archetype (adl_version=1.4; uid=c9f5e9cd-f89c-44cd-b9d6-421d6a181791)
	openEHR-EHR-CLUSTER.imaging_exam-placenta.v0
specialise
	openEHR-EHR-CLUSTER.imaging_exam.v1

concept
	[at0000.1]	-- Imaging examination of a placenta
language
	original_language = <[ISO_639-1::en]>
	translations = <
		["de"] = <
			language = <[ISO_639-1::de]>
			author = <
				["name"] = <"Natalia Strauch">
				["organisation"] = <"Medizinische Hochschule Hannover">
				["email"] = <"Strauch.Natalia@mh-hannover.de">
			>
		>
		["nb"] = <
			language = <[ISO_639-1::nb]>
			author = <
				["name"] = <"Peter Fedorcsak, Vebjørn Arntzen">
				["organisation"] = <"University of Oslo, Oslo University Hospital">
				["email"] = <"peterfe@uio.no, varntzen@ous-hf.no">
			>
		>
	>
description
	original_author = <
		["name"] = <"Heather Leslie">
		["organisation"] = <"Atomica Informatics">
		["email"] = <"heather.leslie@atomicainformatics.com">
		["date"] = <"2021-11-24">
	>
	details = <
		["de"] = <
			language = <[ISO_639-1::de]>
			purpose = <"*To record the findings on radiological examination of a placenta, and their interpretation. (en)">
			use = <"*Use to record the findings on radiological examination of a placenta, and their interpretation.

The intended scope for this archetype is to eventually record all detailed findings on radiological examination of the placenta using any modality. It is anticipated that further data elements may be added as requirements are identified and confirmed.

This archetype is designed to be nested within the 'Placental findings' SLOT in the CLUSTER.imaging_exam-pregnant_uterus or within other relevant CLUSTER.imaging_exam archetypes, but can also be used within other ENTRY or CLUSTER archetypes, where clinically appropriate. If this archetype needs to be extended with further levels of structured findings, additional instances of the CLUSTER.imaging_exam or its specialisations can be nested in the 'Additional details' SLOT. (en)">
			keywords = <"Befund, Ergebnis, Bildgebung, Körper, Organ, System, Struktur, Region, Beobachtung, Diagnostik, Radiologie, Bild", ...>
			misuse = <"*Not to be used to record imaging examination findings for any body structure or region other than a placenta. Use other archetypes from the CLUSTER.imaging_exam family for this purpose.

Not to be used to record details related to the overall findings, context or technical details related to a complete imaging examination test result. Use the OBERSERVATION.imaging_exam_result for this purpose. For example, comments on the study quality, differential diagnoses, and overall impression. (en)">
			copyright = <"© openEHR Foundation">
		>
		["nb"] = <
			language = <[ISO_639-1::nb]>
			purpose = <"*To record the findings on radiological examination of a placenta, and their interpretation. (en)">
			use = <"*Use to record the findings on radiological examination of a placenta, and their interpretation.

The intended scope for this archetype is to eventually record all detailed findings on radiological examination of the placenta using any modality. It is anticipated that further data elements may be added as requirements are identified and confirmed.

This archetype is designed to be nested within the 'Placental findings' SLOT in the CLUSTER.imaging_exam-pregnant_uterus or within other relevant CLUSTER.imaging_exam archetypes, but can also be used within other ENTRY or CLUSTER archetypes, where clinically appropriate. If this archetype needs to be extended with further levels of structured findings, additional instances of the CLUSTER.imaging_exam or its specialisations can be nested in the 'Additional details' SLOT. (en)">
			misuse = <"*Not to be used to record imaging examination findings for any body structure or region other than a placenta. Use other archetypes from the CLUSTER.imaging_exam family for this purpose.

Not to be used to record details related to the overall findings, context or technical details related to a complete imaging examination test result. Use the OBERSERVATION.imaging_exam_result for this purpose. For example, comments on the study quality, differential diagnoses, and overall impression. (en)">
			copyright = <"© openEHR Foundation">
		>
		["en"] = <
			language = <[ISO_639-1::en]>
			purpose = <"To record the findings on radiological examination of a placenta, and their interpretation.">
			use = <"Use to record the findings on radiological examination of a placenta, and their interpretation.

The intended scope for this archetype is to eventually record all detailed findings on radiological examination of the placenta using any modality. It is anticipated that further data elements may be added as requirements are identified and confirmed.

