ARCHETYPE FIGO staging of gynaecological cancer (openEHR-EHR-CLUSTER.figo_staging_cancer.v1)

ARCHETYPE IDopenEHR-EHR-CLUSTER.figo_staging_cancer.v1
ConceptFIGO staging of gynaecological cancer
DescriptionThe staging of gynaecological cancer using the FIGO staging system.
UseUse to record the stage of gynaecological cancer according to the FIGO classification systems This archetype has been designed to be nested inside an ENTRY or appropriate CLUSTER archetype which will provide a clinical or pathological context for the FIGO stage - for example: the 'Specific details' SLOT within the EVALUATION.problem_diagnosis archetype; an appropriate histopathology-related CLUSTER archetype within the OBSERVATION.laboratory_test_result archetype context; within the OBSERVATION.imaging_exam_result archetype; or within other ENTRY or CLUSTER archetypes, where clinically appropriate. When this archetype needs to be included within an non-OBSERVATION archetype such as EVALUATION.problem_diagnosis, it should first be nested within the CLUSTER.clinical_evidence to provide important context such as the date of the assessment. Each gynaecological cancer has been assigned a FIGO staging criteria, which are periodically updated and republished. It is anticipated that implementers will utilise a knowledge base containing the appropriate value set for the specific cancer and revision, and use it to populate this archetype framework at runtime. In the absence of a knowledge base, the relevant value set can be manually incorporated into the 'FIGO stage element' within a predefined template.
MisuseNot to be used for FIGO classification of conditions other than gynecological cancer. For example FIGO classification system (PALM-COEIN) for causes of abnormal uterine bleeding. Not to be used for recording non-FIGO classifications of gynaecological cancer.
PurposeTo record the stage of gynaecological cancer according to the FIGO classification systems.
ReferencesBerek JS, Matias-Guiu X, Creutzberg C, Fotopoulou C, Gaffney D, Kehoe S, Lindemann K, Mutch D, Concin N; Endometrial Cancer Staging Subcommittee, FIGO Women's Cancer Committee. FIGO staging of endometrial cancer: 2023. Int J Gynaecol Obstet. 2023 Aug;162(2):383-394. doi: 10.1002/ijgo.14923. Epub 2023 Jun 20. Erratum in: Int J Gynaecol Obstet. 2023 Oct 6. doi: 10.1002/ijgo.15193. PMID: 37337978.

Berek JS, Renz M, Kehoe S, Kumar L, Friedlander M. Cancer of the ovary, fallopian tube, and peritoneum: 2021 update. Int J Gynaecol Obstet. 2021 Oct;155 Suppl 1(Suppl 1):61-85. doi: 10.1002/ijgo.13878. PMID: 34669199; PMCID: PMC9298325.

Olawaiye AB, Cotler J, Cuello MA, Bhatla N, Okamoto A, Wilailak S, Purandare CN, Lindeque G, Berek JS, Kehoe S. FIGO staging for carcinoma of the vulva: 2021 revision. Int J Gynaecol Obstet. 2021 Oct;155(1):43-47. doi: 10.1002/ijgo.13880. PMID: 34520062; PMCID: PMC9290586.

Adams TS, Rogers LJ, Cuello MA. Cancer of the vagina: 2021 update. Int J Gynaecol Obstet. 2021 Oct;155 Suppl 1(Suppl 1):19-27. doi: 10.1002/ijgo.13867. PMID: 34669198; PMCID: PMC9298013.

Bhatla N, Berek JS, Cuello Fredes M, Denny LA, Grenman S, Karunaratne K, Kehoe ST, Konishi I, Olawaiye AB, Prat J, Sankaranarayanan R, Brierley J, Mutch D, Querleu D, Cibula D, Quinn M, Botha H, Sigurd L, Rice L, Ryu HS, Ngan H, Mäenpää J, Andrijono A, Purwoto G, Maheshwari A, Bafna UD, Plante M, Natarajan J. Revised FIGO staging for carcinoma of the cervix uteri. Int J Gynaecol Obstet. 2019 Apr;145(1):129-135. doi: 10.1002/ijgo.12749. Epub 2019 Jan 17. Erratum in: Int J Gynaecol Obstet. 2019 Nov;147(2):279-280. doi: 10.1002/ijgo.12969. PMID: 30656645.

