Modellbiblioteket openEHR Fork
Name
Surgical resection margins
Description
Details of tumour involvement at margins of surgical resections/biopsies.
Keywords
malignancy margins tumour cancer resection histopathology biopsy
Purpose
Details of surgical resection margin involvement of malignant tumours. May be used to describe scenarios where tumour is present at the resection margin, detailing the length of tumour involvement, or where tumour is absent from the margin, to indicate the distance of tumour from that margin.
Use
Normally used within a histopathology archetype.
Archetype Id
openEHR-EHR-CLUSTER.tumour_resection_margins.v0
Copyright
© openEHR Foundation
Licencing
This work is licensed under the Creative Commons Attribution-ShareAlike 3.0 License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/3.0/.
Original Author
Dr Ian McNicoll
Ocean Informatics
Date Originally Authored
Details of surgical resection margin involvement of malignant tumours. May be used to describe scenarios where tumour is present at the resection margin, detailing the length of tumour involvement, or where tumour is absent from the margin, to indicate the distance of tumour from that margin.
Language Details
German
Carina Lerch
Heidelberg University Hospital
Arabic (Syria)
Mona Saleh
Name Card Type Description
Margin name
0..1 DV_TEXT The name of the margin being described.
Comment
For example: 'closest margin', 'circumferential margin', 'deep margin', 'vascular margin' or 'bronchial margin'.
Margin location
0..* Slot (Cluster) The location of the margin being described.
Slot
Slot
Marginal involvement
0..1 DV_CODED_TEXT Evidence of tumour at a surgical resection margin.
Constraint for DV_CODED_TEXT
  • Present
    [Ttumour is present at the surgical resection margin.]
  • Absent
    [Tumour is absent from the surgical resection margin.]
  • Equivocal
    [Presence of tumour at the surgical resection margin is equivocal.]
  • Indeterminate
    [Presence of tumour at surgical resection margins has not been determined.]
Tumour present
0..* CLUSTER Details where tumour is present at the surgical resection margin.
CLUSTER
Maximum linear involvement
0..1 DV_QUANTITY When tumour is present at surgical resection margin, the maximal length of involvement.
DV_QUANTITY
Nature of involvement
0..1 DV_TEXT The nature of involvement of the tumour with the surgical margin.
Tumour absent
0..* CLUSTER Details where tumour is absent from surgical resection margins.
CLUSTER
Distance from resection margin
0..1 DV_QUANTITY When tumour is absent, the distance from tumour to the named surgical resection margin.
DV_QUANTITY
Tumour name
0..1 DV_TEXT Name of the tumour for which the 'Distance from resection margin' applies.
Comment
For example: 'Invasive tumour' or 'Cancer in situ'.
Description
0..1 DV_TEXT A text description of tumour involvement at the surgical resection margin.
archetype (adl_version=1.4; uid=1ed870b1-760e-4441-886f-7a6d98d2dfab)
	openEHR-EHR-CLUSTER.tumour_resection_margins.v0

concept
	[at0000]	-- Surgical resection margins
language
	original_language = <[ISO_639-1::en]>
	translations = <
		["de"] = <
			language = <[ISO_639-1::de]>
			author = <
				["name"] = <"Carina Lerch">
				["organisation"] = <"Heidelberg University Hospital">
				["email"] = <"carina.lerch@med.uni-heidelberg.de">
			>
		>
		["ar-sy"] = <
			language = <[ISO_639-1::ar-sy]>
			author = <
				["name"] = <"Mona Saleh">
			>
		>
	>
description
	original_author = <
		["name"] = <"Dr Ian McNicoll">
		["organisation"] = <"Ocean Informatics">
		["email"] = <"ian.mcnicoll@oceaninformatics.com">
		["date"] = <"2009-05-17">
	>
	details = <
		["de"] = <
			language = <[ISO_639-1::de]>
			purpose = <"Details zum operativen Resektionsrand bei einem malignen Tumor. Der Archetyp kann verwendet werden, um das Tumorvorkommen am Resektionsrand zu beschreiben, sowie Angaben zur Länge der Tumorausbreitung anzugeben. Sollte kein Tumorvorkommen am Resektionsrand nachweisbar sein, kann der Abstand vom Resektionsrand zum Tumor erhoben werden.">