This archetype is designed to be nested within the 'Placental findings' SLOT in the CLUSTER.imaging_exam-pregnant_uterus or within other relevant CLUSTER.imaging_exam archetypes, but can also be used within other ENTRY or CLUSTER archetypes, where clinically appropriate. If this archetype needs to be extended with further levels of structured findings, additional instances of the CLUSTER.imaging_exam or its specialisations can be nested in the 'Additional details' SLOT.">
			misuse = <"Not to be used to record imaging examination findings for any body structure or region other than a placenta. Use other archetypes from the CLUSTER.imaging_exam family for this purpose.

Not to be used to record details related to the overall findings, context or technical details related to a complete imaging examination test result. Use the OBERSERVATION.imaging_exam_result for this purpose. For example, comments on the study quality, differential diagnoses, and overall impression.">
			copyright = <"© openEHR Foundation">
		>
	>
	lifecycle_state = <"in_development">
	other_contributors = <"Marit Alice Venheim, Helse Vest IKT, Norway (Nasjonal IKT redaktør)", "Vebjørn Arntzen, Oslo University Hospital, Norway (openEHR Editor)", "Silje Ljosland Bakke, Helse Vest IKT AS, Norway (openEHR Editor)", "SB Bhattacharyya, Bhattacharyyas Clinical Records Research & Informatics LLP, India", "Randi Brendberg, Helse Nord RHF, Norway", "Peter Fedorcsak, University of Oslo, Norway (openEHR Editor)", "Heather Grain, Llewelyn Grain Informatics, Australia", "Anne Helbig, MD PhD, Oslo University Hospital, Norway", "Anca Heyd, DIPS ASA, Norway", "Evelyn Hovenga, EJSH Consulting, Australia", "Mikkel Johan Gaup Grønmo, Regional forvaltning EPJ, Helse Nord, Norway (Nasjonal IKT redaktør)", "Anjali Kulkarni, Karkinos, India", "Liv Laugen, ​Oslo University Hospital, Norway, Norway (openEHR Editor)", "Heather Leslie, Atomica Informatics, Australia (openEHR Editor)", "Mikael Nyström, Cambio Healthcare Systems AB, Sweden", "Norwegian Review Summary, Norwegian Public Hospitals, Norway", "Tina Tellum, Oslo Universitetssykehus, Norway", "John Tore Valand, Haukeland Universitetssjukehus, Norway (Nasjonal IKT redaktør)", "Ina Wille, Helse-Vest RHF, Norway">
	other_details = <
		["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">
		["original_namespace"] = <"org.openehr">
		["original_publisher"] = <"openEHR Foundation">
		["custodian_namespace"] = <"org.openehr">
		["MD5-CAM-1.0.1"] = <"915D1052A6610583E40512607A7CF909">
		["build_uid"] = <"c5cf36d5-4ba2-4317-9a4a-2c45c8af134e">
		["ip_acknowledgements"] = <"This artefact includes content from SNOMED Clinical Terms® (SNOMED CT®) which is copyrighted material of the International Health Terminology Standards Development Organisation (IHTSDO). Where an implementation of this artefact makes use of SNOMED CT content, the implementer must have the appropriate SNOMED CT Affiliate license - for more information contact https://www.snomed.org/snomed-ct/get-snomed or info@snomed.org.">
		["revision"] = <"0.0.1-alpha">
	>

