Version 2.77

84874-7 Perforation into peritoneal cavity

Term Description

Surgeon's assessment on the presence of perforation by the tumor into the peritoneal cavity. This term was created for, but not limited in use to, the Colorectal Cancer Structured Reporting Protocol (2nd Edition, 2012) developed by the Royal College of Pathologists of Australasia (RCPA).
Source: Regenstrief LOINC

Fully-Specified Name

Component
Perforation into peritoneal cavity
Property
Find
Time
Pt
System
Tumor
Scale
Ord
Method

Additional Names

Short Name
Tumor perf into peritoneal cavity

Basic Attributes

Class
ONCOLOGY
Type
Clinical
First Released
Version 2.58
Last Updated
Version 2.71
Order vs. Observation
Observation

Example Answer List LL3950-4

Answer Code Score Answer ID
Present Copyright http://snomed.info/sct ID:52101004 Present (qualifier value) LA9633-4
Absent Copyright http://snomed.info/sct ID:2667000 Absent (qualifier value) LA9634-2

Member of these Panels

LOINC Long Common Name
84907-5 Cancer pathology panel - Colorectal cancer specimen

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Perforación en la cavidad peritoneal.:Tipo:Punto temporal:Tumor:Ordinal:
it-IT Italian (Italy) Perforazione in cavità peritoneale:Osservazione:Pt:Tumore:Ord:
Synonyms: Neoplasia Oncologia Osservazione Punto nel tempo (episodio)
zh-CN Chinese (China) 穿孔至腹膜腔:发现:时间点:肿瘤:序数型:
Synonyms: 依次型;分类顺序型;定性的;序数型（或称等级型）;性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 发现是一个原子型临床观察指标，并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型，而对于叙述型文本之中所报告的发现，则可能是叙述型。;发现物;所见;结果;结论 时刻;随机;随意;瞬间 瘤;肿块;赘生物 穿孔（破裂、洞穿、穿通）至（到、入、进入）腹膜腔（腹腔）;穿孔（破裂、洞穿、穿通）至（到、入、进入）腹膜腔（腹腔）之中（里面、里）;腹膜腔穿孔 肿瘤科;癌症专科;癌症科

84875-4 Tumor perforation [Type]

Term Description

The surgeon's assessment of the nature of the perforation through the tumor. The type of tumor perforation is a prognostic factor in determining postoperative mortality and long-term survival. Perforation away from the tumor, related to colonic obstruction by the tumor, should be distinguished from perforation through the tumor. Perforation occurring during the course of surgery should be differentiated from the colonic obstructon and should be identified as such by the surgeon. This term was created for, but not limited in use to, the Colorectal Cancer Structured Reporting Protocol (2nd Edition, 2012) developed by the Royal College of Pathologists of Australasia (RCPA).
Source: Regenstrief LOINC

Fully-Specified Name

Component
Tumor perforation
Property
Type
Time
Pt
System
Tumor
Scale
Nom
Method

Additional Names

Short Name
Tumor perforation Type

Basic Attributes

Class
ONCOLOGY
Type
Clinical
First Released
Version 2.58
Last Updated
Version 2.71
Order vs. Observation
Observation

Preferred Answer List LL4070-0

Answer Code Score Answer ID
Through tumor prior to surgery LA26473-1
Through tumor during surgery mobilization LA26474-9
Away from tumor LA26475-6

Member of these Panels

LOINC Long Common Name
84907-5 Cancer pathology panel - Colorectal cancer specimen

Language Variants Get Info

Tag Language Translation
es-ES Spanish (Spain) Perforación tumoral:Tipo:Punto temporal:Tumor:Nom:
es-MX Spanish (Mexico) Perforación del tumor:Tipo:Punto temporal:Tumor:Nominal:
it-IT Italian (Italy) Tumore, perforazione:Tipo:Pt:Tumore:Nom:
Synonyms: Neoplasia Oncologia Perforazione da parte del tumore Punto nel tempo (episodio)
zh-CN Chinese (China) 肿瘤穿孔:类型:时间点:肿瘤:名义型:
Synonyms: 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 型 时刻;随机;随意;瞬间 瘤;肿块;赘生物 肿瘤科;癌症专科;癌症科 肿瘤穿孔（破裂、洞穿、穿通）

84876-2 Obstruction of Bowel [Presence]

Term Description

The presence of bowel obstruction due to tumors or other causes as assessed by the surgeon. This term was created for, but not limited in use to, the Colorectal Cancer Structured Reporting Protocol (2nd Edition, 2012) developed by the Royal College of Pathologists of Australasia (RCPA).
Source: Regenstrief LOINC

Fully-Specified Name

Component
Obstruction
Property
Find
Time
Pt
System
Bowel
Scale
Ord
Method
Observed

Additional Names

Short Name
Obstruction of Bowel Ql

Basic Attributes

Class
ONCOLOGY
Type
Clinical
First Released
Version 2.58
Last Updated
Version 2.71
Order vs. Observation
Observation

Example Answer List LL3950-4

Answer Code Score Answer ID
Present Copyright http://snomed.info/sct ID:52101004 Present (qualifier value) LA9633-4
Absent Copyright http://snomed.info/sct ID:2667000 Absent (qualifier value) LA9634-2

Member of these Panels

LOINC Long Common Name
84907-5 Cancer pathology panel - Colorectal cancer specimen

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Obstrucción:Tipo:Punto temporal:Intestino:Ordinal:Observed
it-IT Italian (Italy) Ostruzione:Osservazione:Pt:Intestino:Ord:Osservato
Synonyms: Oncologia Osservazione Punto nel tempo (episodio)
zh-CN Chinese (China) 梗阻:发现:时间点:肠道:序数型:观察法
Synonyms: 依次型;分类顺序型;定性的;序数型（或称等级型）;性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 发现是一个原子型临床观察指标，并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型，而对于叙述型文本之中所报告的发现，则可能是叙述型。;发现物;所见;结果;结论 时刻;随机;随意;瞬间 肠 肿瘤科;癌症专科;癌症科 观测法 阻塞

84877-0 Synchronous tumor site Cancer

Term Description

Patients presenting with more than one histologically distinct malignancy may be classified as having synchronous tumors. Multiple primary malignancies (MPMs) are divided into 2 categories: 'synchronous', when tumors arise independently and within 6 months from the primary malignant tumor or 'metachronous', when the interval is longer (greater than 6 months). This term is used to report the location of the other synchronous tumor(s). This term was created for, but not limited in use to, the Colorectal Cancer Structured Reporting Protocol (2nd Edition, 2012) developed by the Royal College of Pathologists of Australasia (RCPA).
Source: Regenstrief LOINC

Fully-Specified Name

Component
Synchronous tumor site
Property
Anat
Time
Pt
System
Cancer.XXX
Scale
Nom
Method

Additional Names

Short Name
Synchronous tumor site Cancer

Basic Attributes

Class
ONCOLOGY
Type
Clinical
First Released
Version 2.58
Last Updated
Version 2.71
Order vs. Observation
Observation

Preferred Answer List LL1690-8

Answer Code Score Answer ID
Cecum LA16833-8
Ascending colon LA16834-6
Hepatic flexure LA16835-3
Transverse colon LA16836-1
Splenic flexure LA16837-9
Descending colon LA16838-7
Sigmoid colon LA16839-5
Rectum LA16840-3
Appendix LA16841-1
Not available LA7338-2

Member of these Panels

LOINC Long Common Name
84907-5 Cancer pathology panel - Colorectal cancer specimen

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Sitio del tumor sincrónico:Anat:Punto temporal:Cancer.XXX:Nominal:
it-IT Italian (Italy) Tumore sincrono, sito:Anat:Pt:Cancro.XXX:Nom:
Synonyms: Anatomia Cancro XXX Neoplasia maligna Oncologia Posto;Luogo Punto nel tempo (episodio) Sito di neoplasia Sito tumore sincrono
zh-CN Chinese (China) 同步肿瘤部位:解剖学:时间点:癌.XXX:名义型:
Synonyms: 不明癌;不明癌症;未作说明的癌;未作说明的癌症;癌.不明;癌.未作说明的;癌症.XXX;癌症.不明;癌症.未作说明的;此处未作说明的癌 不明的;其他;将在相应消息内其他部分之中加以详细说明;未作详细说明的;未作说明的;未做说明的标本;未加规定的;未加说明的标本;杂项 位点;位置 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 同步（同步性、同时性、合并性、共存性、伴发性、同时共生性、同时发生性）肿瘤部位 时刻;随机;随意;瞬间 癌 肿瘤科;癌症专科;癌症科 解剖;解剖结构

33748-5 Distance from anal verge

Fully-Specified Name

Component
Distance from anal verge
Property
Len
Time
Pt
System
Specimen
Scale
Qn
Method

Additional Names

Short Name
Dist from anal verge
Display Name
Distance from anal verge (Spec) [Length]
Consumer Name Alpha Get Info
Distance from anal verge, Specimen

Basic Attributes

Class
PATH.PROTOCOLS.GENER
Type
Laboratory
First Released
Version 2.09
Last Updated
Version 2.70
Change Reason
Removed method of "CAP cancer protocols" because this term is not a CAP cancer protocol-specific concept and can be used across various cancer protocols.
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
84907-5 Cancer pathology panel - Colorectal cancer specimen

Language Variants Get Info

Tag Language Translation
es-AR Spanish (Argentina) distancia desde el margen anal:longitud:punto en el tiempo:espécimen:cuantitativo:protocolos de oncología del CAP
es-ES Spanish (Spain) Distancia desde el borde anal:Longitud:Punto temporal:Especimen:Qn:
Synonyms: Cuantitativo
es-MX Spanish (Mexico) Distancia desde el borde anal:Largo:Punto temporal:Muestra:Cuantitativo:
it-IT Italian (Italy) Distanza dal margine anale:Len:Pt:Campione:Qn:
Synonyms: Lunghezza Patologia Protocolli patologia - generale Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Distância da margem anal:Comprimento:Pt:Amostra:Qn:Protocolos de cancer do CAP
Synonyms: ; Dist from anal verge; Length; Point in time; Random; Spec; Quantitative; QNT; Quant; Quan; CAP protocol; PATHOLOGY PROTOCOLS general
ru-RU Russian (Russian Federation) Расстояние от ануса:Дл:ТчкВрм:Образец:Колич:
Synonyms: Длина Количественный порция;образец;материал для анализа Точка во времени;Момент
tr-TR Turkish (Turkey) Anal kenardan uzaklık:Uzn:Zmlı:Örnek:Kant:
Synonyms: Spesmen Süre
zh-CN Chinese (China) 离肛缘的距离:长度:时间点:标本:定量型:
Synonyms: 一般病理学原始记录;普通病理学原始记录;病理学.原始记录.普通;病理学.方案.一般;病理学.方案.普通;病理学原始记录.一般;病理学原始记录.普通;病理学方案.一般;病理学方案.普通 供检查用的材料;待检物;待试验物;样品;样本;试料;试样 受检物 可用数量表示的;定量性;数值型;数量型;连续数值型标尺 时刻;随机;随意;瞬间 样品 样本 病理学.方案 病理学原始记录 病理学方案 试样 距肛缘的距离;离肛外缘的距离;离痔环的距离;到肛缘的距离;至肛缘的距离 长;长短

