archetype (adl_version=1.4; uid=1b43df43-5f70-42fa-9a9e-b8c9c31abb47)
	openEHR-EHR-OBSERVATION.jugular_venous_pressure.v0

concept
	[at0000]	-- Jugular venous pressure
language
	original_language = <[ISO_639-1::en]>
description
	original_author = <
		["name"] = <"Heather Leslie">
		["organisation"] = <"Atomica Informatics">
		["email"] = <"heather.leslie@atomicainformatics.com">
		["date"] = <"2018-11-27">
	>
	details = <
		["en"] = <
			language = <[ISO_639-1::en]>
			purpose = <"To record the indirectly observed pressure over the venous system via visualization of the internal jugular vein.">
			use = <"Use to record the indirectly observed pressure over the venous system via visualization of the internal jugular vein.">
			keywords = <"jvp", "jugular", "venous", "pressure">
			misuse = <"">
			copyright = <"© openEHR Foundation">
		>
	>
	lifecycle_state = <"in_development">
	other_contributors = <"Sam Heard, Ocean Informatics, Australia", ...>
	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"] = <"openEHR Foundation">
		["current_contact"] = <"Heather Leslie, Atomica Informatics<heather.leslie@atomicainformatics.com>">
		["original_namespace"] = <"org.openehr">
		["original_publisher"] = <"openEHR Foundation">
		["custodian_namespace"] = <"org.openehr">
		["MD5-CAM-1.0.1"] = <"BFA7FA8F09E42E369F08914450DEE78C">
		["build_uid"] = <"3f1cb80f-367f-45e6-9cec-4667d1455fbb">
		["revision"] = <"0.0.1-alpha">
	>

definition
	OBSERVATION[at0000] matches {    -- Jugular venous pressure
		data matches {
			HISTORY[at0001] matches {    -- History
				events cardinality matches {1..*; unordered} matches {
					EVENT[at0002] matches {    -- Any Event
						data matches {
							ITEM_TREE[at0003] matches {    -- ItemTree
								items cardinality matches {0..*; unordered} matches {
									ELEMENT[at0005] occurrences matches {0..1} matches {    -- JVP presence
										value matches {
											DV_CODED_TEXT matches {
												defining_code matches {
													[local::
													at0030,    -- Present
													at0031,    -- Absent
													at0032]    -- Indeterminate
												}
											}
										}
									}
									ELEMENT[at0004] occurrences matches {0..1} matches {    -- Column height
										value matches {
											C_DV_QUANTITY <
												property = <[openehr::122]>
												list = <
													["1"] = <
														units = <"cm">
													>
												>
											>
										}
									}
									ELEMENT[at0027] occurrences matches {0..1} matches {    -- Clinical description
										value matches {
											DV_TEXT matches {*}
										}
									}
									ELEMENT[at0006] occurrences matches {0..1} matches {    -- Character
										value matches {
											DV_TEXT matches {*}
										}
									}
									ELEMENT[at0007] occurrences matches {0..1} matches {    -- Abdominojugular test
										value matches {
											DV_CODED_TEXT matches {
												defining_code matches {
													[local::
													at0008,    -- Positive
													at0009]    -- Negative
												}
											}
										}
									}
									ELEMENT[at0010] occurrences matches {0..1} matches {    -- Kussmaul sign
										value matches {
											DV_CODED_TEXT matches {
												defining_code matches {
													[local::
													at0011,    -- Present
													at0012]    -- Absent
												}
											}
										}
									}
									allow_archetype CLUSTER[at0029] occurrences matches {0..*} matches {    -- Multimedia representation
										include
											archetype_id/value matches {/openEHR-EHR-CLUSTER\.waveform(-[a-zA-Z0-9_]+)*\.v0|openEHR-EHR-CLUSTER\.multimedia(-[a-zA-Z0-9_]+)*\.v0/}
									}
									ELEMENT[at0028] occurrences matches {0..*} matches {    -- Clinical interpretation
										value matches {
											DV_TEXT matches {*}
										}
									}
									ELEMENT[at0026] occurrences matches {0..1} matches {    -- Comment
										value matches {
											DV_TEXT matches {*}
										}
									}
								}
							}
						}
						state matches {
							ITEM_TREE[at0013] matches {    -- ItemTree
								items cardinality matches {0..*; unordered} matches {
									ELEMENT[at0014] occurrences matches {0..1} matches {    -- Body position
										value matches {
											DV_CODED_TEXT matches {
												defining_code matches {
													[local::
													at0015,    -- Supine
													at0016,    -- Reclining at 45 degrees
													at0017;    -- Sitting
													at0016]
												}
											}
										}
									}
									ELEMENT[at0018] occurrences matches {0..1} matches {    -- Confounding factors
										value matches {
											DV_TEXT matches {*}
										}
									}
								}
							}
						}
					}
				}
			}
		}
		protocol matches {
			ITEM_TREE[at0019] matches {    -- ItemTree
				items cardinality matches {0..*; unordered} matches {
					ELEMENT[at0022] occurrences matches {0..1} matches {    -- Location of measurement
						value matches {
							DV_CODED_TEXT matches {
								defining_code matches {
									[local::
									at0023,    -- Left
									at0024]    -- Right
								}
							}
						}
					}
					allow_archetype CLUSTER[at0020] occurrences matches {0..*} matches {    -- Device
						include
							archetype_id/value matches {/openEHR-EHR-CLUSTER\.device\.v1|openEHR-EHR-CLUSTER\.waveform(-[a-zA-Z0-9_]+)*\.v0/}
					}
					allow_archetype CLUSTER[at0025] occurrences matches {0..*} matches {    -- Extension
						include
							archetype_id/value matches {/.*/}
					}
				}
			}
		}
	}


