ARCHETYPE Modified NIH Criteria for GIST risk assessment (openEHR-EHR-CLUSTER.gist_modified_nih.v1)

ARCHETYPE IDopenEHR-EHR-CLUSTER.gist_modified_nih.v1
ConceptModified NIH Criteria for GIST risk assessment
DescriptionAn assessment tool used to stratify patients according to their risk of recurrence of Gastrointestinal stromal tumour (GIST) following surgery based on the Modified National Institutes of Health (NIH) Criteria.
UseUse to record the results for each of the component parameters and the risk category for GIST based on the Modified NIH Criteria. 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_diagnosis archetype, or nested in a relevant pathology-related CLUSTER archetype that is again nested in the OBSERVATION.laboratory_test_result archetype. This will also allow for documentation of body site. 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.
MisuseNot to be used for the primary recording of diameter and mitotic count of the tumour - use a relevant pathology-related archetype for this purpose.
PurposeTo record the results for each of the component parameters and the risk category for GIST based on the Modified NIH Criteria.
ReferencesJoensuu H, Hohenberger P, Corless CL. Gastrointestinal stromal tumour. Lancet. 2013 Sep 14;382(9896):973-83. doi: 10.1016/S0140-6736(13)60106-3. Epub 2013 Apr 24. Review. PubMed PMID: 23623056

Joensuu H. Risk stratification of patients diagnosed with gastrointestinal stromal tumor. Hum Pathol. 2008 Oct;39(10):1411-9. doi: 10.1016/j.humpath.2008.06.025. PubMed PMID: 18774375.

Jones RL. Practical aspects of risk assessment in gastrointestinal stromal tumors. J Gastrointest Cancer. 2014 Sep;45(3):262-7. doi: 10.1007/s12029-014-9615-x. Review. PubMed PMID: 24802226; PubMed Central PMCID: PMC4126997.

Serrano C, Álvarez R, Carrasco JA, Marquina G, Martínez-García J, Martínez-Marín V, Sala MÁ, Sebio A, Sevilla I, Martín-Broto J. SEOM-GEIS clinical guideline for gastrointestinal stromal tumors (2022). Clin Transl Oncol. 2023 Sep;25(9):2707-2717. doi: 10.1007/s12094-023-03177-7. Epub 2023 May 2. PMID: 37129716; PMCID: PMC10425520.

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
Copyright© openEHR Foundation
AuthorsAuthor name: Kanika Kuwelker
Organisation: Helse Vest IKT
Email: kanika.kuwelker@helse-vest-ikt.no
Date originally authored: 2024-03-19
Other Details LanguageAuthor name: Kanika Kuwelker
Organisation: Helse Vest IKT
Email: kanika.kuwelker@helse-vest-ikt.no
Date originally authored: 2024-03-19
Other Details (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: Joensuu H, Hohenberger P, Corless CL. Gastrointestinal stromal tumour. Lancet. 2013 Sep 14;382(9896):973-83. doi: 10.1016/S0140-6736(13)60106-3. Epub 2013 Apr 24. Review. PubMed PMID: 23623056 Joensuu H. Risk stratification of patients diagnosed with gastrointestinal stromal tumor. Hum Pathol. 2008 Oct;39(10):1411-9. doi: 10.1016/j.humpath.2008.06.025. PubMed PMID: 18774375. Jones RL. Practical aspects of risk assessment in gastrointestinal stromal tumors. J Gastrointest Cancer. 2014 Sep;45(3):262-7. doi: 10.1007/s12029-014-9615-x. Review. PubMed PMID: 24802226; PubMed Central PMCID: PMC4126997. Serrano C, Álvarez R, Carrasco JA, Marquina G, Martínez-García J, Martínez-Marín V, Sala MÁ, Sebio A, Sevilla I, Martín-Broto J. SEOM-GEIS clinical guideline for gastrointestinal stromal tumors (2022). Clin Transl Oncol. 2023 Sep;25(9):2707-2717. doi: 10.1007/s12094-023-03177-7. Epub 2023 May 2. PMID: 37129716; PMCID: PMC10425520. 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: 4788EF30C5C378DD162DA7797CECFC64
  • Build Uid: d5eff724-b5d3-4740-a071-d3067e9559a5
  • Revision: 1.0.0
Keywordsgastrointestinal stromal tumour, tumor, GIST, sarcoma, cancer, neoplasm, oncology, malignancy, risk, risk assessment, risk stratification, classification, categorisation
Lifecyclepublished
UIDa217bc9f-1a24-4277-bc6b-34231fc93bb6
Language useden
Citeable Identifier1246.145.2545
Revision Number1.0.0
Archetype Concept CommentAlso known as Joensuu criteria.
items
DiameterDiameter: Largest diameter of tumour.
In clinical practice the primary registration of the tumour diameter would be recorded using a relevant pathology-related archetype. In this case, the ‘Diameter’ result in this archetype should be copied from the primary recording.
Property: Length
Units: >=0.0 cm
Limit decimal places: 1
Mitotic countMitotic count: Mitotic count of tumour.
In clinical practice the primary registration of the mitotic count would be recorded using a relevant pathology-related archetype. In this case, the ‘Mitotic count’ result in this archetype should be copied from the primary recording.
Property: null
Units:
  • >=0.0 mitoses/5 mm²
    Limit decimal places: 0
  • >=0.0 mitoses/50 HPF
LocationLocation: Location of tumour.
  • Gastric
  • Not gastric
Tumour ruptureTumour rupture: Presence of tumour rupture.
  • Present
  • Not present
Risk categoryRisk category: Risk of recurrence based on the component parameters, according to the modified NIH criteria.
  • Very low risk
  • Low risk
  • Intermediate risk
  • High risk
Other contributorsVebjørn Arntzen, Oslo University Hospital, Norway (openEHR Editor)
Koray Atalag, GALATA-Digital, New Zealand
Silje Ljosland Bakke, Helse Vest IKT AS, Norway (openEHR Editor)
SB Bhattacharyya, Bhattacharyyas Clinical Records Research & Informatics LLP, India
Anthony Burton Mariathasan, OUS, Radiumhospitalet, Norway
Grant Forrest, Lunaria Ltd, United Kingdom
Marianne Gårderhagen, OUS, Norway
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
Liv Laugen, ​Oslo University Hospital, Norway, Norway (openEHR Editor)
Heather Leslie, Atomica Informatics, Australia (openEHR Editor)
Nina Louise Jebsen, Haukeland Universitetssykehus, 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
Mikael Nyström, Cambio Healthcare Systems AB, Sweden
Bjørn Næss, DIPS ASA, Norway
Sonja Steigen, Universitetssykehuset Nord-Norge, Norway
Norwegian Review Summary, Norwegian Public Hospitals, Norway
Kanthan Theivendran, NHS, United Kingdom
John Tore Valand, Helse Vest IKT, Norway (openEHR Editor)
Olga Zaikova, OUS, Radiumhospitalet, Norway
Translators
  • Norwegian Bokmål: Kanika Kuwelker, Helse Vest IKT, kanika.kuwelker@helse-vest-ikt.no