Ray-Coquard I, Casali PG, Croce S, Fennessy FM, Fischerova D, Jones R, Sanfilippo R, Zapardiel I, Amant F, Blay JY, Martἰn-Broto J, Casado A, Chiang S, Tos APD, Haas R, Hensley ML, Hohenberger P, Kim JW, Kim SI, Meydanli MM, Pautier P, Razak ARA, Sehouli J, van Houdt W, Planchamp F, Friedlander M. ESGO/EURACAN/GCIG guidelines for the management of patients with uterine sarcomas. Int J Gynecol Cancer. 2024 Oct 7;34(10):1499-1521. doi: 10.1136/ijgc-2024-005823.
Copyright© openEHR Foundation
AuthorsAuthor name: Kanika Kuwelker, John Tore Valand, Hanne Marte Sandal Bårholm
Organisation: Helse Vest IKT
Email: kanika.kuwelker@helse-vest-ikt-no, john.tore.valand@helse-vest-ikt.no, hanne.marte.sandal.barholm@helse-vest-ikt.no
Date originally authored: 2024-04-29
Other Details LanguageAuthor name: Kanika Kuwelker, John Tore Valand, Hanne Marte Sandal Bårholm
Organisation: Helse Vest IKT
Email: kanika.kuwelker@helse-vest-ikt-no, john.tore.valand@helse-vest-ikt.no, hanne.marte.sandal.barholm@helse-vest-ikt.no
Date originally authored: 2024-04-29
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=Berek JS, Matias-Guiu X, Creutzberg C, Fotopoulou C, Gaffney D, Kehoe S, Lindemann K, Mutch D, Concin N; Endometrial Cancer Staging Subcommittee, FIGO Women's Cancer Committee. FIGO staging of endometrial cancer: 2023. Int J Gynaecol Obstet. 2023 Aug;162(2):383-394. doi: 10.1002/ijgo.14923. Epub 2023 Jun 20. Erratum in: Int J Gynaecol Obstet. 2023 Oct 6. doi: 10.1002/ijgo.15193. PMID: 37337978. Berek JS, Renz M, Kehoe S, Kumar L, Friedlander M. Cancer of the ovary, fallopian tube, and peritoneum: 2021 update. Int J Gynaecol Obstet. 2021 Oct;155 Suppl 1(Suppl 1):61-85. doi: 10.1002/ijgo.13878. PMID: 34669199; PMCID: PMC9298325. Olawaiye AB, Cotler J, Cuello MA, Bhatla N, Okamoto A, Wilailak S, Purandare CN, Lindeque G, Berek JS, Kehoe S. FIGO staging for carcinoma of the vulva: 2021 revision. Int J Gynaecol Obstet. 2021 Oct;155(1):43-47. doi: 10.1002/ijgo.13880. PMID: 34520062; PMCID: PMC9290586. Adams TS, Rogers LJ, Cuello MA. Cancer of the vagina: 2021 update. Int J Gynaecol Obstet. 2021 Oct;155 Suppl 1(Suppl 1):19-27. doi: 10.1002/ijgo.13867. PMID: 34669198; PMCID: PMC9298013. Bhatla N, Berek JS, Cuello Fredes M, Denny LA, Grenman S, Karunaratne K, Kehoe ST, Konishi I, Olawaiye AB, Prat J, Sankaranarayanan R, Brierley J, Mutch D, Querleu D, Cibula D, Quinn M, Botha H, Sigurd L, Rice L, Ryu HS, Ngan H, Mäenpää J, Andrijono A, Purwoto G, Maheshwari A, Bafna UD, Plante M, Natarajan J. Revised FIGO staging for carcinoma of the cervix uteri. Int J Gynaecol Obstet. 2019 Apr;145(1):129-135. doi: 10.1002/ijgo.12749. Epub 2019 Jan 17. Erratum in: Int J Gynaecol Obstet. 