Example Units

Unit Source
cm Example UCUM Units

29300-1 Procedure type

Fully-Specified Name

Component
Procedure
Property
Type
Time
Pt
System
^Patient
Scale
Nom
Method

Additional Names

Short Name
Procedure type

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 2.03
Last Updated
Version 2.73
Common Test Rank Get Info
2979

Member of these Panels

LOINC Long Common Name
84907-5 Cancer pathology panel - Colorectal cancer specimen
52747-3 Continuity Assessment Record and Evaluation (CARE) tool - Expired
52745-7 Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52746-5 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
74028-2 Virtual Medical Record for Clinical Decision Support panel HL7.VMR-CDS

Language Variants Get Info

Tag Language Translation
es-AR Spanish (Argentina) procedimiento:tipo:punto en el tiempo:^paciente:Nominal:
es-ES Spanish (Spain) Procedimiento:Tipo:Punto temporal:^paciente:Nom:
es-MX Spanish (Mexico) Procedimiento:Tipo:Punto temporal:^ Paciente:Nominal:
it-IT Italian (Italy) Procedura:Tipo:Pt:^Paziente:Nom:
Synonyms: Esame obbiettivo paziente Punto nel tempo (episodio)
nl-NL Dutch (Netherlands) verrichting:type:moment:^patiënt:nominaal:
pt-BR Portuguese (Brazil) Procedimento:Tipo:Pt:^Paciente:Nom:
Synonyms: Typ; Point in time; Random; Nominal
ru-RU Russian (Russian Federation) Вмешательство:Тип:ТчкВрм:^Пациент:Ном:
Synonyms: Номинальный;Именной Процедура Точка во времени;Момент
zh-CN Chinese (China) 操作项目:类型:时间点:^患者:名义型:
Synonyms: 体格检查小节与指标;体格检查小节与测量指标;历史纪录与体格检查.体格检查小节与指标;历史纪录与体格检查.体格检查小节与测量指标;历史纪录与体格检查小节.体格检查小节与指标;历史纪录与体格检查小节.体格检查小节与测量指标;病史与体格检查.体格检查小节与指标;病史与体格检查.体格检查小节与测量指标;病史与体格检查小节.体格检查小节与指标 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 历史纪录与体格检查 历史纪录与体格检查小节 型 操作;程序;手续;步骤;规程;程序流程 时刻;随机;随意;瞬间 病史与体格检查

29554-3 Procedure Narrative

Term Description

Procedure records the descriptions of the procedure with an extensive narrative and may include procedure site preparation, pertinent details related to measurements and markings, procedure times, instrumentation, and vital signs and other monitoring data.
Source: Regenstrief LOINC

Fully-Specified Name

Component
Procedure
Property
Type
Time
Pt
System
^Patient
Scale
Nar
Method

Additional Names

Short Name
Procedure

Basic Attributes

Class
H&P.PX
Type
Clinical
First Released
Version 2.03
Last Updated
Version 2.40

Member of these Panels

LOINC Long Common Name
84907-5 Cancer pathology panel - Colorectal cancer specimen
81244-6 Enhanced procedure note - recommended CDP Set 1 R1.0 and R1.1 sections
81241-2 Enhanced surgical operation note - recommended CDP Set 1 R1.0 and R1.1sections
82315-3 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 sections
84429-0 Level 3 emergency medical services patient care report - recommended CDA R1 and R2 set
59843-3 Procedure note - recommended C-CDA R1.1 sections
81217-2 Procedure note - recommended C-CDA R2.0 and R2.1 sections
72227-2 Surgical operation note - recommended C-CDA R1.1 and R2.0 and R2.1 sections

Language Variants Get Info

Tag Language Translation
de-DE German (Germany) Prozedur oder Maßnahme:Typ:Zeitpunkt:^Patient:Freitext:
es-AR Spanish (Argentina) procedimiento:tipo:punto en el tiempo:^paciente:Narrativo:
es-ES Spanish (Spain) Procedimiento:Tipo:Punto temporal:^paciente:Narrativo:
es-MX Spanish (Mexico) Procedimiento:Tipo:Punto temporal:^ Paciente:Narrativo:
it-IT Italian (Italy) Procedura:Tipo:Pt:^Paziente:Nar:
Synonyms: Esame obbiettivo paziente Punto nel tempo (episodio)
nl-NL Dutch (Netherlands) verrichting:type:moment:^patiënt:tekstueel:
pt-BR Portuguese (Brazil) Procedimento:Tipo:Pt:^Paciente:Nar:
Synonyms: Typ; Point in time; Random; Narrative; Report
ru-RU Russian (Russian Federation) Вмешательство:Тип:ТчкВрм:^Пациент:Опис:
Synonyms: Описательный Процедура Точка во времени;Момент
zh-CN Chinese (China) 操作项目:类型:时间点:^患者:叙述型:
Synonyms: 体格检查小节与指标;体格检查小节与测量指标;历史纪录与体格检查.体格检查小节与指标;历史纪录与体格检查.体格检查小节与测量指标;历史纪录与体格检查小节.体格检查小节与指标;历史纪录与体格检查小节.体格检查小节与测量指标;病史与体格检查.体格检查小节与指标;病史与体格检查.体格检查小节与测量指标;病史与体格检查小节.体格检查小节与指标 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 历史纪录与体格检查 历史纪录与体格检查小节 叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型 型 操作;程序;手续;步骤;规程;程序流程 时刻;随机;随意;瞬间 病史与体格检查

81167-9 Cancer treatment --preoperative

Term Description

Preoperative treatment or therapy (chemotherapy, radiotherapy, chemo-radiotherapy) administered to a cancer patient.
Source: Regenstrief LOINC

Fully-Specified Name

Component
Cancer treatment^preoperative
Property
Type
Time
Pt
System
^Patient
Scale
Nom
Method

Additional Names

Short Name
Cancer treatment Preop

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.56
Last Updated
Version 2.56
Order vs. Observation
Observation

Example Answer List LL3942-1

Answer Code Score Answer ID
Chemotherapy LA6172-6
Chemo-radiotherapy LA26008-5
Radiotherapy LA26009-3

Member of these Panels

LOINC Long Common Name
84907-5 Cancer pathology panel - Colorectal cancer specimen
81186-9 Gastric cancer pathology panel

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Tratamiento del cáncer ^ preoperatorio:Tipo:Punto temporal:^ Paciente:Nominal:
it-IT Italian (Italy) Cancro, terapia^Pre operatorio:Tipo:Pt:^Paziente:Nom:
Synonyms: Anamnesi paziente Punto nel tempo (episodio) Terapia per il cancro
zh-CN Chinese (China) 癌症治疗^术前:类型:时间点:^患者:名义型:
Synonyms: 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 历史纪录与体格检查 历史纪录与体格检查.历史记录;历史纪录与体格检查.历史记录类;历史纪录与体格检查.历史记录类别;历史纪录与体格检查.病史;历史纪录与体格检查.病史类;历史纪录与体格检查.病史类别;历史纪录与体格检查.病史记录;历史纪录与体格检查.病史记录类;历史纪录与体格检查.病史记录类别;历史纪录与体格检查小节.历史记录;历史纪录与体格检查小节.历史记录类;历史纪录与体格检查小节.历史记录类别;历史纪录与体格检查小节.病史;历史纪录与体格检查小节.病史类;历史纪录与体格检查小节.病史类别 历史纪录与体格检查小节 型 手术前;外科手术前;外科学手术前;术前（手术前、外科手术前、外科学手术前） 时刻;随机;随意;瞬间 病史与体格检查 癌 癌症处置;癌症处理

81169-5 Residual tumor [Interpretation] Cancer Narrative --postoperative

Term Description

The surgeon's opinion on the existence of local residual cancer following an operative procedure. The interpretation may contain the overall completeness of resection of the tumor, including evidence of residual disease at surgical margins or within regions in which resection has not been attempted.
Source: Regenstrief LOINC

Fully-Specified Name

Component
Residual tumor^postoperative
Property
Imp
Time
Pt
System
Cancer.XXX
Scale
Nar
Method

Additional Names

Short Name
Residual tumor Postop Imp Cancer

Basic Attributes

Class
SURG
Type
Clinical
First Released
Version 2.56
Last Updated
Version 2.58
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
84907-5 Cancer pathology panel - Colorectal cancer specimen
98249-6 Cancer pathology panel - Endometrial cancer specimen
81186-9 Gastric cancer pathology panel

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Tumor residual ^ posoperatorio:Interpretación:Punto temporal:Cancer.XXX:Narrativo:
it-IT Italian (Italy) Tumore residuo^Post operatorio:Imp:Pt:Cancro.XXX:Nar:
Synonyms: Cancro XXX Impressione/interpretazione di studio Neoplasia maligna Punto nel tempo (episodio)
zh-CN Chinese (China) 残余肿瘤^术后:印象:时间点:癌.XXX:叙述型:
Synonyms: 不明癌;不明癌症;未作说明的癌;未作说明的癌症;癌.不明;癌.未作说明的;癌症.XXX;癌症.不明;癌症.未作说明的;此处未作说明的癌 不明的;其他;将在相应消息内其他部分之中加以详细说明;未作详细说明的;未作说明的;未做说明的标本;未加规定的;未加说明的标本;杂项 印象是一种诊断陈述，始终是对其他某种观察指标的解释或抽象（一系列检验项目结果、一幅图像或者整个某位病人），而且几乎总是由某位专业人员产生。;检查印象;检查印象/解释;检查的印象/解释;检查解释;解释;阐释 叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型 手术后;外科手术后;外科学手术后;术后（手术后、外科手术后、外科学手术后） 时刻;随机;随意;瞬间 癌 肿瘤术后残留;残存肿瘤;残留肿瘤;肿瘤残留;肿瘤残余

81168-7 Site of adjacent organ or tissue involvement Cancer specimen

Term Description

Tumor stages are based on the extent of the involvement of adjacent tissues or organs, such as skin, liver, spleen, or pancreas as well as distal spread (i.e., metastasis). This term is used to report which adjacent tissue or organ(s) the tumor has spread to from the primary organ involved.
Source: Regenstrief LOINC