ontology
	term_definitions = <
		["en"] = <
			items = <
				["at0000"] = <
					text = <"Jugular venous pressure">
					description = <"The indirectly observed pressure over the venous system via visualization of the internal jugular vein.">
				>
				["at0001"] = <
					text = <"History">
					description = <"@ internal @">
				>
				["at0002"] = <
					text = <"Any Event">
					description = <"Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time.">
				>
				["at0003"] = <
					text = <"ItemTree">
					description = <"@ internal @">
				>
				["at0004"] = <
					text = <"Column height">
					description = <"The observed height of the jugular vein filling level.">
				>
				["at0005"] = <
					text = <"JVP presence">
					description = <"The JVP is observed as present or absent.">
				>
				["at0006"] = <
					text = <"Character">
					description = <"Description of the character of the jugular wave.">
				>
				["at0007"] = <
					text = <"Abdominojugular test">
					description = <"Observation of the change in the JVP in response to changes of abdominal pressure.">
					comment = <"Also known as the hepatojugular reflex.">
				>
				["at0008"] = <
					text = <"Positive">
					description = <"The JVP rises with increased abdominal pressure.">
				>
				["at0009"] = <
					text = <"Negative">
					description = <"The JVP does not rise with increased abdominal pressure.">
				>
				["at0010"] = <
					text = <"Kussmaul sign">
					description = <"Observation of the paradoxical rise in jugular venous pressure (JVP) on inspiration, or a failure in the appropriate fall of the JVP with inspiration.">
				>
				["at0011"] = <
					text = <"Present">
					description = <"The Kussmaul sign is observed.">
				>
				["at0012"] = <
					text = <"Absent">
					description = <"The Kussmaul sign is not observed.">
				>
				["at0013"] = <
					text = <"ItemTree">
					description = <"@ internal @">
				>
				["at0014"] = <
					text = <"Body position">
					description = <"Position of individual during measurement.">
				>
				["at0015"] = <
					text = <"Supine">
					description = <"The individual is lying flat on a surface.">
				>
				["at0016"] = <
					text = <"Reclining at 45 degrees">
					description = <"The individual is reclining at approximately 45 degrees.">
				>
				["at0017"] = <
					text = <"Sitting">
					description = <"The individual is sitting upright.">
				>
				["at0018"] = <
					text = <"Confounding factors">
					description = <"Comment on and record other incidental factors that may be contributing to the jugular venous pressure measurement.">
				>
				["at0019"] = <
					text = <"ItemTree">
					description = <"@ internal @">
				>
				["at0020"] = <
					text = <"Device">
					description = <"Details about the device used to record the measurement.">
				>
				["at0022"] = <
					text = <"Location of measurement">
					description = <"was measured.">
				>
				["at0023"] = <
					text = <"Left">
					description = <"The left JVP was measured.">
				>
				["at0024"] = <
					text = <"Right">
					description = <"The right JVP was measured.">
				>
				["at0025"] = <
					text = <"Extension">
					description = <"Additional information required to capture local content or to align with other reference models/formalisms.">
					comment = <"For example: local information requirements or additional metadata to align with FHIR or CIMI equivalents.">
				>
				["at0026"] = <
					text = <"Comment">
					description = <"Additional narrative about the jugular venous pressure findings not captured in other fields.">
				>
				["at0027"] = <
					text = <"Clinical description">
					description = <"Narrative description about finding on observation of the jugular venous pressure.">
				>
				["at0028"] = <
					text = <"Clinical interpretation">
					description = <"Single word, phrase or brief description that represents the clinical meaning and significance of the jugular venous pressure.">
				>
				["at0029"] = <
					text = <"Multimedia representation">
					description = <"Digital image, video, wave form or diagram representing the findings.">
				>
				["at0030"] = <
					text = <"Present">
					description = <"The JVP is observed.">
				>
				["at0031"] = <
					text = <"Absent">
					description = <"The JVP is not observed.">
				>
				["at0032"] = <
					text = <"Indeterminate">
					description = <"It is not possible to determine if the JVP is present or absent.">
				>
			>
		>
	>