2019 Nov;147(2):279-280. doi: 10.1002/ijgo.12969. PMID: 30656645. Ray-Coquard I, Casali PG, Croce S, Fennessy FM, Fischerova D, Jones R, Sanfilippo R, Zapardiel I, Amant F, Blay JY, Martἰn-Broto J, Casado A, Chiang S, Tos APD, Haas R, Hensley ML, Hohenberger P, Kim JW, Kim SI, Meydanli MM, Pautier P, Razak ARA, Sehouli J, van Houdt W, Planchamp F, Friedlander M. ESGO/EURACAN/GCIG guidelines for the management of patients with uterine sarcomas. Int J Gynecol Cancer. 2024 Oct 7;34(10):1499-1521. doi: 10.1136/ijgc-2024-005823., original_namespace=org.openehr, original_publisher=openEHR Foundation, custodian_namespace=org.openehr, MD5-CAM-1.0.1=6BCBCF64D3FCE67A6BCC6579AC43F759, build_uid=4cd7f50e-ad38-4aad-8025-8f22813603ba, revision=1.0.0}
Keywordsfigo, cervix, corpus uteri, endometrium, uterus, ovary, fallopian tube, peritoneum, vulva, vagina, placenta, gestational trophoblastic neoplasia, leiomyosarcoma, adenosarcoma, undifferentiated uterine sarcoma, endometrial stromal sarcoma, gynaecological, gynecology, gynaecology, pelvis, pelvic, classification, stage, staging, tumor, cancer, neoplasia, oncology
Lifecyclepublished
UIDc9bad5a3-fdff-43ed-9c5b-add7128115f6
Language useden
Citeable Identifier1013.1.7610
Revision Number1.0.0
AllArchetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=null, archetypeConceptDescription=The staging of gynaecological cancer using the FIGO staging system., archetypeConceptComment=FIGO - The International Federation of Gynecology and Obstetrics. , otherContributors=Vebjørn Arntzen, Oslo University Hospital, Norway (openEHR Editor)
Silje Ljosland Bakke, Helse Vest IKT AS, Norway (openEHR Editor)
Ivar Berge, Oslo University Hospital, Norway (openEHR Editor)
SB Bhattacharyya, Bhattacharyyas Clinical Records Research & Informatics LLP, India
Mari Bunkholt Elstrand, OUS-HF, Norway
Hanne Marte Bårholm, Helse Vest IKT, Norway (openEHR Editor)
Mona Didriksen, Helse Vest IKT, Norway (Nasjonal IKT redaktør)
Ciprian Gerstenberger, Helse Nord 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), Norway (openEHR Editor)
Kanika Kuwelker, Helse Vest IKT, Norway (openEHR Editor)
Jörgen Kuylenstierna, eWeave AB, Sweden
Eli Larsen, UNN, Norway (openEHR Editor)
Liv Laugen, ​Oslo University Hospital, Norway, Norway (openEHR Editor)
Heather Leslie, Atomica Informatics, Australia (openEHR Editor)
Nina Louise Jebsen, Haukeland Universitetssykehus, Norway
Jonas Lyshaug, FSE/ HN IKT, Norway
June Marie Knappskog, Helse Nord IKT AS, Norway (Nasjonal IKT redaktør), 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
Marlene Pérez Colman, Digital Health and Care Wales, United Kingdom
Kanthan Theivendran, NHS, United Kingdom
John Tore Valand, Helse Vest IKT, Norway (openEHR Editor), originalLanguage=en, translators=
  • Norwegian Bokmål: John Tore Valand, Kanika Kuwelker, Helse Vest IKT, john.tore.valand@helse-vest-ikt.no, kanika.kuwelker@helse-vest-ikt.no