Fully-Specified Name

Component
Site of adjacent organ or tissue involvement
Property
Anat
Time
Pt
System
Cancer specimen
Scale
Nom
Method

Additional Names

Short Name
Adj org or tiss involved Ca spec

Basic Attributes

Class
CLIN
Type
Clinical
First Released
Version 2.56
Last Updated
Version 2.61
Change Reason
Changed System from "Stomach cancer" to "Cancer.XXX" since this observation can be used for various cancers.; Updated System from "Cancer.XXX" to clarify that the test is performed on a cancer specimen.
Order vs. Observation
Observation

Example Answer List LL3943-9

Answer Code Score Answer ID
None Copyright http://snomed.info/sct ID:260413007 None (qualifier value) LA137-2
Pancreas LA4654-5
Spleen LA26010-1
Liver LA4584-4
Other, Specify LA46-8

Member of these Panels

LOINC Long Common Name
84907-5 Cancer pathology panel - Colorectal cancer specimen
98249-6 Cancer pathology panel - Endometrial cancer specimen
84908-3 Cancer pathology panel - Prostate cancer
81186-9 Gastric cancer pathology panel

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Sitio de afectación de órganos o tejidos adyacentes:Anat:Punto temporal:Espécimen de cáncer:Nominal:
it-IT Italian (Italy) Posizione di organo adiacente o tessuto coinvolto:Anat:Pt:Campione tumore:Nom:
Synonyms: Anatomia Campione di tumore Clinico Neoplasia maligna Posto;Luogo Punto nel tempo (episodio)
zh-CN Chinese (China) 邻近器官或组织累及部位:解剖学:时间点:癌标本:名义型:
Synonyms: 位点;位置 供检查用的材料;待检物;待试验物;样品;样本;试料;试样 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 受检物 时刻;随机;随意;瞬间 样品 样本 癌 癌（癌症、癌变）标本（样本、样品、试样） 解剖;解剖结构 试样 邻近（毗邻、附近）器官或组织累及部位（位置）

84878-8 Recurrence or distant metastases details Cancer Narrative

Term Description

Surgeon's description of regional (local) recurrence and/or distant metastasis. This term was created for, but not limited in use to, the Colorectal Cancer Structured Reporting Protocol (2nd Edition, 2012) developed by the Royal College of Pathologists of Australasia (RCPA).
Source: Regenstrief LOINC

Fully-Specified Name

Component
Recurrence or distant metastases details
Property
Find
Time
Pt
System
Cancer
Scale
Nar
Method

Additional Names

Short Name
Recur or distant metast details Cancer

Basic Attributes

Class
ONCOLOGY
Type
Clinical
First Released
Version 2.58
Last Updated
Version 2.71
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
84907-5 Cancer pathology panel - Colorectal cancer specimen

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Detalles de recurrencia o metástasis a distancia:Tipo:Punto temporal:Cáncer:Narrativo:
it-IT Italian (Italy) Recidiva o metastasi distanti, dettagli:Osservazione:Pt:Cancro:Nar:
Synonyms: Dettagli di recidiva o metastasi distanti Neoplasia maligna Oncologia Osservazione Punto nel tempo (episodio)
zh-CN Chinese (China) 复发或远处转移详情:发现:时间点:癌症:叙述型:
Synonyms: 发现是一个原子型临床观察指标，并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型，而对于叙述型文本之中所报告的发现，则可能是叙述型。;发现物;所见;结果;结论 叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型 复发（重现、再现、再发生、再次发生）或远处转移（远隔转移、远距转移）详情（细节、详细情况、详细信息、细节信息） 时刻;随机;随意;瞬间 癌 细节;细节信息;详细信息;详细情况;具体信息;具体情况;细节情况 肿瘤科;癌症专科;癌症科

42071-1 Accession number and class of case and sequence number override flag Cancer case

Term Description

Some computer edits identify errors. Others indicate possible errors that require manual review for resolution. To eliminate the need to review the same cases repeatedly, over-ride flags have been developed to indicate that data in a record (or records) have been reviewed and, while unusual, are correct.

This over-ride is used with the following edit in the NAACCR Metafile of the EDITS software:
Accession Number, Class of Case, Seq Number (COC)... NAACCR Data Standards and Data Dictionary Version 11
Source: Regenstrief LOINC

Fully-Specified Name

Component
Accession number & class of case & sequence number override flag
Property
Arb
Time
Pt
System
Cancer case.XXX
Scale
Ord
Method

Additional Names

Short Name
Ascn/class/seq O/R Cancer case

Basic Attributes

Class
TUMRRGT
Type
Clinical
First Released
Version 2.16
Last Updated
Version 2.73
Common Test Rank Get Info
16584

Normative Answer List LL152-0

Answer Code Score Answer ID
Reviewed 1 LA4354-2
Not reviewed Blank LA4694-1

Member of these Panels

LOINC Long Common Name
84907-5 Cancer pathology panel - Colorectal cancer specimen
84908-3 Cancer pathology panel - Prostate cancer
49083-9 North American Association of Central Cancer Registries, Inc (NAACCR, Inc) version 11 panel
59852-4 North American Association of Central Cancer Registries, Inc (NAACCR, Inc) version 12 panel

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Número de acceso y clase de caso y indicador de anulación del número de secuencia:Arb:Punto temporal:Caso de cáncer XXX:Ordinal:
it-IT Italian (Italy) Numero di ammissione & classe di caso & numero di sequenza, flag ignorato:Arb:Pt:Cancro, caso.XXX:Ord:
Synonyms: Arbitrario Caso di cancro XXX;Caso di neoplasia maligna XXX Flag ignorato per numero di ammissione e classe di Neoplasia maligna Punto nel tempo (episodio) Registro tumori
ru-RU Russian (Russian Federation) Инвентарный номер & класс случая & порядковый номер переопределение флаг:Произв:ТчкВрм:Рак случай.XXX:Пор:
Synonyms: Порядковый Произвольный Случай рака XXX Точка во времени;Момент
zh-CN Chinese (China) 登录号与案例类别与序号重写标志:任意型:时间点:癌症病例.XXX:序数型:
Synonyms: NAACCR 肿瘤登记;癌症登记中心北美协会肿瘤登记;肿瘤注册;肿瘤登记（NAACCR）;肿瘤登记（癌症登记中心北美协会）;癌症登记中心北美协会;North American Association of Central Cancer Registries;NAACCR 不明的;其他;将在相应消息内其他部分之中加以详细说明;未作详细说明的;未作说明的;未做说明的标本;未加规定的;未加说明的标本;杂项 不明的癌症个案;不明的癌症案例;不明的癌症病例;未作说明的癌症个案;未作说明的癌症案例;未作说明的癌症病例;癌症个案.XXX;癌症个案.不明;癌症个案.未作说明的;癌症案例.XXX;癌症案例.不明;癌症案例.未作说明的;癌症病例.不明;癌症病例.未作说明的;此处未作说明的癌症病例 个数;数目 任意;任意的;人工型 依次型;分类顺序型;定性的;序数型（或称等级型）;性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 族;种类;等;类;类别;级;纲;组 时刻;随机;随意;瞬间 癌 癌症个案 癌症案例 登录号与案例类别与序号覆盖标记;登录号与案例类别与序号重写标志;登录号与病案分类与顺序号重写标志;登录号与病历分类与序列号重写标志

33723-8 Specimen length

Fully-Specified Name

Component
Specimen length
Property
Len
Time
Pt
System
Specimen
Scale
Qn
Method

Additional Names

Short Name
Specimen length
Display Name
Specimen length (Spec) [Length]
Consumer Name Alpha Get Info
Specimen length, Specimen

Basic Attributes

Class
PATH.PROTOCOLS.GENER
Type
Laboratory
First Released
Version 2.09
Last Updated
Version 2.70
Change Reason
Removed Method since this term is not specific to CAP cancer protocols.
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
84907-5 Cancer pathology panel - Colorectal cancer specimen
84908-3 Cancer pathology panel - Prostate cancer

Language Variants Get Info

Tag Language Translation
es-AR Spanish (Argentina) largo de espécimen:longitud:punto en el tiempo:espécimen:cuantitativo:protocolos de oncología del CAP
es-ES Spanish (Spain) Longitud de la muestra:Longitud:Punto temporal:Especimen:Qn:
Synonyms: Cuantitativo
es-MX Spanish (Mexico) Longitud de la muestra:Largo:Punto temporal:Muestra:Cuantitativo:
it-IT Italian (Italy) Campione, lunghezza:Len:Pt:Campione:Qn:
Synonyms: Lunghezza Lunghezza del campione Patologia Protocolli patologia - generale Punto nel tempo (episodio)
nl-NL Dutch (Netherlands) monsterlengte:afmeting:moment:monster:kwantitatief:
Synonyms: lengte
pl-PL Polish (Poland) Długość próbki:długość:punkt w czasie:próbka:ilościowy:
pt-BR Portuguese (Brazil) Comprimento da amostra:Comprimento:Pt:Amostra:Qn:Protocolos de cancer do CAP
Synonyms: Point in time; Random; Spec; Quantitative; QNT; Quant; Quan; CAP protocol; PATHOLOGY PROTOCOLS general
ru-RU Russian (Russian Federation) Образец длина:Дл:ТчкВрм:Образец:Колич:
Synonyms: Длина Количественный порция;образец;материал для анализа Точка во времени;Момент
tr-TR Turkish (Turkey) Örnek uzunluğu:Uzn:Zmlı:Örnek:Kant:
Synonyms: Spesmen Spesmen uzunluğu Süre
zh-CN Chinese (China) 标本长度:长度:时间点:标本:定量型:
Synonyms: 一般病理学原始记录;普通病理学原始记录;病理学.原始记录.普通;病理学.方案.一般;病理学.方案.普通;病理学原始记录.一般;病理学原始记录.普通;病理学方案.一般;病理学方案.普通 供检查用的材料;待检物;待试验物;样品;样本;试料;试样 受检物 可用数量表示的;定量性;数值型;数量型;连续数值型标尺 时刻;随机;随意;瞬间 样品 样本 病理学.方案 病理学原始记录 病理学方案 试样 长;长短

Example Units

Unit Source
cm Example UCUM Units

33725-3 Tumor site

Term Description

The site in the body where the tumor is located. For example, in colorectal cancers, the tumor sites include the cecum, ascending or descending colon, hepatic flexure, splenic flexure, or rectum.
Source: Regenstrief LOINC

Fully-Specified Name

Component
Tumor site
Property
Anat
Time
Pt
System
Specimen
Scale
Nom
Method

Additional Names

Short Name
Tumor site
Display Name
Tumor site Nom (Spec)
Consumer Name Alpha Get Info
Tumor site, Specimen