definition
	CLUSTER[at0000.1] matches {    -- Imaging examination of a placenta
		items cardinality matches {1..*; unordered} matches {
			ELEMENT[at0001.1] matches {    -- Body structure
				value matches {
					DV_CODED_TEXT matches {
						defining_code matches {
							[local::at0.1]    -- Placenta
						}
					}
				}
			}
			ELEMENT[at0002.1] occurrences matches {0..1} matches {    -- Placental site
				value matches {
					DV_TEXT matches {*}
				}
			}
			allow_archetype CLUSTER[at0003.1] occurrences matches {0..*} matches {    -- Structured placental site
				include
					archetype_id/value matches {/openEHR-EHR-CLUSTER\.anatomical_location(-[a-zA-Z0-9_]+)*\.v1|openEHR-EHR-CLUSTER\.anatomical_location_relative(-[a-zA-Z0-9_]+)*\.v2|openEHR-EHR-CLUSTER\.anatomical_location_circle(-[a-zA-Z0-9_]+)*\.v1/}
			}
			ELEMENT[at0004] occurrences matches {0..1} matches {    -- Imaging findings
				value matches {
					DV_TEXT matches {*}
				}
			}
			allow_archetype CLUSTER[at0.3] occurrences matches {0..*} matches {    -- Umbilical cord findings
				include
					archetype_id/value matches {/openEHR-EHR-CLUSTER\.imaging_exam-umbilical_cord(-[a-zA-Z0-9_]+)*\.v0/}
			}
			ELEMENT[at0.2] occurrences matches {0..1} matches {    -- Thickness
				value matches {
					C_DV_QUANTITY <
						property = <[openehr::122]>
						list = <
							["1"] = <
								units = <"mm">
								magnitude = <|0.0..100.0|>
							>
							["2"] = <
								units = <"cm">
								magnitude = <|0.0..10.0|>
							>
						>
					>
				}
			}
			allow_archetype CLUSTER[at0005] occurrences matches {0..*} matches {    -- Additional details
				include
					archetype_id/value matches {/openEHR-EHR-CLUSTER\.imaging_exam-lymph_node(-[a-zA-Z0-9_]+)*\.v0|openEHR-EHR-CLUSTER\.imaging_exam-lymph_node_group(-[a-zA-Z0-9_]+)*\.v0|openEHR-EHR-CLUSTER\.imaging_exam-lesion-adnexal_mass(-[a-zA-Z0-9_]+)*\.v0|openEHR-EHR-CLUSTER\.imaging_exam-lesion(-[a-zA-Z0-9_]+)*\.v0/}
			}
			ELEMENT[at0006] occurrences matches {0..*} matches {    -- Impression
				value matches {
					DV_TEXT matches {*}
				}
			}
			ELEMENT[at0007] occurrences matches {0..1} matches {    -- Comment
				value matches {
					DV_TEXT matches {*}
				}
			}
		}
	}


