ARCHETYPE Circular anatomical location (openEHR-EHR-CLUSTER.anatomical_location_circle.v1)

ARCHETYPE IDopenEHR-EHR-CLUSTER.anatomical_location_circle.v1
ConceptCircular anatomical location
DescriptionA physical site on or within the human body that is described in terms of the direction, and optionally the distance, of the site from a central landmark.
UseUse to record structured details about a physical site on or within the human body that is described in terms of the direction, and optionally the distance, of the site from a central landmark. The direction will be relative to the identified reference direction which may be implied in some examinations - for example, the 12 o'clock in examination of the breast or anus. 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, or nesting in the 'Alternative Structure' SLOT within the CLUSTER.anatomical_location. 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, a haemorrhoid located at 7 o'clock, where the 12 o'clock reference point is the perineum, or anterior surface of the body, with the patient in the lithotomy position.
MisuseNot 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. Not to be used to specify a relative location of a physical site in the body, such as a bruise that is 5 cm inferior to the umbilicus. Use the CLUSTER.anatomical_location_relative for this purpose.
PurposeTo record structured details about a physical site on or within the human body that is described in terms of the direction, and optionally the distance, of the site from a central landmark.
ReferencesJohnson CC, Roberts S, Mintz D, Fabricant PD, Hotchkiss RN, Daluiski A. Location of Osteochondritis Dissecans Lesions of the Capitellum. J Hand Surg Am. 2018 Apr 17. pii: S0363-5023(17)31317-5. doi: 10.1016/j.jhsa.2018.03.017. [Epub ahead of print] PubMed PMID: 29678428.
Copyright© openEHR Foundation
AuthorsAuthor name: Heather Leslie
Organisation: Atomica Informatics
Email: heather.leslie@atomicainformatics.com
Date originally authored: 2008-11-10
Other Details LanguageAuthor name: Heather Leslie
Organisation: Atomica Informatics
Email: heather.leslie@atomicainformatics.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, references=Johnson CC, Roberts S, Mintz D, Fabricant PD, Hotchkiss RN, Daluiski A. Location of Osteochondritis Dissecans Lesions of the Capitellum. J Hand Surg Am. 2018 Apr 17. pii: S0363-5023(17)31317-5. doi: 10.1016/j.jhsa.2018.03.017. [Epub ahead of print] PubMed PMID: 29678428., current_contact=Heather Leslie, Atomica Informatics, original_namespace=org.openehr, original_publisher=openEHR Foundation, custodian_namespace=org.openehr, MD5-CAM-1.0.1=5356E2DD105C0AA2CC6B05D0D718AC08, build_uid=9c04e1dd-b5fc-4b00-8e60-745e97e08f83, revision=1.0.1}
Keywordslocation, site, anatomical, relative, approximate, anatomic region, topographic anatomy, macroscopic anatomy, macroscopic, anatomic, anatomy, clock, o'clock, position, surface anatomy
Lifecyclepublished
UIDf114b64a-30e8-4646-a6dd-fee53863cc33
Language useden
Citeable Identifier1013.1.1995
Revision Number1.0.1
AllArchetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=null, archetypeConceptDescription=A physical site on or within the human body that is described in terms of the direction, and optionally the distance, of the site from a central landmark., archetypeConceptComment=null, otherContributors=Marit Alice Venheim, Helse Vest IKT, Norway
Tomas Alme, DIPS, Norway
Erling Are Hole, Helse Bergen, Norway
Stein Arne Rimehaug, Sunnaas sykehus, Norway
Vebjørn Arntzen, Oslo University Hospital, Norway (openEHR Editor)
Koray Atalag, University of Auckland, New Zealand
Heidi Aursand, Oslo universitetssykehus, Norway
Silje Ljosland Bakke, Nasjonal IKT HF, Norway (openEHR Editor)
Nsah Bernard, UCL Institute of Health Informatics, United Kingdom
SB Bhattacharyya, Sudisa Consultancy Services, India
Lars Bitsch-Larsen, Haukeland University hospital, Norway
Greg Burch, Tiny Medical Apps, United Kingdom
Ady Angelica Castro Acosta, CIBERES-Hospital 12 de Octubre, Spain
Lisbeth Dahlhaug, Helse Midt - Norge IT, Norway
Stig Erik Hegrestad, Helse Førde, Norway