Basic Attributes

Class
PATH.PROTOCOLS.GENER
Type
Laboratory
First Released
Version 2.09
Last Updated
Version 2.73
Change Reason
Removed method of "CAP cancer protocols" because this term is not a CAP cancer protocol-specific concept and can be used across various cancer protocols.
Order vs. Observation
Observation
Common Test Rank Get Info
10199

Example Answer List LL4310-0

Answer Code Score Answer ID
Cecum LA16833-8
Ascending colon LA16834-6
Hepatic flexure LA16835-3
Transverse colon LA16836-1
Splenic flexure LA16837-9
Descending colon LA16838-7
Sigmoid colon LA16839-5
Rectosigmoid junction LA26985-4
Rectum LA16840-3

Member of these Panels

LOINC Long Common Name
85904-1 Cancer pathology panel - Breast cancer specimen by CAP cancer protocols
84907-5 Cancer pathology panel - Colorectal cancer specimen
85905-8 Cancer pathology panel - Colorectal cancer specimen by CAP cancer protocols
98249-6 Cancer pathology panel - Endometrial cancer specimen
81186-9 Gastric cancer pathology panel

Language Variants Get Info

Tag Language Translation
es-AR Spanish (Argentina) localización tumoral:anatomía:punto en el tiempo:espécimen:Nominal:protocolos de oncología del CAP
es-ES Spanish (Spain) Localización del tumor:Anatatomia:Punto temporal:Especimen:Nom:
es-MX Spanish (Mexico) Sitio del tumor:Anatomía:Punto temporal:Muestra:Nominal:
it-IT Italian (Italy) Tumore, sito:Anat:Pt:Campione:Nom:
Synonyms: Anatomia Patologia Posto;Luogo Protocolli patologia - generale Punto nel tempo (episodio) Sito di neoplasia
nl-NL Dutch (Netherlands) tumorafmeting:anatomie:moment:monster:nominaal:
pt-BR Portuguese (Brazil) Local do tumor:Anat:Pt:Amostra:Nom:Protocolos de cancer do CAP
Synonyms: Anatomy; Point in time; Random; Spec; Nominal; CAP protocol; PATHOLOGY PROTOCOLS general
ru-RU Russian (Russian Federation) Опухоль локализация:Анат:ТчкВрм:Образец:Ном:
Synonyms: Анатомия Номинальный;Именной порция;образец;материал для анализа Точка во времени;Момент
tr-TR Turkish (Turkey) Tümör bölgesi:Anat:Zmlı:Örnek:Snf:
Synonyms: Spesmen
zh-CN Chinese (China) 肿瘤部位:解剖学:时间点:标本:名义型:
Synonyms: 一般病理学原始记录;普通病理学原始记录;病理学.原始记录.普通;病理学.方案.一般;病理学.方案.普通;病理学原始记录.一般;病理学原始记录.普通;病理学方案.一般;病理学方案.普通 位点;位置 供检查用的材料;待检物;待试验物;样品;样本;试料;试样 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 受检物 时刻;随机;随意;瞬间 样品 样本 病理学.方案 病理学原始记录 病理学方案 解剖;解剖结构 试样

33728-7 Size.maximum dimension in Tumor

Fully-Specified Name

Component
Size.max.dimension
Property
Len
Time
Pt
System
Tumor
Scale
Qn
Method

Additional Names

Short Name
Size.max.dim Tumor
Display Name
Size.maximum dimension (Tumor) [Length]
Consumer Name Alpha Get Info
Size.maximum dimension, Tumor

Basic Attributes

Class
PATH.PROTOCOLS.GENER
Type
Laboratory
First Released
Version 2.09
Last Updated
Version 2.70
Change Reason
Removed method of "CAP cancer protocols" because this term is not a CAP cancer protocol-specific concept and can be used across various cancer protocols
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
84907-5 Cancer pathology panel - Colorectal cancer specimen
85905-8 Cancer pathology panel - Colorectal cancer specimen by CAP cancer protocols
98249-6 Cancer pathology panel - Endometrial cancer specimen
81186-9 Gastric cancer pathology panel

Language Variants Get Info

Tag Language Translation
es-AR Spanish (Argentina) tamaño.máximo.dimensión:longitud:punto en el tiempo:tumor:cuantitativo:protocolos de oncología del CAP
es-ES Spanish (Spain) Tamaño.max.dimensión:Longitud:Punto temporal:Tumor:Qn:
Synonyms: Cuantitativo
es-MX Spanish (Mexico) Size.max.dimension:Largo:Punto temporal:Tumor:Cuantitativo:
it-IT Italian (Italy) Dimensione.massima.dimensione:Len:Pt:Tumore:Qn:
Synonyms: Lunghezza Massimo Neoplasia Patologia Protocolli patologia - generale Punto nel tempo (episodio)
nl-NL Dutch (Netherlands) afmeting.max.dimensie:afmeting:moment:tumor:kwantitatief:
Synonyms: lengte
pt-BR Portuguese (Brazil) Tamanho.max.dimensão:Comprimento:Pt:Tumor:Qn:Protocolos de cancer do CAP
Synonyms: ; Size.max.dim; Maximum; Maximal; Largest; Peak; Length; Point in time; Random; Quantitative; QNT; Quant; Quan; CAP protocol; PATHOLOGY PROTOCOLS general
ru-RU Russian (Russian Federation) Размер.max.измерение:Дл:ТчкВрм:Опухоль:Колич:
Synonyms: Длина Количественный Максимум Точка во времени;Момент
tr-TR Turkish (Turkey) Büyüklük.maks.boyut:Uzn:Zmlı:Tümör:Kant:
Synonyms: Süre
zh-CN Chinese (China) 大小.最大值.维度:长度:时间点:肿瘤:定量型:
Synonyms: 一般病理学原始记录;普通病理学原始记录;病理学.原始记录.普通;病理学.方案.一般;病理学.方案.普通;病理学原始记录.一般;病理学原始记录.普通;病理学方案.一般;病理学方案.普通 可用数量表示的;定量性;数值型;数量型;连续数值型标尺 外形尺寸;外型尺寸;维度;维;大小 大小.最大.维度;大小.最大值.尺寸;大小.最大.尺寸 尺寸 时刻;随机;随意;瞬间 最大;极大值 病理学.方案 病理学原始记录 病理学方案 瘤;肿块;赘生物 长;长短

Example Units

Unit Source
cm Example UCUM Units

81175-2 Distance of tumor from closest margin [Length] in Specimen by Macroscopy

Term Description

In a specimen, the distance from the tumor to the nearest proximal or distal margin (cut end) is recorded. The tumor distance to margins is based on macroscopic assessment and confirmed or amended on microscopy ([LOINC: 81182-8] or [LOINC: 81183-6]), especially when the macroscopic size is difficult to assess (i.e. in early gastric carcinoma and diffuse carcinoma).
Source: Regenstrief LOINC

Fully-Specified Name

Component
Distance of tumor from closest margin
Property
Len
Time
Pt
System
Specimen
Scale
Qn
Method
Macroscopy

Additional Names

Short Name
Tumor from Closest Margin Spec Macro
Display Name
Distance of tumor from closest margin Macroscopy (Spec) [Length]
Consumer Name Alpha Get Info
Distance of tumor from closest margin, Specimen

Basic Attributes

Class
PATH
Type
Laboratory
First Released
Version 2.56
Last Updated
Version 2.56
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
84907-5 Cancer pathology panel - Colorectal cancer specimen
81186-9 Gastric cancer pathology panel

Language Variants Get Info

Tag Language Translation
es-ES Spanish (Spain) Distancia del tumor desde el margen más cercano:Longitud:Punto temporal:Especimen:Qn:Macrosoópico
Synonyms: Cuantitativo
es-MX Spanish (Mexico) Distancia del tumor al margen más cercano:Largo:Punto temporal:Muestra:Cuantitativo:Macroscopia
it-IT Italian (Italy) Distanza di tumore dal margine più vicino:Len:Pt:Campione:Qn:Macroscopia
Synonyms: Distanza di neoplasia dal margine più vicino Lunghezza Patologia Punto nel tempo (episodio)
zh-CN Chinese (China) 肿瘤到最临近边缘的距离:长度:时间点:标本:定量型:大体检查
Synonyms: 从肿瘤到最临近边缘的距离;从最临近边缘到肿瘤的距离;肿瘤到最临近边缘的距离 供检查用的材料;待检物;待试验物;样品;样本;试料;试样 受检物 可用数量表示的;定量性;数值型;数量型;连续数值型标尺 时刻;随机;随意;瞬间 最临近边缘（边界）;最临近边界;具体说明最临近边缘 样品 样本 肉眼检查;目视检查;粗视检查;巨观检查;宏观检查;粗略检查;宏观观察术 试样 长;长短

Example Units

Unit Source
mm Example UCUM Units

81176-0 Distance of tumor from circumferential resection margin [Length] in Specimen by Macroscopy

Term Description

The distance between the tumor and circumferential resection margin (CRM) is recorded for tumors of the gastric cardia. This measurement is facilitated by horizontal sectioning through the tumor. To increase accuracy, the distance between the tumor and the CRM is subsequently measured microscopically [LOINC: 81184-4]. Involvement of the circumferential resection margin is an indicator of poor prognosis.
Source: Regenstrief LOINC

Fully-Specified Name

Component
Distance of tumor from circumferential resection margin
Property
Len
Time
Pt
System
Specimen
Scale
Qn
Method
Macroscopy

Additional Names

Short Name
Distance Tumor from CRM Spec Macro
Display Name
Distance of tumor from circumferential resection margin Macroscopy (Spec) [Length]
Consumer Name Alpha Get Info
Distance of tumor from circumferential resection margin, Specimen

Basic Attributes

Class
PATH
Type
Laboratory
First Released
Version 2.56
Last Updated
Version 2.56
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
84907-5 Cancer pathology panel - Colorectal cancer specimen
81186-9 Gastric cancer pathology panel

Language Variants Get Info

Tag Language Translation
es-ES Spanish (Spain) Distancia del tumor desde el margen de resección circunferencial:Longitud:Punto temporal:Especimen:Qn:Macrosoópico
Synonyms: Cuantitativo
es-MX Spanish (Mexico) Distancia del tumor desde el margen de resección circunferencial:Largo:Punto temporal:Muestra:Cuantitativo:Macroscopia
it-IT Italian (Italy) Distanza di tumore dal margine di resezione circonferenziale:Len:Pt:Campione:Qn:Macroscopia
Synonyms: Lunghezza Patologia Punto nel tempo (episodio)
zh-CN Chinese (China) 肿瘤至环周切缘的距离:长度:时间点:标本:定量型:大体检查
Synonyms: 供检查用的材料;待检物;待试验物;样品;样本;试料;试样 受检物 可用数量表示的;定量性;数值型;数量型;连续数值型标尺 时刻;随机;随意;瞬间 样品 样本 肉眼检查;目视检查;粗视检查;巨观检查;宏观检查;粗略检查;宏观观察术 肿瘤至（到、距离、距、离）环周（周围、周向、四周、环状、环形）切缘（切除边缘）的距离 试样 长;长短