ontology
	terminologies_available = <"SNOMED-CT", ...>
	term_definitions = <
		["en"] = <
			items = <
				["at0000.1"] = <
					text = <"Imaging examination of a placenta">
					description = <"Findings on radiological examination of a placenta.">
				>
				["at0001.1"] = <
					text = <"Body structure">
					description = <"Identification of the body structure or region examined.">
					comment = <"If the body structure has been fully identified in this 'Body structure' element, then the 'Body site' data element and 'Structured body site' SLOT becomes redundant.">
				>
				["at0.1"] = <
					text = <"Placenta">
					description = <"">
				>
				["at0000"] = <
					text = <"Imaging examination of a body structure">
					description = <"Findings on radiological examination of a specified body structure or region.">
				>
				["at0001"] = <
					text = <"Body structure">
					description = <"Identification of the body structure or region examined.">
					comment = <"For example: 'Liver', 'Right ankle' or 'Lymph node group'. Coding of the body structure with an appropriate terminology, such as SNOMED CT, is recommended. If the body structure has been fully identified in this 'Body structure' element, then the 'Body site' data element and 'Structured body site' SLOT become redundant.">
				>
				["at0002"] = <
					text = <"Body site">
					description = <"Identification of the area of the body under examination.">
					comment = <"For example: a lymph node group (body structure) which found in the 'Right axilla'. Coding of 'Body site' with a terminology, such as SNOMED CT, is desirable. If the body site has been fully identified in the 'Body structure' data element, this data element becomes redundant.">
				>
				["at0003"] = <
					text = <"Structured body site">
					description = <"Structured details about the area of the body under examination.">
					comment = <"For example: details about a relative anatomical location, such as '2cm distal to the appendix'. If the body site has been fully identified in the 'Body structure' or 'Body site' data elements, then this SLOT becomes redundant.">
				>
				["at0004"] = <
					text = <"Imaging findings">
					description = <"Narrative description of the imaging findings observed during this examination.">
				>
				["at0005"] = <
					text = <"Additional details">
					description = <"Additional structured details about imaging findings for the identified body structure or region, or findings of related structures.">
				>
				["at0006"] = <
					text = <"Impression">
					description = <"Single word, phrase or brief description that represents the clinical meaning and significance of all imaging findings for the identified body structure.">
					comment = <"Also referred to as 'Interpretation' or 'Opinion'. For example: 'No abnormality detected' or 'Free fluid present'. Coding of the 'Impression' with a terminology is permitted, if useful. Multiple occurrences allow for more than one coded impression. A narrative description may include a comparison with previous studies of the identified body structure, if appropriate.">
				>
				["at0007"] = <
					text = <"Comment">
					description = <"Additional narrative about the imaging findings of the body structure, not captured in other fields.">
				>
				["at0002.1"] = <
					text = <"Placental site">
					description = <"Identification of the area of the uterus where the placenta/placental mass is located.">
				>
				["at0003.1"] = <
					text = <"Structured placental site">
					description = <"Structured details about the area of the uterus where the placenta/placental mass is located.">
				>
				["at0.2"] = <
					text = <"Thickness">
					description = <"Measured thickness of the placenta.">
				>
				["at0.3"] = <
					text = <"Umbilical cord findings">
					description = <"Structured details about a single umbilical cord.">
				>
			>
		>
		["nb"] = <
			items = <
				["at0.1"] = <
					text = <"*Placenta (en)">
					description = <"">
				>
				["at0000.1"] = <
					text = <"*Imaging examination of a placenta (en)">
					description = <"*Findings on radiological examination of a placenta. (en)">
				>
				["at0001.1"] = <
					text = <"Struktur">
					description = <"Navn av undersøkt struktur eller område på eller i kroppen.">
					comment = <"*If the body structure has been fully identified in this 'Body structure' element, then the 'Body site' data element and 'Structured body site' SLOT becomes redundant. (en)">
				>
				["at0000"] = <
					text = <"Bildediagnostisk undersøkelse - kroppsstruktur">
					description = <"Funn eller observasjoner ved radiologisk undersøkelse av et definert organ eller en kroppsdel.">
				>
				["at0001"] = <
					text = <"Kroppsstruktur">
					description = <"Identifisering av organet eller kroppsdelen som svaret gjelder.">
					comment = <"*For example: 'Liver', 'Right ankle' or 'Lymph node group'. Coding of the body structure with an appropriate terminology, such as SNOMED CT, is recommended. If the body structure has been fully identified in this 'Body structure' element, then the 'Body site' data element and 'Structured body site' SLOT become redundant. (en)">
				>
				["at0002"] = <
					text = <"Anatomisk lokalisasjon">
					description = <"Identifisering av organ eller kroppsdel.">
					comment = <"For eksempel en lymfeknutegruppe (Kroppsstruktur) som er funnet i \"Høyre aksille\" (Anatomisk lokalisasjon). Det er ønskelig å kode \"Anatomisk lokalisasjon\" med en terminologi, som SNOMED CT. Dersom den anatomiske lokalisasjonen er fullt ut angitt i elementet \"Kroppsstruktur\" er det ikke nødvendig å bruke \"Anatomisk lokalisasjon\".">
				>
				["at0003"] = <
					text = <"Strukturert anatomisk lokalisasjon">
					description = <"Strukturerte detaljer om organ eller kroppsdel.">
					comment = <"For eksempel detaljert om en relativ anatomisk lokalisasjon, som \"2 cm distalt for appendix\". Dersom den nøyaktige eller relative anatomiske lokalisasjonen er fullt ut angitt i elementet \"Kroppsstruktur\" er det ikke nødvendig å bruke \"Strukturert anatomisk lokalisasjon\".">
