLevelItems={protocol=ResourceSimplifiedHierarchyItem [path=ROOT_/protocol, code=null, itemType=ITEM_TREE, level=0, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=0..1, cardinalityText=optional, subCardinalityFormal=null, subCardinalityText=null, dataType=ITEM_TREE, bindings=null, values=null, extendedValues=null], data=ResourceSimplifiedHierarchyItem [path=ROOT_/data[at0001]/events[at0002]/data[at0003], code=at0003, itemType=ITEM_TREE, level=2, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=0..1, cardinalityText=optional, subCardinalityFormal=0..*, subCardinalityText=Minimum of 0 items, dataType=ITEM_TREE, bindings=null, values=null, extendedValues=null]}, addHierarchyItemsTo=protocol, currentHierarchyItemsForAdding=[], minIndents={}, termBindingRetrievalErrorMessage=null]