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Colorectal Cancer Resection Reporting Protocol
Below is a section of the International Collaboration on Cancer Reporting (ICCR) Colorectal Cancer Resection reporting protocol. This page exemplifies some of the bindings for this data set, namely the data elements for 'histological tumor type' and 'lymph node status'. Similar binding exists for each question/answer set within the protocol. View an excerpt from the ICCR Colorectal Cancer Histopathology Reporting Protocol:
Binding of Histological Tumor Type
The diagram below shows the question and options for the 'histological tumor type' data element. The Observable entity to be measured/assessed is "Histological tumour type", which is represented by the SNOMED CT concept 1284862009 |Histologic type of primary malignant neoplasm of cecum and/or colon and/or rectum (observable entity)| and represents the "question" being answered. The possible "answers" or observations are listed in the table below with associated SNOMED CT concept bindings for each histology option.
| Data Item | Type | Cardinality | Display | Binding |
|---|---|---|---|---|
| HISTOLOGICAL TUMOR TYPE | Question | 1..1 | Histological tumor type | |
| Response options (Group) | 0..1 | No evidence of residual tumour | . | |
| Adenocarcinoma not otherwise specified (NOS) | ||||
| Mucinous adenocacinoma | ||||
| Signet-ring cell adenocarcinoma | ||||
| Medullary carcinoma | ||||
| Serrated adenocarcinoma | ||||
| Micropapillary adenocarcinoma | ||||
| adenoma-like adenocarcinoma | ||||
| Neuroendocrine carcinoma, small cell type | ||||
| Neuroendocrine carcinoma, large cell type | ||||
| Mixed neuroendocrine-non-neuroendocrine neoplasm (MiNEN) | ||||
| Other, specify |
Binding of Lymph Node Status
The diagram below shows the question and options for the 'lymph node status' data element. The Observable entity to be measured/assessed is "Lymph node status", which is represented by the SNOMED CT concept 1268302004 |Presence of metastatic neoplasm in lymph node in excised tissue specimen (observable entity)| and represents the "question" being answered. The possible "answers" or observations are listed in the table below with associated SNOMED CT concept bindings for each option.
| Data Item | Type | Cardinality | Display | Binding |
|---|---|---|---|---|
| LYMPH NODE STATUS | Question | 1..1 | Lymph node status | |
| Response options (Group) | 0..1 | Cannot be assessed | ||
| 0..1 | No nodes submitted or found | |||
| 0..1 | Not involved | |||
| 0..1 | Involved | |||
| Question | 1..1 | Number of lymph nodes examined | 444025001 |Number of lymph nodes examined by microscopy in excised specimen (observable entity)| | |
| Response value | 1..1 | N/A | ||
| Question | 1..1 | Number of involved lymph nodes examined | ||
| Response value | 1..1 | N/A |
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