Example Units

Unit Source
mm Example UCUM Units

84879-6 Tumor perforation [Presence] by Macroscopy

Term Description

The macroscopic finding for the presence or absence of perforation through the tumor. Perforation through the tumor into the peritoneal cavity is a well established adverse prognostic factor in colonic and rectal cancer. This term was created for, but not limited in use to, the Colorectal Cancer Structured Reporting Protocol (2nd Edition, 2012) developed by the Royal College of Pathologists of Australasia (RCPA).
Source: Regenstrief LOINC

Fully-Specified Name

Component
Tumor perforation
Property
PrThr
Time
Pt
System
Tumor
Scale
Ord
Method
Macroscopy

Additional Names

Short Name
Tumor perforation Ql Macro
Display Name
Tumor perforation Macroscopy Ql (Tumor)
Consumer Name Alpha Get Info
Tumor perforation, Tumor

Basic Attributes

Class
PATH
Type
Laboratory
First Released
Version 2.58
Last Updated
Version 2.71
Order vs. Observation
Observation

Example Answer List LL3950-4

Answer Code Score Answer ID
Present Copyright http://snomed.info/sct ID:52101004 Present (qualifier value) LA9633-4
Absent Copyright http://snomed.info/sct ID:2667000 Absent (qualifier value) LA9634-2

Member of these Panels

LOINC Long Common Name
84907-5 Cancer pathology panel - Colorectal cancer specimen
85905-8 Cancer pathology panel - Colorectal cancer specimen by CAP cancer protocols

Language Variants Get Info

Tag Language Translation
es-ES Spanish (Spain) Perforación tumoral:PrThr:Punto temporal:Tumor:Ord:Macrosoópico
es-MX Spanish (Mexico) Perforación del tumor:Presencia o umbral:Punto temporal:Tumor:Ordinal:Macroscopia
it-IT Italian (Italy) Tumore, perforazione:PrThr:Pt:Tumore:Ord:Macroscopia
Synonyms: Neoplasia Patologia Perforazione da parte del tumore Presenza o Soglia Punto nel tempo (episodio)
zh-CN Chinese (China) 肿瘤穿孔:存在情况或阈值:时间点:肿瘤:序数型:大体检查
Synonyms: 依次型;分类顺序型;定性的;序数型（或称等级型）;性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 存在情况;存在;存在与否;是否存在;阈值;界值;界限;阀值;临界值;存在情况（存在、存在与否、是否存在）或阈值（界值、界限、阀值、临界值） 时刻;随机;随意;瞬间 瘤;肿块;赘生物 肉眼检查;目视检查;粗视检查;巨观检查;宏观检查;粗略检查;宏观观察术 肿瘤穿孔（破裂、洞穿、穿通）

96115-1 Level of tumor invasion [Type] in Colorectal cancer specimen by Haggitt

Term Description

The Haggitt classification for tumor invasion is a 0-4 level system developed to assess depth of invasion in pedunculated polyps compared to sessile polyps. In level 0, the carcinoma is confined to the mucosa. Levels 1 through 3 represent varying degrees of invasion into the polyp stalk. Level 4 represents invasion into the submucosa. All sessile malignant polyps are level 4 by definition. PMID: 4007423
Source: Regenstrief LOINC

Fully-Specified Name

Component
Level of tumor invasion
Property
Type
Time
Pt
System
Colorectal cancer specimen
Scale
Nom
Method
Haggitt

Additional Names

Short Name
Tumor invasion level CRC spec Haggitt
Display Name
Level of tumor invasion Haggitt Nom (Colorectal cancer specimen)
Consumer Name Alpha Get Info
Level of tumor invasion, Colorectal cancer specimen

Basic Attributes

Class
PATH.HISTO
Type
Laboratory
First Released
Version 2.69
Last Updated
Version 2.69
Order vs. Observation
Observation

Normative Answer List LL5687-0

Answer Code Score Answer ID
Carcinoma in situ or intramucosal carcinoma 0 LA31292-8
Invasion of the submucosa, but limited to the head of the polyp 1 LA31293-6
Invasion extending into the neck of the polyp 2 LA31294-4
Invasion into any part of the stalk 3 LA31295-1
Invasion beyond the stalk into the submucosa of the bowel wall below the stalk but above the muscularis propria 4 LA31296-9

Member of these Panels

LOINC Long Common Name
84907-5 Cancer pathology panel - Colorectal cancer specimen

Language Variants Get Info

Tag Language Translation
es-ES Spanish (Spain) nivel de invasion tumoral:Tipo:Punto temporal:Cáncer colorectal:Nom:Haggitt
Synonyms: Histologia
es-MX Spanish (Mexico) Nivel de invasión tumoral:Tipo:Punto temporal:Muestra de cáncer colorrectal:Nominal:Haggitt
it-IT Italian (Italy) Livello di invasione del tumore:Tipo:Pt:Campione di carcinoma del colon-retto:Nom:Haggitt
Synonyms: Campione di tumore Istologia Neoplasia maligna Patologia Punto nel tempo (episodio)
zh-CN Chinese (China) 肿瘤侵袭程度:类型:时间点:结直肠癌标本:名义型:Haggitt 分型法
Synonyms: Haggitt 分类法 供检查用的材料;待检物;待试验物;样品;样本;试料;试样 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 受检物 型 时刻;随机;随意;瞬间 样品 样本 癌 癌（癌症、癌变）标本（样本、样品、试样） 程度 等级 级 级别 组织学 结直肠癌（结肠直肠癌、大肠癌、大肠直肠癌）标本（样本、样品、试样）;结肠直肠癌标本;大肠癌标本;大肠直肠癌标本 肿瘤侵袭（浸润、侵犯、入侵）程度（水平、层次、级别、等级） 试样

84880-4 Position of rectal tumor in relation to anterior peritoneal reflection [Anatomy] in Tumor

Term Description

For rectal tumors, the relationship of the tumor in relation to the anterior peritoneal reflection may be classified as entirely above, astride (at), or entirely below the level of the anterior peritoneal reflection. This term was created for, but not limited in use to, the Colorectal Cancer Structured Reporting Protocol (2nd Edition, 2012) developed by the Royal College of Pathologists of Australasia (RCPA).
Source: Regenstrief LOINC

Fully-Specified Name

Component
Position of rectal tumor in relation to anterior peritoneal reflection
Property
Anat
Time
Pt
System
Tumor
Scale
Nom
Method

Additional Names

Short Name
Pos rec tumor to ant peri relect Tumor
Display Name
Position of rectal tumor in relation to anterior peritoneal reflection Nom (Tumor)
Consumer Name Alpha Get Info
Position of rectal tumor in relation to anterior peritoneal reflection, Tumor

Basic Attributes

Class
PATH
Type
Laboratory
First Released
Version 2.58
Last Updated
Version 2.71
Order vs. Observation
Observation

Preferred Answer List LL4072-6

Answer Code Score Answer ID
Entirely above LA26481-4
Astride LA26482-2
Entirely below LA26483-0

Member of these Panels

LOINC Long Common Name
84907-5 Cancer pathology panel - Colorectal cancer specimen
85905-8 Cancer pathology panel - Colorectal cancer specimen by CAP cancer protocols

Language Variants Get Info

Tag Language Translation
es-ES Spanish (Spain) Posición del tumor rectal en relación con el reflejo peritoneal anterior.:Anatatomia:Punto temporal:Tumor:Nom:
es-MX Spanish (Mexico) Posición del tumor rectal en relación con el reflejo peritoneal anterior:Anatomía:Punto temporal:Tumor:Nominal:
it-IT Italian (Italy) Posizione del tumore rettale in relazione alla riflessione peritoneale anteriore:Anat:Pt:Tumore:Nom:
Synonyms: Anatomia Neoplasia Patologia Punto nel tempo (episodio)
zh-CN Chinese (China) 直肠肿瘤相对于前腹膜反折的位置:解剖学:时间点:肿瘤:名义型:
Synonyms: 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 姿势;体位;职位;职务;地位;身份 时刻;随机;随意;瞬间 瘤;肿块;赘生物 直肠肿瘤相对于前（前部）腹膜反折（转折、折返）的位置 解剖;解剖结构

33730-3 Resection completeness in Mesorectum Qualitative by Macroscopy

Term Description

This term represents the macroscopic completeness of the surgical mesorectum excision in patients undergoing surgery for rectal cancer. Complete excision, known as total mesorectal excision or TME, is associated with decreased risk of local recurrence and increased rate of 5-year survival. PMID: 27697315
Source: Regenstrief LOINC

Fully-Specified Name

Component
Resection completeness
Property
Find
Time
Pt
System
Mesorectum
Scale
Ord
Method
Macroscopy

Additional Names

Short Name
Resection completeness Macro
Display Name
Resection completeness Macroscopy Ql (Mesorectum)
Consumer Name Alpha Get Info
Resection completeness, Mesorectum

Basic Attributes

Class
PATH.PROTOCOLS.GENER
Type
Laboratory
First Released
Version 2.09
Last Updated
Version 2.61
Change Reason
Removed Method of "CAP cancer protocol" and copyright because this is not a CAP-specific concept and added "Method" of macroscopy. Also added an answer list and term description.
Order vs. Observation
Observation

Example Answer List LL4568-3

Answer Code Score Answer ID
Not applicable LA4720-4
Complete LA26032-5
Near complete LA27882-2
Incomplete LA7341-6
Cannot be determined LA11899-4

Member of these Panels

LOINC Long Common Name
84907-5 Cancer pathology panel - Colorectal cancer specimen
85905-8 Cancer pathology panel - Colorectal cancer specimen by CAP cancer protocols

