TEMPLATE Pathological breast tumour size (Pathological breast tumour size)

TEMPLATE IDPathological breast tumour size
ConceptPathological breast tumour size
DescriptionNot Specified
PurposeNot Specified
References
Authorsname: Silje Ljosland Bakke; organisation: Helse Vest IKT AS; email: silje.ljosland.bakke@helse-vest-ikt.no; date: 2021-03-04
Other Details Languagename: Silje Ljosland Bakke; organisation: Helse Vest IKT AS; email: silje.ljosland.bakke@helse-vest-ikt.no; date: 2021-03-04
Other Details (Language Independent)
  • Sem Ver: 0.1.0
  • Original Language: ISO_639-1::en
Language useden
Citeable Identifier1013.26.379
Root archetype idopenEHR-EHR-COMPOSITION.report.v1
Pathological breast tumour sizePathological breast tumour size: Document to communicate information to others, commonly in response to a request from another party.
Laboratory test resultLaboratory test result: The result, including findings and the laboratory's interpretation, of an investigation performed on specimens collected from an individual or related to that individual.
Data
Any eventAny event: Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time.
Data
Test nameTest name: Name of the laboratory investigation performed on the specimen(s).
A test result may be for a single analyte, or a group of items, including panel tests. It is strongly recommended that 'Test name' be coded with a terminology, for example LOINC or SNOMED CT. For example: 'Glucose', 'Urea and Electrolytes', 'Swab', 'Cortisol (am)', 'Potassium in perspiration' or 'Melanoma histopathology'. The name may sometimes include specimen type and patient state, for example 'Fasting blood glucose' or include other information, as 'Potassium (PNA blood gas)'.
  • Breast tumour pathology examination
SpecimenSpecimen: A physical sample collected from, or related to, an individual for the purpose of investigation, examination or analysis.
For example: Tissue or body fluid.
Laboratory specimen identifierLaboratory specimen identifier: A unique identifier of the specimen, normally assigned by the laboratory.
Sometimes called the Accession Identifier. Specimen containers, for example vacuum vials or tissue cassettes, have their own identitiers which may be recorded in the 'Container identifier' element in the 'Specimen container' archetype.
Optional[{fhir_mapping=Specimen.accessionIdentifier}]

Annotations

  • Fhir Mapping: Specimen.accessionIdentifier
Collection date/timeCollection date/time: The date and time that collection has been ordered to take place or has taken place.
This datetime will be captured primarily in the INSTRUCTION timing, ACTION time or OBSERVATION times. However, as this is a critical piece of information, it can be useful to also associate it directly with the specimen itself.
  •  Date/Time
  •  Interval
Macroscopic examinationMacroscopic examination: Findings and interpretation of an anatomical pathology examination performed on tissues and body fluids.
Examination typeExamination type: Identification of the type of anatomical pathology examination performed.
  • Macroscopic examination 
Tumour findingsTumour findings: Details of an individual anatomical pathology finding, often related to a specific anatomical location or specimen.
Tumour shapeTumour shape: A narrative description of the anatomical pathology finding.
Tumour dimensionsTumour dimensions: Measurments of a named object.
LengthLength: The measured value of longest axis of the object.
>=0 mm
WidthWidth: Measured distance from side-to-side of an object, usually perpendicular to the longest axis.
>=0 mm
Microscopic examinationMicroscopic examination: Findings and interpretation of an anatomical pathology examination performed on tissues and body fluids.
Examination typeExamination type: Identification of the type of anatomical pathology examination performed.
  • Microscopic examination 
Anatomical pathology findingAnatomical pathology finding: Details of an individual anatomical pathology finding, often related to a specific anatomical location or specimen.
Finding labelFinding label: A text label for the specific finding.
  • Tumour
Tumour descriptionTumour description: A narrative description of the anatomical pathology finding.
TNM pathological classificationTNM pathological classification: A framework for the pathological classification and stage grouping of malignancies using the TNM system.
Designated as pTNM.
Primary tumour (pT)Primary tumour (pT): Assessment of the extent of the primary tumour.
Coding with a T code appropriate for the tumour type and anatomical site is expected. For example: 'pT1'; or 'pT3'. Represented as 'pT' in the 'TNM assessment'.