archetype (adl_version=1.4; uid=5fd5b645-9c31-4ef9-914c-9784920ced33)
	openEHR-EHR-CLUSTER.surgical_planning_oc.v0

concept
	[at0000]	-- Surgical Planning Details
language
	original_language = <[ISO_639-1::en]>
description
	original_author = <
		["name"] = <"Hildegard Franke">
		["organisation"] = <"freshEHR Clinical Informatics Ltd.">
		["email"] = <"hildi@freshehr.com">
		["date"] = <"2016-06-01">
	>
	details = <
		["en"] = <
			language = <[ISO_639-1::en]>
			purpose = <"This local cluster archetype allows the capture of a range of surgical planning details prior to prostate cancer surgery.">
			use = <"Use to record surgical planning data to inform prostate cancer surgery.">
			keywords = <"prostate", "cancer", "surgery", "surgical", "planning">
			misuse = <"">
			copyright = <"© Clinical Models UK">
		>
	>
	lifecycle_state = <"in_development">
	other_contributors = <>
	other_details = <
		["licence"] = <"This work is licensed under the Creative Commons Attribution-ShareAlike 3.0 License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/3.0/.">
		["custodian_organisation"] = <"UK Clinical Models">
		["current_contact"] = <"Hildegard Franke, freshEHR Clinical Informatics Ltd.<hildi@freshehr.com>">
		["original_namespace"] = <"uk.org.clinicalmodels">
		["original_publisher"] = <"UK Clinical Models">
		["custodian_namespace"] = <"uk.org.clinicalmodels">
		["MD5-CAM-1.0.1"] = <"5A7C39FEB7EAF640047FD96B83959A39">
		["build_uid"] = <"c0f5a3be-3af7-4df3-aa3f-60d192d7b9cf">
		["revision"] = <"0.0.1-alpha">
	>

definition
	CLUSTER[at0000] matches {	-- Surgical Planning Details
		items cardinality matches {1..*; unordered} matches {
			ELEMENT[at0001] occurrences matches {0..*} matches {	-- MRI predictor of surgical difficulty
				value matches {
					DV_CODED_TEXT matches {
						defining_code matches {
							[local::
							at0002, 	-- Large gland
							at0018, 	-- Small gland
							at0003, 	-- Significant median lobe
							at0004, 	-- Large seminal vesicles
							at0005, 	-- Narrow pelvis / ethnicity
							at0006, 	-- Previous laparotomy
							at0007, 	-- Previous pelvic radiotherapy
							at0008, 	-- Previous TURP
							at0009, 	-- Previous prostate ablation
							at0019]	-- Hernia repair
						}
					}
					DV_TEXT matches {*}
				}
			}
			ELEMENT[at0012] occurrences matches {0..1} matches {	-- Nerve spare right intended
				value matches {
					DV_BOOLEAN matches {
						value matches {True, False}
					}
				}
			}
			ELEMENT[at0013] occurrences matches {0..1} matches {	-- Nerve spare left intended
				value matches {
					DV_BOOLEAN matches {
						value matches {True, False}
					}
				}
			}
			ELEMENT[at0014] occurrences matches {0..1} matches {	-- Lymph node dissection intended
				value matches {
					DV_BOOLEAN matches {
						value matches {True, False}
					}
				}
			}
			ELEMENT[at0015] occurrences matches {0..1} matches {	-- MRI quality score
				value matches {
					DV_COUNT matches {
						magnitude matches {|1..5|}
					}
				}
			}
			ELEMENT[at0016] occurrences matches {0..1} matches {	-- Grade of difficulty
				value matches {
					DV_COUNT matches {
						magnitude matches {|1..3|}
					}
				}
			}
			ELEMENT[at0017] occurrences matches {0..1} matches {	-- Department where MRI performed
				value matches {
					DV_TEXT matches {*}
				}
			}
		}
	}


ontology
	term_definitions = <
		["en"] = <
			items = <
				["at0000"] = <
					text = <"Surgical Planning Details">
					description = <"Surgical Planning Details for Prostate Cancer Robotic Surgery Radiology Planning Meeting.">
				>
				["at0001"] = <
					text = <"MRI predictor of surgical difficulty">
					description = <"Details of predictors of surgical difficulty obtained from MRI scan or patient history.">
				>
				["at0002"] = <
					text = <"Large gland">
					description = <"Investigations revealed large gland.">
				>
				["at0003"] = <
					text = <"Significant median lobe">
					description = <"Investigations revealed significant median lobe.">
				>
				["at0004"] = <
					text = <"Large seminal vesicles">
					description = <"Investigations revealed large seminal vesicles.">
				>
				["at0005"] = <
					text = <"Narrow pelvis / ethnicity">
					description = <"Investigations revealed a narrow pelvis.">
				>
				["at0006"] = <
					text = <"Previous laparotomy">
					description = <"Investigations or patient history revealed a previous laparotomy.">
				>
				["at0007"] = <
					text = <"Previous pelvic radiotherapy">
					description = <"Investigations or patient history revealed previous pelvic radiotherapy.">
				>
				["at0008"] = <
					text = <"Previous TURP">
					description = <"Investigations or patient history revealed previous TURP.">
				>
				["at0009"] = <
					text = <"Previous prostate ablation">
					description = <"Investigation or patient history revealed previous prostate ablation.">
				>
				["at0012"] = <
					text = <"Nerve spare right intended">
					description = <"Statement of intent whether prostatic neurovascular bundle (right) sparing is proposed.">
				>
				["at0013"] = <
					text = <"Nerve spare left intended">
					description = <"Statement of intent whether prostatic neurovascular bundle (left) sparing is proposed.">
				>
				["at0014"] = <
					text = <"Lymph node dissection intended">
					description = <"Statement of intent whether lymph node dissection is proposed.">
				>
				["at0015"] = <
					text = <"MRI quality score">
					description = <"A subjective score to reflect the quality of the MRI acquired - including whether all required sequences were acquired and whether there is significant artefact. Scored from 1 (poor) to 5 (excellent).">
				>
				["at0016"] = <
					text = <"Grade of difficulty">
					description = <"A score to describe the difficulty of the case by considering all the recorded factors. From 1 (easy) to 3 (difficult).">
					comment = <"Different sites will use the score for different purposes - eg which operating list the patient goes on, who can do the operation (trainee, experienced consultant etc).">
				>
				["at0017"] = <
					text = <"Department where MRI performed">
					description = <"Hospital/department where MRI scan is performed.">
				>
				["at0018"] = <
					text = <"Small gland">
					description = <"Investigations revealed small gland.">
				>
				["at0019"] = <
					text = <"Hernia repair">
					description = <"Investigations or patient history revealed hernia repair.">
				>
			>
		>
	>