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 the Overall NANO score. The ordinal value '98' is included to represent the non-numerical value 'Not assessed' and value '99' to represent 'Not evaluable'. Neither current modelling tools nor any current implementations allow using a combination of numerical and non-numerical values within a single value set.
PurposeTo record the result for each component parameter for the NANO-scale and Overall NANO 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, openEHR Norway
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=F99DB02DA5AF8DBA4F5BB9794D866A3A, build_uid=c5f4d7e6-e83e-4954-946c-67cf630b5489, 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
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  • Norwegian Bokmål: Ivar Berge, Vebjørn Arntzen, Oslo University Hospital, iberge@ous-hf.no, varntzen@ous-hf.no

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    1: Abnormal but walks without assistance
    2: Abnormal and requires assistance (companion, cane, walker, etc.)
    3: Unable to walk
    98: Not assessed
    99: Not evaluable
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    1: Movement present but decreased against resistance
    2: Movement present but none against resistance
    3: No movement
    98: Not assessed
    99: Not evaluable
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    1: Able to finger to nose touch but difficult
    2: Unable to finger to nose touch
    98: Not assessed
    99: Not evaluable
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    1: Decreased but aware of sensory modality
    2: Unaware of sensory modality
    98: Not assessed
    99: Not evaluable
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    1: Inconsistent or equivocal partial hemianopsia (≥ quadrantopsia)
    2: Consistent or unequivocal partial hemianopsia (≥ quadrantopsia)
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    98: Not assessed
    99: Not evaluable
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    1: Mild/moderate weakness
    2: Severe facial weakness
    98: Not assessed
    99: Not evaluable
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    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 inability to form sentences (<4 words per phrase/sentence); limited word output; fluent but "empty" speech.]
    3: Abnormal. If verbal, unable to convey meaning to the examiner OR non-verbal (mute/global aphasia)
    98: Not assessed
    99: Not evaluable
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    1: Drowsy (easily arousable)
    2: Somnolent (difficult to arouse)
    3: Unarousable/coma
    98: Not assessed
    99: Not evaluable
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    1: Mild/moderate alteration
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    98: Not assessed
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    • Neurological response [≥2 level improvement in at least one domain without worsening in other domains from baseline or best level of function that is not attributable to change in concurrent medications or recovery from a comorbid event.]
    • Neurological stability [Neurologic function that does not meet criteria for neurologic response, neurologic progression, non-evaluable, or not assessed.]
    • Neurological progression [≥2 level worsening from baseline or best level of function within ≥1 domain or worsening to the highest score within ≥1 domain that is felt to be related to underlying tumor progression and not attributable to a comorbid event or change in concurrent medication.]
    • Not assessed [If the clinician omits evaluation of that particular domain during his/her examination.]
    • Non-evaluable [If it is more likely than not that a factor other than underlying tumor activity contributed to an observed change in neurologic function.]
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