ARCHETYPE Relative anatomical location (openEHR-EHR-CLUSTER.anatomical_location_relative.v1)

Name: Relative anatomical location
License: http://creativecommons.org/licenses/by-sa/3.0/

ARCHETYPE ID	openEHR-EHR-CLUSTER.anatomical_location_relative.v1
Concept	Relative anatomical location
Description	A physical site on or within the human body that is described in terms of its relationship to other body parts.
Use	Use to record structured and consistent details about a single identified physical site on, or within, the human body by describing its location in relation to identified macroscopic anatomical landmarks. It may be necessary to describe the single physical location using more than one relative location - for example, 2 cm inferior to 'landmark A' AND 3 cm medial to 'landmark B'. In practice, some archetypes carry a single data element for carrying a simple description of body site - for example, OBSERVATION.blood_pressure and CLUSTER.symptom when describing ear pain. In this situation, where the value set is predictable and simple to define, this single data element is a very accurate and pragmatic way to record the site in the body and to query at a later date. However in the situation where the anatomical location is not well defined or needs to be determined at run-time, it may be more flexible to use this structured archetype. This archetype is specifically designed to be used within the context of any appropriate ENTRY or CLUSTER archetypes which supply the context of the identified body site, including insertion within the CLUSTER.anatomical_location if 'Body site name' or other data elements are also required. Clinical use cases: - 5 cm inferior to the left tibial tuberosity - 2 cm medial to the right nipple - medial aspect of R great toe nail. In the situation where the CLUSTER.anatomical_location can only be used to name a large and/or non-specific body part, the use of this archetype within the 'Alternative Structure' SLOT will support recording of a more precise location - for example, 2 cm anterior to the cubital fossa of the left forearm or 4 cm below R costal margin on the chest wall in the mid-clavicular line.
Misuse	Not to be used for specifying unilateral/bilateral occurrences of an anatomical feature. Not to be used to specify a simple location of a named physical site in the body, such as left femur or medial aspect of nose. Use the CLUSTER.anatomical_location archetype for this purpose.
Purpose	To identify and record structured details about a single physical site on, or within, the human body in terms of its relationship to other macroscopic anatomical landmarks.
References
Copyright	© openEHR Foundation
Authors	Author name: Heather Leslie Organisation: Ocean Informatics Email: heather.leslie@oceaninformatics.com Date originally authored: 2008-11-10
Other Details Language	Author name: Heather Leslie Organisation: Ocean Informatics Email: heather.leslie@oceaninformatics.com Date originally authored: 2008-11-10
OtherDetails Language Independent	{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, original_namespace=org.openehr, original_publisher=openEHR Foundation, custodian_namespace=org.openehr, MD5-CAM-1.0.1=C19B8D648EE83B840B9F8B59B52CE1CD, build_uid=d7dc3c6f-02bf-4bf8-ab8a-961aa0e4c732, revision=1.0.2}
Keywords	location, site, anatomical, relative, approximate, anatomic region, topographic anatomy, macroscopic anatomy, macroscopic, anatomic, anatomy
Lifecycle	deprecated
UID	cf6935cb-7093-41eb-ac6d-b0319ff7a3c4
Language used	en
Citeable Identifier	1013.1.1892
Revision Number	1.0.2
All	Archetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=null, archetypeConceptDescription=A physical site on or within the human body that is described in terms of its relationship to other body parts., archetypeConceptComment=null, otherContributors=Tomas Alme, DIPS, Norway Vebjoern Arntzen, Oslo university hospital, Norway Koray Atalag, University of Auckland, New Zealand Gustavo Bacelar-Silva, Healthcare Designs, Brazil (openEHR Editor) Silje Ljosland Bakke, Bergen Hospital Trust, Norway Lars Bitsch-Larsen, Haukeland University hospital, Norway Aitor Eguzkitza, UPNA (Public University of Navarre) - CHN (Complejo Hospitalario de Navarra), Spain Shahla Foozonkhah, Ocean Informatics, Australia Einar Fosse, National Centre for Integrated Care and Telemedicine, Norway Sebastian Garde, Ocean Informatics, Germany Heather Grain, Llewelyn Grain Informatics, Australia Dunmail Hodkinson, Black Pear Software Ltd, UK Lars Karlsen, DIPS ASA, Norway Shinji Kobayashi, Kyoto University, Japan Sabine Leh, Haukeland University Hospital, Department of Pathology, Norway Heather Leslie, Ocean Informatics, Australia (openEHR Editor) Vesna Levasic, Orthopaedic Hospital Valdoltra, Slovenia Hallvard Lærum, Oslo University Hospital, Norway Luis Marco Ruiz, Norwegian Center for Integrated Care and Telemedicine, Norway Ian McNicoll, freshEHR Clinical Informatics, United Kingdom (openEHR Editor) Bjoern Naess, DIPS ASA, Norway Andrej Orel, Marand d.o.o., Slovenia Rowan Thomas, St. Vincent's Hospital Melbourne, Australia Richard Townley-O'Neill, NEHTA, Australia John Tore Valand, Helse Bergen, Norway Dmitri Wall, Irish Skin Foundation, Ireland, originalLanguage=en, translators= Norwegian Bokmål: Lars Bitsch-Larsen, Haukeland University Hospital of Bergen, Norway, MD, DEAA, MBA, spec in anesthesia, spec in tropical medicine. Portuguese (Brazil): Beatriz de Faria Leao, BLEAO INFORMÁTICA EM SAÚDE, bfleao@terra.com.br, MD, PhD Slovenian: Biljana Princic Arabic (Syria): Mona Saleh , subjectOfData=unconstrained, archetypeTranslationTree=null, topLevelToAshis={source=[], identities=[], contacts=[], ism_transition=[], provider=[], protocol=[], description=[], events=[], details=[], context=[], target=[], capabilities=[], items=[ResourceSimplifiedHierarchyItem [path=/items[at0020], code=at0020, itemType=CLUSTER, level=1, text=Relative location, description=Detail to identify a single physical site either on, or within, the human body in terms of its relationship to other macroscopic anatomical landmarks., comment=More than one relative location may be required to provide an accurate cross reference., uncommonOntologyItems=null, occurencesFormal=0.., occurencesText=Optional, repeating, cardinalityFormal=1.., cardinalityText= (Cardinality: 1.., unordered), subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0020]/items[at0021], code=at0021, itemType=ELEMENT, level=2, text=Landmark name, description=Identified body site used as a reference point for the actual body site., comment='Landmark name' can identify an anatomical structure (such as the umbilicus), an anatomical line (such as the mid-clavicular line), a well defined anatomical point (such as McBurney's point). This data element should be coded with a terminology capable of triggering decision support, where possible - an appropriate termset for use here could comprise individual concepts or a list of precoordinated terms. Free text should be used only if there is no appropriate terminology available. It is strongly recommended that 'Landmark name' be recorded as specifically as is anatomically possible. For example: record 'upper eyelid' rather than recording 'eyelid' with 'upper' as a qualifier; 'fifth rib' rather than 'rib' with a numeric qualifier., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0020]/items[at0062], code=at0062, itemType=ELEMENT, level=2, text=Laterality, description=The side of the body on which the identified landmark is located., comment=If the identified landmark has no laterality, this data element should not have a value. If the 'Landmark name' data element uses pre-coordinated terms that include laterality, then this data element is redundant., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0020]/items[at0022], code=at0022, itemType=ELEMENT, level=2, text=Distance from landmark, description=Distance of location from the identified landmark., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=null, values=Property: Length Units: >=0.0 cm Limit decimal places: 1 >=0.0 in Limit decimal places: 1 >=0.0 mm Limit decimal places: 1 , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0020]/items[at0006], code=at0006, itemType=ELEMENT, level=2, text=Direction, description=Detail about the relative direction of the body site to the landmark., comment=Common aspects have been included as a value set, which can be extended over time, plus a free text option. Assumes that the body is being described while in the anatomical position. Occurrences are set to allow for a maximum of six directions to be recorded. Within this value set, clinicians will recognise that there are six mutually exclusive directional pairs - for example, a body site cannot be simultaneously 'medial to' and 'lateral to' an identical landmark. Other mutually exclusive pairs are 'Superior to' and 'Inferior to'; 'Anterior to' and 'Posterior to'; 'Proximal to' and 'Distal to'; 'Superficial to' and 'Deep to'; and 'Within' and 'External to'. Combinations made from one selection from within each of the six pair sets is potentially valid, although in clinical practice it will be very unlikely to need to simultaneously record more than two directions to describe a specified body site., uncommonOntologyItems=null, occurencesFormal=0..6, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:* Coded Text at0007::Medial to [Towards the middle, from the landmark.] at0008::Lateral to [Towards the side, from the landmark.] at0009::Superior to [Above the landmark, often referring towards the head.] at0010::Inferior to [Below the landmark, often referring towards the feet.] at0012::Anterior to [Towards the front, or ventral aspect, from the landmark.] at0013::Posterior to [Towards the back, or dorsal aspect, from the landmark.] at0055::Proximal to [Closer to the body, relative to the landmark.] at0056::Distal to [Further from the body, relative to the landmark.] at0057::Superficial to [Nearer the outer surface, relative to the landmark.] at0058::Deep to [Further away from the outer surface, relative to the landmark.] at0059::Within [Inside the landmark.] at0060::External to [Outside the landmark.] at0063::Oral to [Towards the mouth. Usually used to describe locations within the digestive system.] at0064::Anal to [Towards the anus. Usually used to describe locations within the digestive system.] Text , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0023], code=at0023, itemType=ELEMENT, level=1, text=Description, description=Narrative description that can be used to further refine and support the relative location structured data., comment=For example: a tattoo covers the bottom half of this area., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0054], code=at0054, itemType=SLOT, level=1, text=Multimedia representation, description=Image or other media used to support identification of the location on the body., comment=null, uncommonOntologyItems=null, occurencesFormal=0.., occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:* openEHR-EHR-CLUSTER.multimedia.v1 and specialisations, extendedValues=null]], other_participations=[], content=[], state=[], activities=[], data=[], relationships=[], credentials=[]}, topLevelItems={items=ResourceSimplifiedHierarchyItem [path=ROOT_/, code=at0000, itemType=CLUSTER, level=0, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=1.., cardinalityText= (Cardinality: 1.., unordered), subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=null, extendedValues=null]}, addHierarchyItemsTo=items, currentHierarchyItemsForAdding=[ResourceSimplifiedHierarchyItem [path=/items[at0020], code=at0020, itemType=CLUSTER, level=1, text=Relative location, description=Detail to identify a single physical site either on, or within, the human body in terms of its relationship to other macroscopic anatomical landmarks., comment=More than one relative location may be required to provide an accurate cross reference., uncommonOntologyItems=null, occurencesFormal=0.., occurencesText=Optional, repeating, cardinalityFormal=1.., cardinalityText= (Cardinality: 1.., unordered), subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0020]/items[at0021], code=at0021, itemType=ELEMENT, level=2, text=Landmark name, description=Identified body site used as a reference point for the actual body site., comment='Landmark name' can identify an anatomical structure (such as the umbilicus), an anatomical line (such as the mid-clavicular line), a well defined anatomical point (such as McBurney's point). This data element should be coded with a terminology capable of triggering decision support, where possible - an appropriate termset for use here could comprise individual concepts or a list of precoordinated terms. Free text should be used only if there is no appropriate terminology available. It is strongly recommended that 'Landmark name' be recorded as specifically as is anatomically possible. For example: record 'upper eyelid' rather than recording 'eyelid' with 'upper' as a qualifier; 'fifth rib' rather than 'rib' with a numeric qualifier., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0020]/items[at0062], code=at0062, itemType=ELEMENT, level=2, text=Laterality, description=The side of the body on which the identified landmark is located., comment=If the identified landmark has no laterality, this data element should not have a value. If the 'Landmark name' data element uses pre-coordinated terms that include laterality, then this data element is redundant., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0020]/items[at0022], code=at0022, itemType=ELEMENT, level=2, text=Distance from landmark, description=Distance of location from the identified landmark., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=null, values=Property: Length Units: >=0.0 cm Limit decimal places: 1 >=0.0 in Limit decimal places: 1 >=0.0 mm Limit decimal places: 1 , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0020]/items[at0006], code=at0006, itemType=ELEMENT, level=2, text=Direction, description=Detail about the relative direction of the body site to the landmark., comment=Common aspects have been included as a value set, which can be extended over time, plus a free text option. Assumes that the body is being described while in the anatomical position. Occurrences are set to allow for a maximum of six directions to be recorded. Within this value set, clinicians will recognise that there are six mutually exclusive directional pairs - for example, a body site cannot be simultaneously 'medial to' and 'lateral to' an identical landmark. Other mutually exclusive pairs are 'Superior to' and 'Inferior to'; 'Anterior to' and 'Posterior to'; 'Proximal to' and 'Distal to'; 'Superficial to' and 'Deep to'; and 'Within' and 'External to'. Combinations made from one selection from within each of the six pair sets is potentially valid, although in clinical practice it will be very unlikely to need to simultaneously record more than two directions to describe a specified body site., uncommonOntologyItems=null, occurencesFormal=0..6, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:* Coded Text at0007::Medial to [Towards the middle, from the landmark.] at0008::Lateral to [Towards the side, from the landmark.] at0009::Superior to [Above the landmark, often referring towards the head.] at0010::Inferior to [Below the landmark, often referring towards the feet.] at0012::Anterior to [Towards the front, or ventral aspect, from the landmark.] at0013::Posterior to [Towards the back, or dorsal aspect, from the landmark.] at0055::Proximal to [Closer to the body, relative to the landmark.] at0056::Distal to [Further from the body, relative to the landmark.] at0057::Superficial to [Nearer the outer surface, relative to the landmark.] at0058::Deep to [Further away from the outer surface, relative to the landmark.] at0059::Within [Inside the landmark.] at0060::External to [Outside the landmark.] at0063::Oral to [Towards the mouth. Usually used to describe locations within the digestive system.] at0064::Anal to [Towards the anus. Usually used to describe locations within the digestive system.] Text , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0023], code=at0023, itemType=ELEMENT, level=1, text=Description, description=Narrative description that can be used to further refine and support the relative location structured data., comment=For example: a tattoo covers the bottom half of this area., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0054], code=at0054, itemType=SLOT, level=1, text=Multimedia representation, description=Image or other media used to support identification of the location on the body., comment=null, uncommonOntologyItems=null, occurencesFormal=0.., occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:* openEHR-EHR-CLUSTER.multimedia.v1 and specialisations, extendedValues=null]], minIndents={}, termBindingRetrievalErrorMessage=null]