ARCHETYPE ID | openEHR-EHR-CLUSTER.fnclcc.v1 |
Concept | FNCLCC grading system |
Description | The histological grading of soft tissue sarcoma using the FNCLCC grading system. |
Use | Use to record the histological grading of soft tissue sarcoma using the FNCLCC grading system. The archetype is designed to be used in an ENTRY archetype that will provide the clinical or pathological context. For example: In the "Specific Details" SLOT in the EVALUATION.problem_diagnose (Problem/Diagnosis) archetype, or nested in a relevant pathology-related CLUSTER archetype which is again nested in the laboratory response archetype (OBSERVATION.laboratory_test_result). This will also allow for documentation of body site. |
Purpose | To record the histological grading of soft tissue sarcoma using the FNCLCC grading system. |
References | Kumar R, Ludwig JA, Madewell JE. Soft Tissue Sarcomas. In: Oncologic Imaging: A Multidisciplinary Approach 2 ed. Elselvier: Saunders; 2022. Chapter 38; p.656-669. Jean-Michel Coindre; Grading of Soft Tissue Sarcomas: Review and Update. Arch Pathol Lab Med 1 October 2006; 130 (10): 1448–1453. doi: https://doi.org/10.5858/2006-130-1448-GOSTSR https://emedicine.medscape.com/article/2006584-overview?form=fpf https://www.cancer.org/cancer/types/soft-tissue-sarcoma/detection-diagnosis-staging/staging.html Norwegian translation: Helsedirektoratet. Nasjonalt handlingsprogram med retningslinjer for diagnostikk, behandling og oppfølging av sarkom. [revised 2022 February]. [Internet]. 2022 February. Available from: https://www.helsedirektoratet.no/retningslinjer/sarkomer-handlingsprogram |
Authors | Author name: Kanika Kuwelker Organisation: Helse Vest IKT Email: kanika.kuwelker@helse-vest-ikt.no Date originally authored: 2024-03-19 |
Other Details Language | Author name: Kanika Kuwelker Organisation: Helse Vest IKT Email: kanika.kuwelker@helse-vest-ikt.no Date originally authored: 2024-03-19 |
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=Kumar R, Ludwig JA, Madewell JE. Soft Tissue Sarcomas. In: Oncologic Imaging: A Multidisciplinary Approach 2 ed. Elselvier: Saunders; 2022. Chapter 38; p.656-669. Jean-Michel Coindre; Grading of Soft Tissue Sarcomas: Review and Update. Arch Pathol Lab Med 1 October 2006; 130 (10): 1448–1453. doi: https://doi.org/10.5858/2006-130-1448-GOSTSR https://emedicine.medscape.com/article/2006584-overview?form=fpf https://www.cancer.org/cancer/types/soft-tissue-sarcoma/detection-diagnosis-staging/staging.html Norwegian translation: Helsedirektoratet. Nasjonalt handlingsprogram med retningslinjer for diagnostikk, behandling og oppfølging av sarkom. [revised 2022 February]. [Internet]. 2022 February. Available from: https://www.helsedirektoratet.no/retningslinjer/sarkomer-handlingsprogram, original_namespace=org.openehr, original_publisher=openEHR Foundation, custodian_namespace=org.openehr, MD5-CAM-1.0.1=14FF06CB22469F2DAFDD8520F2C92AD2, build_uid=020c6d3e-8965-4f6a-870e-9276550e77dc, revision=1.0.0} |
Keywords | sarcoma, soft tissue, tumour, cancer, neoplasia, oncology, malignancy, tumor differentiation, tumor necrosis, mitotic count, grading, grade, FNCLCC |
Lifecycle | published |
UID | 1d34bdb2-68dd-44ce-920e-013185252790 |
Language used | en |
Citeable Identifier | 1013.1.7038 |
Revision Number | 1.0.0 |
All | Archetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=null, archetypeConceptDescription=The histological grading of soft tissue sarcoma using the FNCLCC grading system., archetypeConceptComment=FNCLCC - Fédération Nationale des Centres de Lutte Contre le Cancer., otherContributors=Vebjørn Arntzen, Oslo University Hospital, Norway (openEHR Editor) Silje Ljosland Bakke, Helse Vest IKT AS, Norway (openEHR Editor) SB Bhattacharyya, Bhattacharyyas Clinical Records Research & Informatics LLP, India Hanne Marte Bårholm, Helse Vest IKT, Norway (openEHR Editor) Heather Grain, Llewelyn Grain Informatics, Australia Evelyn Hovenga, EJSH Consulting, Australia June Marie Nepstad Knappskog, Helse Nord IKT AS, Norway (openEHR Editor) Hans Kristian Haugland, Helse Bergen, Norway Anjali Kulkarni, Karkinos, India Kanika Kuwelker, Helse Vest IKT, Norway (openEHR Editor) Jörgen Kuylenstierna, eWeave AB, Sweden Liv Laugen, Oslo University Hospital, Norway, Norway (openEHR Editor) Heather Leslie, Atomica Informatics, Australia (openEHR Editor) Nina Louise Jebsen, Haukeland Universitetssykehus, Norway