ARCHETYPE Tumor diagnosis confirmation (openEHR-EHR-CLUSTER.confirmed_cancer.v2)

ARCHETYPE IDopenEHR-EHR-CLUSTER.confirmed_cancer.v2
ConceptTumor diagnosis confirmation
DescriptionDescribes the highest level of diagnostic certainty recorded in the patient's medical record. Additionally, it can show which procedures were used for cancer diagnosis.
UseUse to record the highest level of diagnostic certainty reached at the time of diagnosis. Additionally, it serves to confirm the diagnosis by describing the methods and information on which the cancer diagnosis is based. This cluster archetype was specifically created for the "Specific Details" slot of the EVALUATION.problem_diagnosis archetype. The information represented by this archetype is intended to assist clinicians in better assessing a cancer diagnosis. This is particularly important when a clinician receives information about a patient's cancer diagnosis that the clinician did not make themselves. For example, when a clinician is asked to review a patient's case in a tumor board conducted by another physician.
MisuseThis archetype is exclusively designed for representing the highest level of diagnostic certainty and the confirmation of cancer diagnoses. Not to be used to record the context of other diseases.
PurposeTo record the highest level of diagnostic certainty reached at the time of diagnosis. Additionally, it serves to represent the confirmation of the diagnosis by describing the methods and information on which the cancer diagnosis is based.
References"Datenkatalog mit Merkmalsausprägungen nach ADT/GEKID Basisdatensatz 2.0.0" der Arbeitsgemeinschaft Deutscher Tumorzentren e.V. (https://www.tumorzentren.de/onkol-basisdatensatz.html)
"Diagnostic Confirmation" nach dem Standard der North American Association of Central Cancer Registries (http://ncdbpuf.facs.org/content/diagnostic-confirmation).
"International Classification of Diseases for Oncology 3rd Edition" (https://www.dimdi.de/dynamic/de/klassifikationen/icd/icd-o-3/)
AuthorsAuthor name: Simon Schumacher
Organisation: HiGHmed
Email: sschuma9@uni-koeln.de
Date originally authored: 2019-06-03
Other Details LanguageAuthor name: Simon Schumacher
Organisation: HiGHmed
Email: sschuma9@uni-koeln.de
Date originally authored: 2019-06-03
OtherDetails Language Independent{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=HiGHmed, references="Datenkatalog mit Merkmalsausprägungen nach ADT/GEKID Basisdatensatz 2.0.0" der Arbeitsgemeinschaft Deutscher Tumorzentren e.V. (https://www.tumorzentren.de/onkol-basisdatensatz.html) "Diagnostic Confirmation" nach dem Standard der North American Association of Central Cancer Registries (http://ncdbpuf.facs.org/content/diagnostic-confirmation). "International Classification of Diseases for Oncology 3rd Edition" (https://www.dimdi.de/dynamic/de/klassifikationen/icd/icd-o-3/) , original_namespace=org.highmed, original_publisher=HiGHmed, custodian_namespace=org.highmed, MD5-CAM-1.0.1=671FAB4BDD58EAC1638A4FF76BE5BCCE, build_uid=187d1cfa-a0d5-4d61-9868-6677faa8466a, revision=2.0.1-alpha}
KeywordsTumor, Diagnosis confirmation, Diagnosis, Diagnostic certainty, Cancer, Diagnostics
Lifecyclein_development
UID232ed129-b21a-47da-bd06-111341fa857b
Language useden
Citeable Identifier1246.145.1534
Revision Number2.0.1-alpha
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Christina Jäger-Schmidt (Universität Heidelberg, HiGHmed)
Aurelie Tomczak (Universität Heidelberg, HiGHmed), originalLanguage=de, translators=
  • English: Severin Kohler, Charite Berlin, severin.kohler@bih-charite.de

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    • clinical diagnosis without tumor-specific diagnostics [The diagnosis was made solely through a physical examination. There is no tumor-specific diagnostic testing.]
      [LOINC::LA4383-1 | Radiography/Imaging Only]
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      [LOINC::LA4673-5 | Positive Lab/Marker Study]
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      [LOINC::LA4675-0 | Positive Cytology]
    • histology of a metastasis [A histological examination of tissue from a metastasis is available. This includes autopsy.]
    • histological [The histological examination of tissue from the primary tumor is available. This includes all cutting techniques and bone marrow biopsies. It also includes samples of the primary tumor from autopsies.]
      [LOINC::LA4674-3 | Positive Histology]
    • unknown [The diagnostic certainty is unknown.]
      [LOINC::LA4489-6 | Unknown]
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    • palpation [The tumor was identified through palpation of the body.]
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    • MRI [Tumor diagnosis through magnetic resonance imaging.]
    • CT [Tumor diagnosis through computed tomography.]
    • PET [Tumor diagnosis through positron emission tomography.]
    • PET-CT [Tumor diagnosis through positron emission tomography combined with computed tomography.]
    • PET-MRI [Tumor diagnosis through positron emission tomography combined with magnetic resonance imaging.]
    • SPECT [Tumor diagnosis through single-photon emission computed tomography.]
    • other nuclear medcial imaging [Tumor diagnosis through another nuclear medicine imaging technique not described in the previous elements (e.g., scintigraphy, scintillation, or gamma camera).]
    • Ultrasound [Tumor diagnosis through ultrasound.]
    • X-ray diagnostics [Tumor diagnosis through X-ray.]
    • Other imaging procedures [Another imaging procedure not described in the previous elements.]
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    • immunophenotyping [The tumor diagnosis was confirmed through immunophenotyping.]
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    • laboratory test or laboratory marker [The cancer diagnosis is based on a lab test or analysis of a laboratory marker (e.g., alpha-fetoprotein for liver cancer).]
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      • cytological [Cytological confirmation of the tumor diagnosis. Cells were analyzed in fluid. No tissue was microscopically analyzed.]
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    • MRI [Tumor diagnosis through magnetic resonance imaging.]
    • CT [Tumor diagnosis through computed tomography.]
    • PET [Tumor diagnosis through positron emission tomography.]
    • PET-CT [Tumor diagnosis through positron emission tomography combined with computed tomography.]
    • PET-MRI [Tumor diagnosis through positron emission tomography combined with magnetic resonance imaging.]
    • SPECT [Tumor diagnosis through single-photon emission computed tomography.]
    • other nuclear medcial imaging [Tumor diagnosis through another nuclear medicine imaging technique not described in the previous elements (e.g., scintigraphy, scintillation, or gamma camera).]
    • Ultrasound [Tumor diagnosis through ultrasound.]
    • X-ray diagnostics [Tumor diagnosis through X-ray.]
    • Other imaging procedures [Another imaging procedure not described in the previous elements.]
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