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
Hilde Hollås, DIPS AS, Norway
Evelyn Hovenga, EJSH Consulting, Australia
Tom Jarl Jakobsen, Helse Bergen, Norway
Brit Jorun Liseth, Haukeland Universitetssykehus, Norway
Lars Karlsen, DIPS ASA, Norway
Thomas Kilvær, Universitetssykehuset Nord Norge, Norway
Shinji Kobayashi, Kyoto University, Japan
Nils Kolstrup, Skansen Legekontor og Nasjonalt Senter for samhandling og telemedisin, Norway
Sabine Leh, Helse Bergen, Norway
Heather Leslie, Atomica Informatics, Australia (openEHR Editor)
Vesna Levasic, Orthopaedic Hospital Valdoltra, Slovenia
Neranga Liyanaarachchi, Ministry of Health, Postgraduate Institute of Medicine, Sri Lanka
Rikard Lovstrom, Swedish Medical Association, Sweden
Hallvard Lærum, Oslo University Hospital, Norway
Luis Marco Ruiz, Norwegian Center for Integrated Care and Telemedicine, Norway
Siv Marie Lien, DIPS ASA, Norway
Ian McNicoll, freshEHR Clinical Informatics, United Kingdom
Andrej Orel, Marand d.o.o., Slovenia
Jayashree Panickar, Karolinska Institute, Sweden
Ana Pereira, CINTESIS, CUF-Porto, Portugal
Osmeire Sanzovo, Sanzovo & Chamelette, Brazil
Line Silsand, Universitetssykehuset i Nord-Norge, Norway
Trine Strand, Oslo Universitetssykehus (OUS), Norway
Nyree Taylor, Ocean Informatics, Australia
Rowan Thomas, St. Vincent's Hospital Melbourne, Australia
Anders Thurin, SU, Sweden
Richard Townley-O'Neill, NEHTA, Australia
Gro-Hilde Ulriksen, Norwegian center for ehealthresearch, Norway
John Tore Valand, Helse Bergen, Norway (openEHR Editor)
Dmitri Wall, Irish Skin Foundation, Ireland, originalLanguage=en, translators=
  • Swedish: Linda Aulin, Region Stockholm, Karolinska University Hospital, linda.aulin@sll.se
  • Norwegian Bokmål: Silje Ljosland Bakke, Nasjonal IKT HF, silje.ljosland.bakke@nasjonalikt.no
  • Arabic (Syria): Mona Saleh
  • Slovenian: Biljana Princic
, subjectOfData=unconstrained, archetypeTranslationTree=null, topLevelToAshis={source=[], identities=[], contacts=[], ism_transition=[], provider=[], protocol=[], description=[], events=[], details=[], context=[], target=[], capabilities=[], items=[ResourceSimplifiedHierarchyItem [path=/items[at0065], code=at0065, itemType=ELEMENT, level=1, text=Reference direction, description=Identification of a single direction which represents the 12 o'clock or 0° position on an imaginary circle superimposed over the body site, as seen by the examiner., comment=For example: the reference axis is commonly towards the head if examining the breast or detail on a skin lesion; towards the perineum if examining the anus in the lithotomy position; or towards the anterior humeral line if examining the humerus., 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[at0079], code=at0079, itemType=ELEMENT, level=1, text=Centre landmark, description=Identified body site used as a reference point for centre of the imaginary circle., comment=For example: the nipple when examining a breast; or the anus when examining haemorrhoids., 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[at0061], code=at0061, itemType=ELEMENT, level=1, text=Circular direction, description=Identification of the angle of the direction to the physical site relative to the reference direction, either as the position of an hour hand on a clockface or number of degrees., comment=For example: the position of haemorrhoids in the anal canal are commonly described at 3 o'clock, 7 o'clock and 11 o'clock. In this situation the perineum is situated at 12 o'clock with patient in the lithotomy position, and regarded as the reference direction. For degrees, positive values are angles in the clockwise direction, while negative values are in the anti-clockwise direction., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:
  •  Coded Text
    • One o'clock [The body site is located at the one o'clock position relative to the identified reference point.]
    • Two o'clock [The body site is located at the two o'clock position relative to the identified reference point.]
    • Three o'clock [The body site is located at the three o'clock position relative to the identified reference point.]