			use = <"Wird hauptsächlich innerhalb eines histopathologischen Archetypen verwendet.">
			keywords = <"Malignität", "Rand/Ränder", "Tumor(e)", "Krebs", "Resektion", "Histopathologie", "Biopsie(n)">
			misuse = <"">
		>
		["en"] = <
			language = <[ISO_639-1::en]>
			purpose = <"Details of surgical resection margin involvement of malignant tumours. May be used to describe scenarios where tumour is present at the resection margin, detailing the length of tumour involvement, or where tumour is absent from the margin, to indicate the distance of tumour from that margin.">
			use = <"Normally used within a histopathology archetype.">
			keywords = <"malignancy", "margins", "tumour", "cancer", "resection", "histopathology", "biopsy">
			misuse = <"">
			copyright = <"© openEHR Foundation">
		>
		["ar-sy"] = <
			language = <[ISO_639-1::ar-sy]>
			purpose = <"تفاصيل حول اكتناف حواف القطع الجراحي بالورم الخبيث. قد يستخدم لوصف سيناريوهات حيث يوجد فيها الورم موجودا عند حافة/هامش القطع, تفاصيل حول طول اكتناف الورم, أو حيث يكون الورم غائبا من الحافة/الهامش, للإشارة إلى المسافة بين الورم و الحافة/الهامش.">
			use = <"يستخدم عادة في نموذج الهيستوباثولجيا">
			keywords = <"الخباثة", "الحواف/الهوامش", "الورم", "السرطان", "القطع", "الهيستوباثولوجيا", "الخزعة">
			misuse = <"">
			copyright = <"© openEHR Foundation">
		>
	>
	lifecycle_state = <"in_development">
	other_contributors = <"Sabine Leh, Helse Bergen HF, Norway", "John Tore Valand, Helse Bergen HF, Norway", "Silje Ljosland Bakke, Nasjonal IKT HF, Norway", "Therese Högberg Mårder, Linköpings University, Sweden">
	other_details = <
		["licence"] = <"This work is licensed under the Creative Commons Attribution-ShareAlike 3.0 License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/3.0/.">
		["custodian_organisation"] = <"openEHR Foundation">
		["references"] = <"">
		["original_namespace"] = <"org.openehr">
		["original_publisher"] = <"openEHR Foundation">
		["custodian_namespace"] = <"org.openehr">
		["MD5-CAM-1.0.1"] = <"7323F700EC9DD50E535E654F4D7D7D30">
		["build_uid"] = <"ce6a67fd-d831-4730-8db6-c5663597405e">
		["revision"] = <"0.0.1-alpha">
	>

definition
	CLUSTER[at0000] matches {    -- Tumour - Surgical resection margins
		items cardinality matches {1..*; unordered} matches {
			ELEMENT[at0018] occurrences matches {0..1} matches {    -- Margin name
				value matches {
					DV_TEXT matches {*}
				}
			}
			allow_archetype CLUSTER[at0019] occurrences matches {0..*} matches {    -- Margin location
				include
					archetype_id/value matches {/openEHR-EHR-CLUSTER\.anatomical_location(-[a-zA-Z0-9_]+)*\.v1|openEHR-EHR-CLUSTER\.anatomical_location_circle(-[a-zA-Z0-9_]+)*\.v1|openEHR-EHR-CLUSTER\.anatomical_location_relative(-[a-zA-Z0-9_]+)*\.v1|openEHR-EHR-CLUSTER\.anatomical_location_circle(-[a-zA-Z0-9_]+)*\.v0/}
			}
			ELEMENT[at0001] occurrences matches {0..1} matches {    -- Marginal involvement
				value matches {
					DV_CODED_TEXT matches {
						defining_code matches {
							[local::
							at0014,    -- Present
							at0015,    -- Absent
							at0017,    -- Equivocal
							at0016]    -- Indeterminate
						}
					}
				}
			}
			CLUSTER[at0006] occurrences matches {0..*} matches {    -- Tumour present
				items cardinality matches {1..*; unordered} matches {
					ELEMENT[at0007] occurrences matches {0..1} matches {    -- Maximum linear involvement
						value matches {
							C_DV_QUANTITY <
								property = <[openehr::122]>
								list = <
									["1"] = <
										units = <"mm">
										magnitude = <|>=0.0|>
									>
								>
							>
						}
					}
					ELEMENT[at0020] occurrences matches {0..1} matches {    -- Nature of involvement
						value matches {
							DV_TEXT matches {*}
						}
					}
				}
			}
			CLUSTER[at0008] occurrences matches {0..*} matches {    -- Tumour absent