Language Variants Get Info

Tag Language Translation
es-AR Spanish (Argentina) integridad de resección:hallazgo:punto en el tiempo:mesorecto:ordinal:protocolos de oncología del CAP
es-ES Spanish (Spain) Resección completa:Hallazgo:Punto temporal:Mesorecto:Ord:Macrosoópico
es-MX Spanish (Mexico) Completitud de la resección:Hallazgo:Punto temporal:Mesorrecto:Ordinal:Macroscopia
it-IT Italian (Italy) Resezione, completezza:Osservazione:Pt:Mesoretto:Ord:Macroscopia
Synonyms: Completezza di resezione Osservazione Patologia Protocolli patologia - generale Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Resecção perfeita:Achado:Pt:MesocReto:Ord:Protocolos de cancer do CAP
Synonyms: Finding; Findings; Point in time; Random; Ql; Ordinal; QL; Qualitative; Qual; Screen; CAP protocol; PATHOLOGY PROTOCOLS general
zh-CN Chinese (China) 切除术彻底性:发现:时间点:直肠系膜:序数型:大体检查
Synonyms: 一般病理学原始记录;普通病理学原始记录;病理学.原始记录.普通;病理学.方案.一般;病理学.方案.普通;病理学原始记录.一般;病理学原始记录.普通;病理学方案.一般;病理学方案.普通 依次型;分类顺序型;定性的;序数型（或称等级型）;性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 切除术完整性;切除术完全度;切除术完全性 发现是一个原子型临床观察指标，并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型，而对于叙述型文本之中所报告的发现，则可能是叙述型。;发现物;所见;结果;结论 时刻;随机;随意;瞬间 病理学.方案 病理学原始记录 病理学方案 直肠上部和骶骨之间的腹膜襞 肉眼检查;目视检查;粗视检查;巨观检查;宏观检查;粗略检查;宏观观察术

96116-9 Anterior surgical resection [Type] in Lower GI tract

Term Description

The type (e.g. high, low, ultralow) of anterior surgical resection procedure performed. In patients with low rectal cancers, the ultralow anterior resection (uLAR) may be performed. Post surgery, these patients often experience major bowel dysfunctions that affect their quality of life. PMID: 29990965
Source: Regenstrief LOINC

Fully-Specified Name

Component
Anterior surgical resection
Property
Type
Time
Pt
System
Lower GI tract
Scale
Nom
Method

Additional Names

Short Name
Anterior surg resection Lower GI tract
Display Name
Anterior surgical resection Nom (Lower GI)
Consumer Name Alpha Get Info
Anterior surgical resection, Lower GI

Basic Attributes

Class
PATH
Type
Laboratory
First Released
Version 2.69
Last Updated
Version 2.70
Change Reason
Release 2.70: SYSTEM: Updated System from Rectum+Colon for consistency across Lower GI terms;
Order vs. Observation
Observation

Example Answer List LL5678-9

Answer Code Score Answer ID
High LA9193-9
Low LA9194-7
Ultra-low LA31250-6

Member of these Panels

LOINC Long Common Name
84907-5 Cancer pathology panel - Colorectal cancer specimen

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Resección quirúrgica anterior:Tipo:Punto temporal:Recto y colon:Nominal:
it-IT Italian (Italy) Resezione anteriore chirurgica:Tipo:Pt:Tratto GI inferiore:Nom:
Synonyms: Patologia Punto nel tempo (episodio) Tratto gastrointestinale inferiore
zh-CN Chinese (China) 前切除术:类型:时间点:下消化道:名义型:
Synonyms: 下 下的 下部 低级 低级的 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 前切除;前手术切除 型 外科学手术切除;外科切除;手术切除 时刻;随机;随意;瞬间 较低 较低的

21894-1 Regional lymph nodes examined [#] Specimen

Term Description

Records the total number of regional lymph nodes that were removed and examined by the pathologist. Beginning with tumors diagnosed on or after January 1, 2004, this item is a component of the Collaborative Stage system. Tumors diagnosed from 1988 through 2003, this item is a part of the 10-digit EOD [779], detailed site-specific codes for anatomic EOD.

This data item serves as a quality measure of the pathologic and surgical evaluation and treatment of the patient... NAACCR Data Standards and Data Dictionary Version 11
Source: Regenstrief LOINC

Fully-Specified Name

Component
Regional lymph nodes examined
Property
Num
Time
Pt
System
Specimen
Scale
Qn
Method

Additional Names

Short Name
Reg LN examined Spec

Basic Attributes

Class
TUMRRGT
Type
Clinical
First Released
Version 1.0m
Last Updated
Version 2.56
Change Reason
Changed the system from "Cancer.XXX" to "Specimen".

Member of these Panels

LOINC Long Common Name
85904-1 Cancer pathology panel - Breast cancer specimen by CAP cancer protocols
84907-5 Cancer pathology panel - Colorectal cancer specimen
85905-8 Cancer pathology panel - Colorectal cancer specimen by CAP cancer protocols
81186-9 Gastric cancer pathology panel
49083-9 North American Association of Central Cancer Registries, Inc (NAACCR, Inc) version 11 panel
59852-4 North American Association of Central Cancer Registries, Inc (NAACCR, Inc) version 12 panel
74293-2 Oncology plan of care and summary - recommended CDA set

Language Variants Get Info

Tag Language Translation
es-AR Spanish (Argentina) ganglios linfáticos regionales examinados:número:punto en el tiempo:cáncer.XXX:cuantitativo:
es-ES Spanish (Spain) Nodos linfáticos regionales examinados:Número (recuento):Punto temporal:Especimen:Qn:
Synonyms: Cuantitativo
es-MX Spanish (Mexico) Examen de los ganglios linfáticos regionales:Num:Punto temporal:Muestra:Cuantitativo:
it-IT Italian (Italy) Linfonodi regionali esaminati:Num:Pt:Campione:Qn:
Synonyms: Numero (conta) Punto nel tempo (episodio) Registro tumori
ru-RU Russian (Russian Federation) Региональные лимфоузлы исследованы:Кол:ТчкВрм:Образец:Колич:
Synonyms: Количественный Количество порция;образец;материал для анализа Точка во времени;Момент
tr-TR Turkish (Turkey) İncelenmiş bölgesel lenf nodları:Say:Zmlı:Örnek:Kant:
Synonyms: Spesmen
zh-CN Chinese (China) 已检查的局部淋巴结:数量(计数):时间点:标本:定量型:
Synonyms: NAACCR 肿瘤登记;癌症登记中心北美协会肿瘤登记;肿瘤注册;肿瘤登记（NAACCR）;肿瘤登记（癌症登记中心北美协会）;癌症登记中心北美协会;North American Association of Central Cancer Registries;NAACCR 个数;数量;数量或计数（非负整数）;计数 供检查用的材料;待检物;待试验物;样品;样本;试料;试样 受检物 可用数量表示的;定量性;数值型;数量型;连续数值型标尺 已检查（已检查过、已查过、所检查、所检查过）的局部淋巴结;已检查的区域淋巴结 已检查（已检查过、已查过、所检查、所检查过）的淋巴结;已检查淋巴结的数量 时刻;随机;随意;瞬间 样品 样本 试样

Example Units

Unit Source
{#} Example UCUM Units

84881-2 Polyps [Presence] in Specimen

Term Description

The presence or absence of polyps in the specimen. If present, the number, diameter range and gross appearance of polyps is recorded separately. This term was created for, but not limited in use to, the Colorectal Cancer Structured Reporting Protocol (2nd Edition, 2012) developed by the Royal College of Pathologists of Australasia (RCPA).
Source: Regenstrief LOINC

Fully-Specified Name

Component
Polyps
Property
PrThr
Time
Pt
System
Specimen
Scale
Ord
Method

Additional Names

Short Name
Polyps Spec Ql
Display Name
Polyps Ql (Spec)
Consumer Name Alpha Get Info
Polyps, Specimen

Basic Attributes

Class
PATH
Type
Laboratory
First Released
Version 2.58
Last Updated
Version 2.71
Order vs. Observation
Observation

Example Answer List LL3950-4

Answer Code Score Answer ID
Present Copyright http://snomed.info/sct ID:52101004 Present (qualifier value) LA9633-4
Absent Copyright http://snomed.info/sct ID:2667000 Absent (qualifier value) LA9634-2

Member of these Panels

LOINC Long Common Name
84907-5 Cancer pathology panel - Colorectal cancer specimen

Language Variants Get Info

Tag Language Translation
es-ES Spanish (Spain) Pólipos:PrThr:Punto temporal:Especimen:Ord:
es-MX Spanish (Mexico) Pólipos:Presencia o umbral:Punto temporal:Muestra:Ordinal:
it-IT Italian (Italy) Polipi:PrThr:Pt:Campione:Ord:
Synonyms: Patologia Presenza o Soglia Punto nel tempo (episodio)
nl-NL Dutch (Netherlands) poliepen:aanwezigheid:moment:monster:ordinaal:
ru-RU Russian (Russian Federation) Полипы:PrThr:ТчкВрм:Образец:Пор:
Synonyms: порция;образец;материал для анализа Порядковый Точка во времени;Момент
tr-TR Turkish (Turkey) Polipler:MevcEşik:Zmlı:Örnek:Srl:
Synonyms: Mevcut Spesmen
zh-CN Chinese (China) 息肉:存在情况或阈值:时间点:标本:序数型:
Synonyms: 供检查用的材料;待检物;待试验物;样品;样本;试料;试样 依次型;分类顺序型;定性的;序数型（或称等级型）;性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 受检物 存在情况;存在;存在与否;是否存在;阈值;界值;界限;阀值;临界值;存在情况（存在、存在与否、是否存在）或阈值（界值、界限、阀值、临界值） 息肉类 时刻;随机;随意;瞬间 样品 样本 试样

96117-7 Resection adequacy of non-malignant polyp in Specimen Qualitative

Term Description

The adequacy of resection of non-malignant polyp should be reported where the polyp is received intact and where the margin of resection is unequivocally seen.
Source: Regenstrief LOINC

Fully-Specified Name

Component
Resection adequacy of non-malignant polyp
Property
Find
Time
Pt
System
Specimen
Scale
Ord
Method

Additional Names

Short Name
Resection adeq non-malig polyp Spec Ql
Display Name
Adequacy of resection for non-malignant polyp Ql (Spec)
Consumer Name Alpha Get Info
Adequacy of resection for non-malignant polyp, Specimen

Basic Attributes

Class
PATH
Type
Laboratory
First Released
Version 2.69
Last Updated
Version 2.69
Order vs. Observation
Observation

Example Answer List LL5677-1

Answer Code Score Answer ID
Adequate LA8913-1
Inadequate LA8914-9

Member of these Panels

LOINC Long Common Name
84907-5 Cancer pathology panel - Colorectal cancer specimen