    • Four o'clock [The body site is located at the four o'clock position relative to the identified reference point.]
    • Five o'clock [The body site is located at the five o'clock position relative to the identified reference point.]
    • Six o'clock [The body site is located at the six o'clock position relative to the identified reference point.]
    • Seven o'clock [The body site is located at the seven o'clock position relative to the identified reference point.]
    • Eight o'clock [The body site is located at the eight o'clock position relative to the identified reference point.]
    • Nine o'clock [The body site is located at the nine o'clock position relative to the identified reference point.]
    • Ten o'clock [The body site is located at the ten o'clock position relative to the identified reference point.]
    • Eleven o'clock [The body site is located at the eleven o'clock position relative to the identified reference point.]
    • Twelve o'clock [The body site is located at the twelve o'clock position relative to the identified reference point.]
  •  Duration
    Allowed values: hours, minutes
    0 minutes..12 hours
  •  Quantity
    Units: >-360.0..<360.0 deg
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0080], code=at0080, itemType=ELEMENT, level=1, text=Distance from landmark, description=Distance of location from the identified central 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_i]
    Limit decimal places: 1
  • >=0.0 mm
    Limit decimal places: 1
, 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 structured data about the circular location., comment=null, 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 or
openEHR-EHR-CLUSTER.multimedia.v0 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=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=null, extendedValues=null]}, addHierarchyItemsTo=items, currentHierarchyItemsForAdding=[ResourceSimplifiedHierarchyItem [path=/items[at0065], code=at0065, itemType=ELEMENT, level=1, text=Reference direction, description=Identification of a single direction which represents the 12 o'clock or 0° position on an imaginary circle superimposed over the body site, as seen by the examiner., comment=For example: the reference axis is commonly towards the head if examining the breast or detail on a skin lesion; towards the perineum if examining the anus in the lithotomy position; or towards the anterior humeral line if examining the humerus., 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[at0079], code=at0079, itemType=ELEMENT, level=1, text=Centre landmark, description=Identified body site used as a reference point for centre of the imaginary circle., comment=For example: the nipple when examining a breast; or the anus when examining haemorrhoids., 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[at0061], code=at0061, itemType=ELEMENT, level=1, text=Circular direction, description=Identification of the angle of the direction to the physical site relative to the reference direction, either as the position of an hour hand on a clockface or number of degrees., comment=For example: the position of haemorrhoids in the anal canal are commonly described at 3 o'clock, 7 o'clock and 11 o'clock. In this situation the perineum is situated at 12 o'clock with patient in the lithotomy position, and regarded as the reference direction. For degrees, positive values are angles in the clockwise direction, while negative values are in the anti-clockwise direction., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:
  •  Coded Text
    • One o'clock [The body site is located at the one o'clock position relative to the identified reference point.]
    • Two o'clock [The body site is located at the two o'clock position relative to the identified reference point.]
    • Three o'clock [The body site is located at the three o'clock position relative to the identified reference point.]
    • Four o'clock [The body site is located at the four o'clock position relative to the identified reference point.]
    • Five o'clock [The body site is located at the five o'clock position relative to the identified reference point.]
    • Six o'clock [The body site is located at the six o'clock position relative to the identified reference point.]
    • Seven o'clock [The body site is located at the seven o'clock position relative to the identified reference point.]
    • Eight o'clock [The body site is located at the eight o'clock position relative to the identified reference point.]
    • Nine o'clock [The body site is located at the nine o'clock position relative to the identified reference point.]
    • Ten o'clock [The body site is located at the ten o'clock position relative to the identified reference point.]
    • Eleven o'clock [The body site is located at the eleven o'clock position relative to the identified reference point.]
    • Twelve o'clock [The body site is located at the twelve o'clock position relative to the identified reference point.]
  •  Duration
    Allowed values: hours, minutes
    0 minutes..12 hours
  •  Quantity
    Units: >-360.0..<360.0 deg
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0080], code=at0080, itemType=ELEMENT, level=1, text=Distance from landmark, description=Distance of location from the identified central 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_i]
    Limit decimal places: 1
  • >=0.0 mm
    Limit decimal places: 1
, 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 structured data about the circular location., comment=null, 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 or
openEHR-EHR-CLUSTER.multimedia.v0 and specialisations, extendedValues=null]], minIndents={}, termBindingRetrievalErrorMessage=null]