				items cardinality matches {1..*; unordered} matches {
					ELEMENT[at0009] occurrences matches {0..1} matches {    -- Distance from resection margin
						value matches {
							C_DV_QUANTITY <
								property = <[openehr::122]>
								list = <
									["1"] = <
										units = <"mm">
										magnitude = <|>=0.0|>
									>
								>
							>
						}
					}
					ELEMENT[at0021] occurrences matches {0..1} matches {    -- Tumour name
						value matches {
							DV_TEXT matches {*}
						}
					}
				}
			}
			ELEMENT[at0010] occurrences matches {0..1} matches {    -- Description
				value matches {
					DV_TEXT matches {*}
				}
			}
		}
	}


ontology
	term_definitions = <
		["en"] = <
			items = <
				["at0000"] = <
					text = <"Surgical resection margins">
					description = <"Details of tumour involvement at margins of surgical resections/biopsies.">
				>
				["at0001"] = <
					text = <"Marginal involvement">
					description = <"Evidence of tumour at a surgical resection margin.">
				>
				["at0006"] = <
					text = <"Tumour present">
					description = <"Details where tumour is present at the surgical resection margin.">
				>
				["at0007"] = <
					text = <"Maximum linear involvement">
					description = <"When tumour is present at surgical resection margin, the maximal length of involvement.">
				>
				["at0008"] = <
					text = <"Tumour absent">
					description = <"Details where tumour is absent from surgical resection margins.">
				>
				["at0009"] = <
					text = <"Distance from resection margin">
					description = <"When tumour is absent, the distance from tumour to the named surgical resection margin.">
				>
				["at0010"] = <
					text = <"Description">
					description = <"A text description of tumour involvement at the surgical resection margin.">
				>
				["at0014"] = <
					text = <"Present">
					description = <"Ttumour is present at the surgical resection margin.">
				>
				["at0015"] = <
					text = <"Absent">
					description = <"Tumour is absent from the surgical resection margin.">
				>
				["at0016"] = <
					text = <"Indeterminate">
					description = <"Presence of tumour at surgical resection margins has not been determined.">
				>
				["at0017"] = <
					text = <"Equivocal">
					description = <"Presence of tumour at the surgical resection margin is equivocal.">
				>
				["at0018"] = <
					text = <"Margin name">
					description = <"The name of the margin being described.">
					comment = <"For example: 'closest margin', 'circumferential margin', 'deep margin', 'vascular margin' or 'bronchial margin'.">
				>
				["at0019"] = <
					text = <"Margin location">
					description = <"The location of the margin being described.">
				>
				["at0020"] = <
					text = <"Nature of involvement">
					description = <"The nature of involvement of the tumour with the surgical margin.">
				>
				["at0021"] = <
					text = <"Tumour name">
					description = <"Name of the tumour for which the 'Distance from resection margin' applies.">
					comment = <"For example: 'Invasive tumour' or 'Cancer in situ'.">
				>
			>
		>
		["ar-sy"] = <
			items = <
				["at0000"] = <
					text = <"الورم - حواف/هوامش القطع الجراحي">
					description = <"تفاصيل حول اكتناف الورم بحواف/هوامش القطع/الخزعات الجراحية">
				>
				["at0001"] = <
					text = <"اكتناف الحواف">
					description = <"الدليل على وجود الورم في هامش القطع الجراحي">
				>
				["at0006"] = <
					text = <"يوجد ورم">
					description = <"توجد تفاصيل حول حافة القطع الجراحي">
				>
				["at0007"] = <
					text = <"حد أقصى من الاكتناف الخطي">
					description = <"إذا كان الورم موجودا بالفعل عند حافة القطع الجراحي, الحد الأقصى لطول الاكتناف">
				>
				["at0008"] = <
					text = <"لا يوجد ورم">
					description = <"التفاصيل التي لا يوجد فيها ورم في حواف القطع الجراحي">
				>
				["at0009"] = <
					text = <"*Distance from resection margin (en)">