Ian McNicoll, freshEHR Clinical Informatics, United Kingdom Olha Nikolaieva, University Hospital Basel, Switzerland Terje Nordberg, Helse Bergen, Norway Mikael Nyström, Cambio Healthcare Systems AB, Sweden Bjørn Næss, DIPS ASA, Norway Terje Sagmyr, Helse Vest IKT, Norway (openEHR Editor) John Tore Valand, Helse Vest IKT, Norway (openEHR Editor) Olga Zaikova, OUS, Radiumhospitalet, Norway, originalLanguage=en, translators= , subjectOfData=unconstrained, archetypeTranslationTree=null, topLevelToAshis={events=[], content=[], identities=[], description=[], relationships=[], target=[], ism_transition=[], data=[], protocol=[], source=[], capabilities=[], contacts=[], provider=[], details=[], items=[ResourceSimplifiedHierarchyItem [path=/items[at0005], code=at0005, itemType=ELEMENT, level=1, text=Tumour differentiation, 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=1: Sarcoma closely resembling normal adult mesenchymal tissue (e.g., low-grade liposarcoma). 2: Sarcomas for which histological typing is certain (e.g., myxoid/round cell liposarcoma). 3: Embryonal and undifferentiated sarcomas, sarcomas of doubtful type, synovial sarcomas, soft tissue osteosarcoma, Ewing sarcoma/primitive neuroectodermal tumor (PNET) of soft tissue. , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006], code=at0006, itemType=ELEMENT, level=1, text=Mitotic count, 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=1: 0-9 mitoses per 1,7 mm2 2: 10-19 mitoses per 1.7 mm2 3: ≥20 mitoses per 1.7 mm2 , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0007], code=at0007, itemType=ELEMENT, level=1, text=Tumour necrosis, 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: No necrosis 1: <50% tumor necrosis 2: ≥50% tumor necrosis , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0021], code=at0021, itemType=ELEMENT, level=1, text=Total score, description=The total sum of each component parameter for the FNCLCC grading system., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=min: >=2; max: <=8 , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0017], code=at0017, itemType=ELEMENT, level=1, text=Histological grade, description=Assessment of histological grade based on the total score in the FNCLCC grading system., comment=In clinical practice for soft tissue sarcomas, the 'Histological grade' result from this archetype is commonly reused to populate the 'Histopathological grade (G)' data element within the CLUSTER.tnm and CLUSTER.tnm-pathological archetypes. In that situation, this grading may be recorded within this archetype and also copied to the TNM archetypes., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
2: Sarcomas for which histological typing is certain (e.g., myxoid/round cell liposarcoma). 3: Embryonal and undifferentiated sarcomas, sarcomas of doubtful type, synovial sarcomas, soft tissue osteosarcoma, Ewing sarcoma/primitive neuroectodermal tumor (PNET) of soft tissue. , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006], code=at0006, itemType=ELEMENT, level=1, text=Mitotic count, 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=1: 0-9 mitoses per 1,7 mm2 2: 10-19 mitoses per 1.7 mm2 3: ≥20 mitoses per 1.7 mm2 , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0007], code=at0007, itemType=ELEMENT, level=1, text=Tumour necrosis, 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: No necrosis 1: <50% tumor necrosis 2: ≥50% tumor necrosis , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0021], code=at0021, itemType=ELEMENT, level=1, text=Total score, description=The total sum of each component parameter for the FNCLCC grading system., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=min: >=2; max: <=8 , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0017], code=at0017, itemType=ELEMENT, level=1, text=Histological grade, description=Assessment of histological grade based on the total score in the FNCLCC grading system., comment=In clinical practice for soft tissue sarcomas, the 'Histological grade' result from this archetype is commonly reused to populate the 'Histopathological grade (G)' data element within the CLUSTER.tnm and CLUSTER.tnm-pathological archetypes. In that situation, this grading may be recorded within this archetype and also copied to the TNM archetypes., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
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