Language Variants Get Info

Tag Language Translation
es-ES Spanish (Spain) Adecuación de la resección de pólipos no malignos:Hallazgo:Punto temporal:Especimen:Ord:
es-MX Spanish (Mexico) Adecuación de la resección de pólipos no malignos:Hallazgo:Punto temporal:Muestra:Ordinal:
it-IT Italian (Italy) Adeguatezza della resezione del polipo non maligno:Osservazione:Pt:Campione:Ord:
Synonyms: Osservazione Patologia Punto nel tempo (episodio)
pl-PL Polish (Poland) Adekwatność resekcji polipa niezłośliwego:wynik:punkt w czasie:próbka:półilościowy:
zh-CN Chinese (China) 非恶性息肉切除的适宜性:发现:时间点:标本:序数型:
Synonyms: 供检查用的材料;待检物;待试验物;样品;样本;试料;试样 依次型;分类顺序型;定性的;序数型（或称等级型）;性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 切除非恶性息肉的适宜性;非恶性息肉切除术的适宜性 发现是一个原子型临床观察指标，并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型，而对于叙述型文本之中所报告的发现，则可能是叙述型。;发现物;所见;结果;结论 受检物 时刻;随机;随意;瞬间 样品 样本 试样

81178-6 Tissue block description and site Narrative

Term Description

The description of the tissue block and site from which it was taken. Following the macroscopic description, dissection and block selection is performed.
Source: Regenstrief LOINC

Fully-Specified Name

Component
Tissue block description and site
Property
Desc
Time
Pt
System
Specimen
Scale
Nar
Method

Additional Names

Short Name
Block description and site Spec
Display Name
Tissue block description and site Nar (Spec)
Consumer Name Alpha Get Info
Tissue block description and Site, Specimen

Basic Attributes

Class
PATH
Type
Laboratory
First Released
Version 2.56
Last Updated
Version 2.73
Order vs. Observation
Observation
Common Test Rank Get Info
7509

Member of these Panels

LOINC Long Common Name
84907-5 Cancer pathology panel - Colorectal cancer specimen
98249-6 Cancer pathology panel - Endometrial cancer specimen
81186-9 Gastric cancer pathology panel

Language Variants Get Info

Tag Language Translation
es-ES Spanish (Spain) Descripción y lugar del bloque de tejidos:Descripción:Punto temporal:Especimen:Narrativo:
es-MX Spanish (Mexico) Descripción y sitio del bloque de tejido:Descripción:Punto temporal:Muestra:Narrativo:
it-IT Italian (Italy) Descrizione del blocco di tessuto e origine:Desc:Pt:Campione:Nar:
Synonyms: Descrizione Patologia Posto;Luogo Punto nel tempo (episodio)
zh-CN Chinese (China) 组织块描述与部位:描述:时间点:标本:叙述型:
Synonyms: 位点;位置 供检查用的材料;待检物;待试验物;样品;样本;试料;试样 受检物 叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型 时刻;随机;随意;瞬间 样品 样本 组织块描述（说明）与部位（位置） 试样 说明

84883-8 Deepest extent of tumor invasion [Type] in Colorectal cancer specimen

Term Description

The deepest extent or maximum degree of local tumor invasion into or through the bowel wall. Results are based on the T component of the TNM staging system, as outlined in the AJCC Cancer Staging Manual. PMID: 20180029 Invasion depths include submucosa (pT1), muscularis propria (pT2), through muscularis propria into pericolorectal tissues (pT3), penetrating the visceral peritoneum (pT4a), and directly invading or adherent to other organs or structures (pT4b). This term was created for, but not limited in use to, the Colorectal Cancer Structured Reporting Protocol (2nd Edition, 2012) developed by the Royal College of Pathologists of Australasia (RCPA).
Source: Regenstrief LOINC

Fully-Specified Name

Component
Deepest extent of tumor invasion
Property
Type
Time
Pt
System
Colorectal cancer specimen
Scale
Nom
Method

Additional Names

Short Name
Deepest tumor invasion CRC spec
Display Name
Deepest extent of tumor invasion Nom (Colorectal cancer specimen)
Consumer Name Alpha Get Info
Deepest extent of tumor invasion, Colorectal cancer specimen

Basic Attributes

Class
PATH
Type
Laboratory
First Released
Version 2.58
Last Updated
Version 2.71
Change Reason
This term is still in Trial status and upon further review, the System was updated from 'Specimen' to reflect that this concept is specific to the colorectal cancer reporting protocol. In addition, the Scale was corrected from Ord to Nom.
Order vs. Observation
Observation

Preferred Answer List LL4074-2

Answer Code Score Answer ID
Tumor invades submucosa pT1 LA26528-2
Tumor invades muscularis propria pT2 LA26529-0
Tumor invades through the muscularis propria into pericolorectal tissues pT3 LA26530-8
Tumor penetrates the visceral peritoneum pT4a LA26531-6
Tumor directly invades or is adherent to other organs or structures pT4b LA26532-4

Member of these Panels

LOINC Long Common Name
84907-5 Cancer pathology panel - Colorectal cancer specimen
85905-8 Cancer pathology panel - Colorectal cancer specimen by CAP cancer protocols

Language Variants Get Info

Tag Language Translation
es-ES Spanish (Spain) Extensión más profunda de la invasión tumoral:Tipo:Punto temporal:Cáncer colorectal:Nom:
es-MX Spanish (Mexico) Extensión más profunda de la invasión tumoral:Tipo:Punto temporal:Muestra de cáncer colorrectal:Nominal:
it-IT Italian (Italy) Estensione più profonda dell'invasione tumorale:Tipo:Pt:Campione di carcinoma del colon-retto:Nom:
Synonyms: Campione di tumore Neoplasia maligna Patologia Punto nel tempo (episodio)
zh-CN Chinese (China) 肿瘤侵袭最深范围:类型:时间点:结直肠癌标本:名义型:
Synonyms: 供检查用的材料;待检物;待试验物;样品;样本;试料;试样 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 受检物 型 时刻;随机;随意;瞬间 样品 样本 癌 癌（癌症、癌变）标本（样本、样品、试样） 结直肠癌（结肠直肠癌、大肠癌、大肠直肠癌）标本（样本、样品、试样）;结肠直肠癌标本;大肠癌标本;大肠直肠癌标本 肿瘤侵袭（浸润、侵犯、入侵）最深范围（程度、面积）;肿瘤最深侵袭程度）;肿瘤最大浸润深度 试样

84882-0 Histologic type in Colorectal cancer specimen by WHO classification

Term Description

Colorectal cancer histologic type based on the current World Health Organization (WHO) classification. Colonrectal tumor types include adenocarcinoma, mucinous adenocarcinoma, signet-ring cell carcinoma, small cell carcinoma, squamous cell carcinoma, adenosquamous carcinoma, medullary carcinoma, and others. [https://publications.iarc.fr/Book-And-Report-Series/Iarc-Handbooks-Of-Cancer-Prevention/Colorectal-Cancer-Screening-2019]
Source: Regenstrief LOINC

Fully-Specified Name

Component
Histologic type
Property
Type
Time
Pt
System
Colorectal cancer specimen
Scale
Nom
Method
WHO classification

Additional Names

Short Name
Histo type CRC spec WHO
Display Name
Histologic type WHO classification Nom (Colorectal cancer specimen)
Consumer Name Alpha Get Info
Histologic type, Colorectal cancer specimen

Basic Attributes

Class
PATH
Type
Laboratory
First Released
Version 2.58
Last Updated
Version 2.72
Change Reason
Release 2.72: DefinitionDescription: updated the url;
Order vs. Observation
Observation

Preferred Answer List LL4073-4

Answer Code Score Answer ID
Adenoma, NOS LA15390-0
Tubular adenoma, NOS LA26485-5
Villous adenoma, NOS LA26486-3
Tubulovillous adenoma, NOS LA26487-1
Glandular intraepithelial neoplasia, low grade LA26488-9
Glandular intraepithelial neoplasia, high grade LA26489-7
Sessile serrated adenoma/polyp LA26490-5
Serrated polyposis LA26491-3
Traditional serrated adenoma LA26492-1
Adenocarcinoma, NOS LA26493-9
Cribriform comedo-type adenocarcinoma LA26494-7
Medullary carcinoma, NOS LA26495-4
Micropapillary carcinoma LA26496-2
Colloid carcinoma LA26497-0
Serrated adenocarcinoma LA26498-8
Signet ring cell carcinoma LA15444-5
Adenosquamous carcinoma LA15446-0
Spindle cell carcinoma, NOS LA26501-9
Undifferentiated carcinoma LA15447-8
Neuroendocrine tumor G1 (NET G1)/Carcinoid LA26504-3
Neuroendocrine tumor G2 (NET G2) LA26505-0
Neuroendocrine carcinoma, NOS LA26506-8
Large cell neuroendocrine carcinoma LA26100-0
Small cell neuroendocrine carcinoma LA26101-8
Mixed adenoneuroendocrine carcinoma LA26102-6
Enterochromaffin cell (EC), serotonin-producing LA26510-0
L cell, Glucagon-like peptide-producing and PP/PYY-producing NETs LA26512-6
Leiomyoma, NOS LA26513-4
Lipoma, NOS LA26514-2
Angiosarcoma LA26515-9
Gastrointestinal stromal tumor, malignant LA26516-7
Kaposi sarcoma LA26517-5
Leiomyosarcoma, NOS LA26518-3
Schwannoma, NOS LA26519-1
Perineurioma, NOS LA26520-9
Ganglioneuroma LA26521-7
Granular cell tumor, NOS LA26522-5
Extranodal marginal zone lymphoma of mucosa-associated lymphoid tissue (MALT lymphoma) LA26523-3
Mantle cell lymphoma LA26524-1
Diffuse large B-cell lymphoma (DLBCL), NOS LA26525-8
Burkitt lymphoma, NOS LA26526-6
B-cell lymphoma, unclassifiable, with features intermediate between diffuse large B-cell lymphoma and Burkitt lymphoma LA26527-4

Member of these Panels

LOINC Long Common Name
84907-5 Cancer pathology panel - Colorectal cancer specimen
85905-8 Cancer pathology panel - Colorectal cancer specimen by CAP cancer protocols

Language Variants Get Info

Tag Language Translation
es-ES Spanish (Spain) Tipo histológico:Tipo:Punto temporal:Cáncer colorectal:Nom:Clasificación de la OMS
es-MX Spanish (Mexico) Tipo histológico:Tipo:Punto temporal:Muestra de cáncer colorrectal:Nominal:Clasificación de la OMS
it-IT Italian (Italy) Tipo istologico:Tipo:Pt:Campione di carcinoma del colon-retto:Nom:OMS, classificazione
Synonyms: Campione di tumore Classificazione OMS Neoplasia maligna Patologia Punto nel tempo (episodio)
zh-CN Chinese (China) 组织学类型:类型:时间点:结直肠癌标本:名义型:WHO 分类
Synonyms: WHO 分类法;WHO 分类体系;WHO 分类系统;WHO 分型 供检查用的材料;待检物;待试验物;样品;样本;试料;试样 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 受检物 型 时刻;随机;随意;瞬间 样品 样本 癌 癌（癌症、癌变）标本（样本、样品、试样） 组织类型;病理类型 结直肠癌（结肠直肠癌、大肠癌、大肠直肠癌）标本（样本、样品、试样）;结肠直肠癌标本;大肠癌标本;大肠直肠癌标本 试样