					description = <"*When tumour is absent, the distance from tumour to the named surgical resection margin. (en)">
				>
				["at0010"] = <
					text = <"الوصف">
					description = <"وصف نصي لاكتناف الورم عند حافة القطع الجراحي">
				>
				["at0014"] = <
					text = <"موجود">
					description = <"الورم موجود في حافة القطع الجراحي">
				>
				["at0015"] = <
					text = <"غائب">
					description = <"الورم غائب عن حافة القطع الجراحي">
				>
				["at0016"] = <
					text = <"غير محدد">
					description = <"لم يتم تحديد وجود الورم عند حواف القطع الجراحي">
				>
				["at0017"] = <
					text = <"غير قابل للتحديد">
					description = <"وجود الورم عند حواف القطع الجراحي غير قابل للتحديد">
				>
				["at0018"] = <
					text = <"اسم الحافة/الهامش">
					description = <"*The name of the margin being described. (en)">
					comment = <"*For example: 'closest margin', 'circumferential margin', 'deep margin', 'vascular margin' or 'bronchial margin'. (en)">
				>
				["at0019"] = <
					text = <"مكان الحافة">
					description = <"مكان الحافة التي يتم وصفها">
				>
				["at0020"] = <
					text = <"طبيعة الاكتناف">
					description = <"طبيعة اكتناف الورم في الحافة الجراحية">
				>
				["at0021"] = <
					text = <"*Tumour name (en)">
					description = <"*Name of the tumour for which the 'Distance from resection margin' applies. (en)">
					comment = <"*For example: 'Invasive tumour' or 'Cancer in situ'. (en)">
				>
			>
		>
		["de"] = <
			items = <
				["at0000"] = <
					text = <"Operative Resektionsränder">
					description = <"Details über das Tumorvorkommen an operativen Resektionsrändern bzw. Biopsien.">
				>
				["at0001"] = <
					text = <"Status zum Resektionsrand">
					description = <"Nachweis von Tumorvorkommen am Resektionsrand.">
				>
				["at0006"] = <
					text = <"Tumorvorkommen">
					description = <"Details zu dem Tumorvorkommen am Resektionsrand.">
				>
				["at0007"] = <
					text = <"Maximale lineare Ausbreitung">
					description = <"Falls ein Tumorvorkommen im Resektionsrand nachgewiesen wird, so ist die maximale Länge der Ausbreitung anzugeben.">
				>
				["at0008"] = <
					text = <"Tumorfrei">
					description = <"Details zum tumorfreien Resektionsrand.">
				>
				["at0009"] = <
					text = <"Abstand vom Resektionsrand">
					description = <"Angabe zum Abstand zwischen Tumor und dem genannten Resektionsrand, falls der Tumor innerhalb des Resektionsrandes nicht nachweisbar ist.">
				>
				["at0010"] = <
					text = <"Beschreibung">
					description = <"Eine Beschreibung des Tumorvorkommens am Resektionsrand.">
				>
				["at0014"] = <
					text = <"Vorhanden">
					description = <"Tumor am Resektionsrand ist nachweisbar/vorhanden.">
				>
				["at0015"] = <
					text = <"Nicht vorhanden">
					description = <"Tumor am Resektionsrand nicht nachweisbar/nicht vorhanden.">
				>
				["at0016"] = <
					text = <"Nicht bestimmt">
					description = <"Tumorvorkommen am Resektionsrand wurde nicht bestimmt.">
				>
				["at0017"] = <
					text = <"Nicht eindeutig">
					description = <"Der Nachweis von Tumorvorkommen am Resektionsrand ist nicht eindeutig zu bestimmen.">
				>
				["at0018"] = <
					text = <"Resektionsrandbezeichnung">
					description = <"Die Bezeichnung des Resektionsrandes, der beschrieben wird.">
					comment = <"Beispiel: \"nächstgelegener Rand\", \"umlaufender Rand\", \"tiefer Rand\", \"vaskulärer Rand\" oder \"Bronchialrand\".">
				>
				["at0019"] = <
					text = <"Resektionsrand Lokalisation">
					description = <"Die Lokalisation des Resektionsrandes, der beschrieben wird.">
				>
				["at0020"] = <
					text = <"Art der Ausbreitung">
					description = <"Die Art der Ausbreitung des Tumors am Resektionsrand.">
				>
				["at0021"] = <
					text = <"Tumorbezeichnung">
					description = <"Bezeichnung des Tumors, für den der \"Abstand vom Resektionsrand\" gilt.">
					comment = <"Beispiel: \"Invasiver Tumor\" oder \"In-Situ-Karzinom\".">
				>
			>
		>
	>