				>
				["at0004"] = <
					text = <"Funn">
					description = <"Fritekstlig beskrivelse av funn eller observasjoner på bilder tatt under denne undersøkelsen.">
				>
				["at0005"] = <
					text = <"Ytterligere detaljer">
					description = <"Ytterligere strukturerte detaljer om funn eller observasjoner på bilder for det definerte organet eller kroppsdelen, eller om funn eller observasjoner hos tilhørende kroppsstrukturer.">
				>
				["at0006"] = <
					text = <"Resymé">
					description = <"Enkeltord, frase eller kortfattet beskrivelse som uttrykker den kliniske betydningen av alle funn og observasjoner for den definerte kroppsstrukturen.">
					comment = <"Kan også kalles \"Tolkning\" eller \"Inntrykk\". For eksempel \"Uten anmerkning\" eller \"Fri væske\". Dersom det er nyttig, er det åpent for å kode \"Resymé\" med en terminologi. Flere svar kan kodes ved at elementet er åpent for å være gjentakende. En beskrivelse i fritektst kan også brukes og kan inneholde en sammenligning med tidligere undersøkelser av samme kroppsstruktur.">
				>
				["at0007"] = <
					text = <"Kommentar">
					description = <"Ytterligere fritekst om funn eller observasjoner på bilder av kroppsstrukturen og som ikke er fanget i andre felt.">
				>
				["at0002.1"] = <
					text = <"*Placental site (en)">
					description = <"*Identification of the area of the uterus where the placenta/placental mass is located. (en)">
				>
				["at0003.1"] = <
					text = <"*Structured placental site (en)">
					description = <"*Structured details about the area of the uterus where the placenta/placental mass is located. (en)">
				>
				["at0.2"] = <
					text = <"*Thickness (en)">
					description = <"*Measured thickness of the placenta. (en)">
				>
				["at0.3"] = <
					text = <"*Umbilical cord findings (en)">
					description = <"*Structured details about a single umbilical cord. (en)">
				>
			>
		>
		["de"] = <
			items = <
				["at0000.1"] = <
					text = <"*Imaging examination of a placenta (en)">
					description = <"*Findings on radiological examination of a placenta. (en)">
				>
				["at0001.1"] = <
					text = <"Körperstruktur">
					description = <"Identifizierung der untersuchten Körperstruktur oder Region.">
					comment = <"*If the body structure has been fully identified in this 'Body structure' element, then the 'Body site' data element and 'Structured body site' SLOT becomes redundant. (en)">
				>
				["at0.1"] = <
					text = <"*Placenta (en)">
					description = <"">
				>
				["at0000"] = <
					text = <"Bildgebende Untersuchung einer Körperstruktur">
					description = <"Befunde zur radiologischen Untersuchung einer bestimmten Körperstruktur oder -region.">
				>
				["at0001"] = <
					text = <"Körperstruktur">
					description = <"Identifizierung der untersuchten Körperstruktur oder Region.">
					comment = <"*For example: 'Liver', 'Right ankle' or 'Lymph node group'. Coding of the body structure with an appropriate terminology, such as SNOMED CT, is recommended. If the body structure has been fully identified in this 'Body structure' element, then the 'Body site' data element and 'Structured body site' SLOT become redundant. (en)">
				>
				["at0002"] = <
					text = <"Körperstelle">
					description = <"Identifizierung des zu untersuchenden Bereichs des Körpers.">
					comment = <"Zum Beispiel: eine Lymphknotengruppe (Körperstruktur), die sich in der „rechten Achselhöhle“ befindet. Eine Kodierung von „Körperstelle“ mit einer Terminologie, wie z. B. SNOMED CT, ist wünschenswert. Wenn die Körperstelle im Datenelement „Körperstruktur“ vollständig identifiziert wurde, wird dieses Datenelement überflüssig.">
				>
				["at0003"] = <
					text = <"Körperstelle strukturiert">
					description = <"Strukturierte Angaben zum untersuchten Körperbereich.">
					comment = <"Zum Beispiel: Angaben zu einer relativen anatomischen Lokalisation, wie z. B. „2 cm distal zum Blinddarm“. Wenn die Körperstelle in den Datenelementen „Körperstruktur“ oder „Körperstelle“ vollständig identifiziert wurde, wird dieser SLOT überflüssig.">
				>
				["at0004"] = <
					text = <"Bildgebende Befunde">
					description = <"Beschreibung der bei dieser Untersuchung beobachteten bildgebenden Befunde.">
				>
				["at0005"] = <
					text = <"Zusätzliche Angaben">
					description = <"Zusätzliche strukturierte Angaben zu bildgebenden Befunden für die identifizierte Körperstruktur oder -region oder befundbezogene Strukturen.">
				>
				["at0006"] = <
					text = <"Interpretation">
					description = <"Einzelnes Wort, Satz oder kurze Beschreibung, die die klinische Bedeutung und Signifikanz aller bildgebenden Befunde für die identifizierte Körperstruktur darstellt.">
					comment = <"Auch als „Eindruck“ oder „Meinung“ bezeichnet. Zum Beispiel: „Keine Anomalie erkannt“ oder „Freie Flüssigkeit vorhanden“. Eine Kodierung des „Interpretation“ mit einer Terminologie ist zulässig, sofern sinnvoll. Mehrere Vorkommen ermöglichen mehr als eine codierte Interpretation. Eine einfache Beschreibung kann gegebenenfalls einen Vergleich mit früheren Studien der identifizierten Körperstruktur beinhalten.">
				>
				["at0007"] = <
					text = <"Kommentar">
					description = <"Zusätzlicher Text über die bildgebenden Befunde der Körperstruktur, der in anderen Bereichen nicht erfasst wurde.">
				>
				["at0002.1"] = <
					text = <"*Placental site (en)">
					description = <"*Identification of the area of the uterus where the placenta/placental mass is located. (en)">
				>
				["at0003.1"] = <
					text = <"*Structured placental site (en)">
					description = <"*Structured details about the area of the uterus where the placenta/placental mass is located. (en)">
				>
				["at0.2"] = <
					text = <"*Thickness (en)">
					description = <"*Measured thickness of the placenta. (en)">
				>
				["at0.3"] = <
					text = <"*Umbilical cord findings (en)">
					description = <"*Structured details about a single umbilical cord. (en)">
				>
			>
		>
	>
	term_bindings = <
		["SNOMED-CT"] = <
			items = <
				["at0.1"] = <[SNOMED-CT::78067005]>
			>
		>
	>