SNOMED CT Clinical Implementation Guide for Cancer Synoptic Reporting

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The Cancer Synoptic Reporting Working Project Group operated under the data modeling paradigm that the  |Observable entity (observable entity)| concept provides the context to correctly and unambiguously interpret the observation.  Therefore, understanding the observable entity concept model is fundamental to use of the cancer synoptic content.  Authored content for CSRWG observable entities of this project are found <<1145211006 |Proliferative mass observable (observable entity)|

The table below provides an overview of the  the defining attributes used to author cancer synoptic reporting concepts, including a description of the target values for these attributes. 

AttributeDescription and Values


Scg expression
ShowPartsterm
370130000 |Property|


This attribute is used to assert the property, or feature, being assessed by the pathologist. 

Target values for this attribute include:


  • Scg expression
    ShowPartsterm
    <<410668003 |Length property (qualifier value)|;



  • Scg expression
    ShowPartsterm
    <<30001000004102 |Histologic feature (property) (qualifier value)|;



  • Scg expression
    ShowPartsterm
    <1300001000004107 |Location property (qualifier value)|;



  • Scg expression
    ShowPartsterm
    705057003 |Presence (property) (qualifier value)|;
118582008 |Percent (property) (qualifier value)|; 758637006 |Anatomic location 


  •  Scg expression
    ShowPartsterm
    758637006 |Anatomic location (property) (qualifier value)|


 Scg expression
ShowPartsterm
704319004 |Inheres in|

This attribute is used to assert the entity that carries the property being measured. 
In most cases, the target values are
 Scg expression
ShowPartsterm
<<108369006 |Neoplasm (morphologic abnormality)|


 Scg expression
ShowPartsterm
718497002 |Inherent location|

The inherent location attribute is used to describe the anatomical location of the entity that carries the property being assessed. 
In most cases, the inherent location indicates the anatomical location of the primary malignant neoplasm, that is the primary organ affected by the malignancy.

 Scg expression
ShowPartsterm
246093002 |Component|

This attribute is used to indicate an entity that is being assessed for presence such as necrosis within a neoplasm.  It is also used to represent the numerator in a percent observation.

 Scg expression
ShowPartsterm
704325000 |Relative to|

This attributed is used for the denominator in a percent or number fraction observable.

 Scg expression
ShowPartsterm
704327008 |Direct site|

Direct site  is specifically used to define the specimen in which the observation is being made.

 Scg expression
ShowPartsterm
246501002 |Technique|

Technique is used to define the method by which the observation is being made.  This attribute is used to specific methods of tumor staging, histologic grading methods, direct vision (gross) evaluation, microscopy and immunohistochemistry methods.

 Scg expression
ShowPartsterm
370134009 |Time aspect|

The time aspect for all cancer pathology observable entities 
 is 123029007 
is 
 Scg expression
ShowPartsterm
123029007 |Single point in time (qualifier value)|
.



 Scg expression
ShowPartsterm
370132008 |Scale type| 

This attribute is used to describe the evaluation scale used for the observation.
  117362005 

  •  Scg expression
    ShowPartsterm
    117362005 |Nominal value (qualifier value)|

    • is used to describe observable entities assessing morphologies, body structures, and procedures.
   117363000 

  •  Scg expression
    ShowPartsterm
    117363000 |Ordinal value (qualifier value)|

    • is used in histologic grade observations and observations indicating the presence, absence or degree of presence. 
  30766002 
    •  

  •  Scg expression
    ShowPartsterm
    30766002 |Quantitative (qualifier value)|

    • is used for numerical observations.

 Scg expression
ShowPartsterm
704321009 |Characterizes|

Characterizes is used to represent the underlying processes of the neoplasm. These 
 include <<1204295007 
include 
 Scg expression
ShowPartsterm
 <<1204295007 |Malignant proliferation of neoplasm (qualifier value)|
 and 1255587009 
 

and 
 Scg expression
ShowPartsterm
1255587009 |Regression of neoplasm (qualifier value)|


 Scg expression
ShowPartsterm
1003703000 |Process extends to|

This attribute is used to define the "end point" of the process indicated by the characterized attribute/value pair. 
In most concepts, this associated value of this attribute is
 Scg expression
ShowPartsterm
<<123037004 |Body structure (body structure)|
to indicate where the neoplasm has grown or metastasized.