84884-6 Distal AndOr proximal margin involvement [Presence] in Colorectal cancer specimen

Term Description

Involvement of the proximal and/or distal resection ('cut-end') margins. This term was created for, but not limited in use to, the Colorectal Cancer Structured Reporting Protocol (2nd Edition, 2012) developed by the Royal College of Pathologists of Australasia (RCPA).
Source: Regenstrief LOINC

Fully-Specified Name

Component
Distal &or proximal margin involvement
Property
PrThr
Time
Pt
System
Colorectal cancer specimen
Scale
Nom
Method

Additional Names

Short Name
Distal/proximal marg invlmnt CRC spec
Display Name
Distal AndOr proximal margin involvement Nom (Colorectal cancer specimen)
Consumer Name Alpha Get Info
Distal andOr proximal margin involvement, Colorectal cancer specimen

Basic Attributes

Class
PATH
Type
Laboratory
First Released
Version 2.58
Last Updated
Version 2.71
Change Reason
This term is still in Trial status and upon further review, we added "Microscopy.light" as method to align with similar terms and since this cancer pathology observation is detected by light microscopy.
Order vs. Observation
Observation

Preferred Answer List LL4075-9

Answer Code Score Answer ID
Involved, distal margin LA26533-2
Involved, proximal margin LA26534-0
Not involved LA26535-7

Member of these Panels

LOINC Long Common Name
84907-5 Cancer pathology panel - Colorectal cancer specimen

Language Variants Get Info

Tag Language Translation
es-ES Spanish (Spain) Afectación del margen distal y / o proximal:PrThr:Punto temporal:Cáncer colorectal:Nom:
es-MX Spanish (Mexico) Afectación del margen distal o proximal:Presencia o umbral:Punto temporal:Muestra de cáncer colorrectal:Nominal:
it-IT Italian (Italy) Interessamento margine distale &o prossimale:PrThr:Pt:Campione di carcinoma del colon-retto:Nom:
Synonyms: Campione di tumore Interessamento margine distale e/o prossimale Neoplasia maligna Patologia Presenza o Soglia Punto nel tempo (episodio)
zh-CN Chinese (China) 远心端 &or 近心端边缘累及:存在情况或阈值:时间点:结直肠癌标本:名义型:
Synonyms: 供检查用的材料;待检物;待试验物;样品;样本;试料;试样 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 受检物 存在情况;存在;存在与否;是否存在;阈值;界值;界限;阀值;临界值;存在情况（存在、存在与否、是否存在）或阈值（界值、界限、阀值、临界值） 时刻;随机;随意;瞬间 样品 样本 癌 癌（癌症、癌变）标本（样本、样品、试样） 结直肠癌（结肠直肠癌、大肠癌、大肠直肠癌）标本（样本、样品、试样）;结肠直肠癌标本;大肠癌标本;大肠直肠癌标本 试样 边缘受累;边界累及 远心端（远心、远端） &or 近心端（近心、近端）边缘累及（受累、侵犯、侵袭、转移）;远心端和或近心端边缘累及

84888-7 Intramural vein invasion [Presence] in Colorectal cancer specimen by Light microscopy

Part Descriptions

LP222091-3   Intramural vein invasion
Venous invasion (VI) is a well-established prognostic indicator in colorectal cancers and associated with an increase in risk of distant metastases. PMID: 26933769 VI can be classified as either intramural venous invasion (IMVI) or extramural venous invasion (EMVI). IMVI is when a tumor cells are confined to veins within the bowel wall. EMVI is when tumor cells are present in veins outside the bowel wall. Either one or both may be present. The presence of EMVI is a strong predictor of adverse outcome. PMCID: PMC4283716 Source: Regenstrief LOINC

Fully-Specified Name

Component
Intramural vein invasion
Property
PrThr
Time
Pt
System
Colorectal cancer specimen
Scale
Ord
Method
Microscopy.light

Additional Names

Short Name
Intramural vein invas CRC spec Ql Micro
Display Name
Intramural vein invasion LM Ql (Colorectal cancer specimen)
Consumer Name Alpha Get Info
Intramural vein invasion, Colorectal cancer specimen

Basic Attributes

Class
PATH
Type
Laboratory
First Released
Version 2.58
Last Updated
Version 2.71
Change Reason
This term is still in Trial status and upon further review, we added "Microscopy.light" as method to align with similar terms and since this cancer pathology observation is detected by light microscopy.
Order vs. Observation
Observation

Example Answer List LL748-5

Answer Code Score Answer ID
Not identified LA11902-6
Present Copyright http://snomed.info/sct ID:52101004 Present (qualifier value) LA9633-4

Member of these Panels

LOINC Long Common Name
84907-5 Cancer pathology panel - Colorectal cancer specimen
85905-8 Cancer pathology panel - Colorectal cancer specimen by CAP cancer protocols

Language Variants Get Info

Tag Language Translation
es-ES Spanish (Spain) Invasión venosa intramural:PrThr:Punto temporal:Cáncer colorectal:Ord:Microscopía de luz
es-MX Spanish (Mexico) Invasión de venas intramurales:Presencia o umbral:Punto temporal:Muestra de cáncer colorrectal:Ordinal:Microscopía óptica
it-IT Italian (Italy) Invasione vena intramurale:PrThr:Pt:Campione di carcinoma del colon-retto:Ord:Microscopia.ottica
Synonyms: Campione di tumore Microscopia ottica Neoplasia maligna Patologia Presenza o Soglia Punto nel tempo (episodio)
zh-CN Chinese (China) 壁内静脉侵袭:存在情况或阈值:时间点:结直肠癌标本:序数型:显微镜检查.光学
Synonyms: 供检查用的材料;待检物;待试验物;样品;样本;试料;试样 依次型;分类顺序型;定性的;序数型（或称等级型）;性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 光学显微镜方法;光学显微镜方法.光学;光学显微镜检;光学显微镜检.光学;光学显微镜检查;光镜检查;光镜检查.光学;光镜法;显微镜检查.普通光学;普通光学显微镜检查;镜检;镜检.光学 受检物 壁内静脉侵袭（浸润、侵犯、入侵） 存在情况;存在;存在与否;是否存在;阈值;界值;界限;阀值;临界值;存在情况（存在、存在与否、是否存在）或阈值（界值、界限、阀值、临界值） 时刻;随机;随意;瞬间 显微学;显微术;显微镜学;显微镜检术;显微镜检查;显微镜检查方法;显微镜检查法;显微镜检查类方法;显微镜检查类检验方法;显微镜法;镜检;镜检术;镜检法 样品 样本 癌 癌（癌症、癌变）标本（样本、样品、试样） 结直肠癌（结肠直肠癌、大肠癌、大肠直肠癌）标本（样本、样品、试样）;结肠直肠癌标本;大肠癌标本;大肠直肠癌标本 试样

84889-5 Extramural vein invasion [Presence] in Colorectal cancer specimen by Light microscopy

Part Descriptions

LP222092-1   Extramural vein invasion
Venous invasion (VI) is a well-established prognostic indicator in colorectal cancers and associated with an increase in risk of distant metastases. PMID: 26933769 VI can be classified as either intramural venous invasion (IMVI) or extramural venous invasion (EMVI). IMVI is when a tumor cells are confined to veins within the bowel wall. EMVI is when tumor cells are present in veins outside the bowel wall. Either one or both may be present. The presence of EMVI is a strong predictor of adverse outcome. PMCID: PMC4283716 Source: Regenstrief LOINC

Fully-Specified Name

Component
Extramural vein invasion
Property
PrThr
Time
Pt
System
Colorectal cancer specimen
Scale
Ord
Method
Microscopy.light

Additional Names

Short Name
Extramural vein invas CRC spec Ql Micro
Display Name
Extramural vein invasion LM Ql (Colorectal cancer specimen)
Consumer Name Alpha Get Info
Extramural vein invasion, Colorectal cancer specimen

Basic Attributes

Class
PATH
Type
Laboratory
First Released
Version 2.58
Last Updated
Version 2.71
Change Reason
This term is still in Trial status and upon further review, we added "Microscopy.light" as method to align with similar terms and since this cancer pathology observation is detected by light microscopy.
Order vs. Observation
Observation

Example Answer List LL748-5

Answer Code Score Answer ID
Not identified LA11902-6
Present Copyright http://snomed.info/sct ID:52101004 Present (qualifier value) LA9633-4

Member of these Panels

LOINC Long Common Name
84907-5 Cancer pathology panel - Colorectal cancer specimen
85905-8 Cancer pathology panel - Colorectal cancer specimen by CAP cancer protocols

Language Variants Get Info

Tag Language Translation
es-ES Spanish (Spain) Invasión venosa extramural:PrThr:Punto temporal:Cáncer colorectal:Ord:Microscopía de luz
es-MX Spanish (Mexico) Invasión de venas extramurales:Presencia o umbral:Punto temporal:Muestra de cáncer colorrectal:Ordinal:Microscopía óptica
it-IT Italian (Italy) Invasione extramurale della vena:PrThr:Pt:Campione di carcinoma del colon-retto:Ord:Microscopia.ottica
Synonyms: Campione di tumore Microscopia ottica Neoplasia maligna Patologia Presenza o Soglia Punto nel tempo (episodio)
zh-CN Chinese (China) 壁外静脉侵袭:存在情况或阈值:时间点:结直肠癌标本:序数型:显微镜检查.光学
Synonyms: 供检查用的材料;待检物;待试验物;样品;样本;试料;试样 依次型;分类顺序型;定性的;序数型（或称等级型）;性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 光学显微镜方法;光学显微镜方法.光学;光学显微镜检;光学显微镜检.光学;光学显微镜检查;光镜检查;光镜检查.光学;光镜法;显微镜检查.普通光学;普通光学显微镜检查;镜检;镜检.光学 受检物 壁外静脉侵袭（浸润、侵犯、入侵） 存在情况;存在;存在与否;是否存在;阈值;界值;界限;阀值;临界值;存在情况（存在、存在与否、是否存在）或阈值（界值、界限、阀值、临界值） 时刻;随机;随意;瞬间 显微学;显微术;显微镜学;显微镜检术;显微镜检查;显微镜检查方法;显微镜检查法;显微镜检查类方法;显微镜检查类检验方法;显微镜法;镜检;镜检术;镜检法 样品 样本 癌 癌（癌症、癌变）标本（样本、样品、试样） 结直肠癌（结肠直肠癌、大肠癌、大肠直肠癌）标本（样本、样品、试样）;结肠直肠癌标本;大肠癌标本;大肠直肠癌标本 试样