  • , subjectOfData=unconstrained, archetypeTranslationTree=null, topLevelToAshis={activities=[], provider=[], items=[ResourceSimplifiedHierarchyItem [path=/items[at0005], code=at0005, itemType=ELEMENT, level=1, text=Staging criteria, description=Identification of the organ- or tissue-specific FIGO criteria used for staging., comment=Coding with a FIGO stage appropriate for the gynaecological cancer is expected. For example: 'IIA' or 'IVB'., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:
    •  Text
    •  Coded Text
      • Cervix uteri
      • Corpus uteri (endometrium)
      • Uterine sarcoma
      • Ovary, fallopian tube, and peritoneum
      • Vagina
      • Vulva
      • Gestational trophoblastic neoplasia
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0002], code=at0002, itemType=ELEMENT, level=1, text=FIGO stage, description=The FIGO stage selected from the specified 'Staging criteria'., comment=Coding with a FIGO stage appropriate for the gynaecological cancer is expected. For example: 'IIA' or 'IVB'., 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[at0003], code=at0003, itemType=ELEMENT, level=1, text=Molecular subtype, description=FIGO molecular subtype related to the gynaecological cancer being classified., comment=Coding with a FIGO molecular subtype appropriate for the gynaecological cancer is expected. For example: p53abn or POLEmut. This information can be used in conjunction with traditional staging criteria to provide a more comprehensive understanding of the cancer and enhance clinical decision-making., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006], code=at0006, itemType=ELEMENT, level=1, text=FIGO stage with molecular classification, description=Concatenation of FIGO stage and molecular subtype with 'm' as delimiter., comment=For example: IIImPOLEmut or IVmPOLEmut., 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[at0004], code=at0004, itemType=ELEMENT, level=1, text=FIGO version, description=The version of the FIGO staging system used for the assessment., comment=For example: 2009., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null]], source=[], content=[], events=[], data=[], context=[], details=[], credentials=[], identities=[], protocol=[], state=[], target=[], ism_transition=[], relationships=[], contacts=[], capabilities=[], description=[], other_participations=[]}, 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[at0005], code=at0005, itemType=ELEMENT, level=1, text=Staging criteria, description=Identification of the organ- or tissue-specific FIGO criteria used for staging., comment=Coding with a FIGO stage appropriate for the gynaecological cancer is expected. For example: 'IIA' or 'IVB'., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:
    •  Text
    •  Coded Text
      • Cervix uteri
      • Corpus uteri (endometrium)
      • Uterine sarcoma
      • Ovary, fallopian tube, and peritoneum
      • Vagina
      • Vulva
      • Gestational trophoblastic neoplasia
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0002], code=at0002, itemType=ELEMENT, level=1, text=FIGO stage, description=The FIGO stage selected from the specified 'Staging criteria'., comment=Coding with a FIGO stage appropriate for the gynaecological cancer is expected. For example: 'IIA' or 'IVB'., 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[at0003], code=at0003, itemType=ELEMENT, level=1, text=Molecular subtype, description=FIGO molecular subtype related to the gynaecological cancer being classified., comment=Coding with a FIGO molecular subtype appropriate for the gynaecological cancer is expected. For example: p53abn or POLEmut. This information can be used in conjunction with traditional staging criteria to provide a more comprehensive understanding of the cancer and enhance clinical decision-making., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006], code=at0006, itemType=ELEMENT, level=1, text=FIGO stage with molecular classification, description=Concatenation of FIGO stage and molecular subtype with 'm' as delimiter., comment=For example: IIImPOLEmut or IVmPOLEmut., 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[at0004], code=at0004, itemType=ELEMENT, level=1, text=FIGO version, description=The version of the FIGO staging system used for the assessment., comment=For example: 2009., 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]