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

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

ARCHETYPE ID	openEHR-EHR-CLUSTER.anatomical_location_circle.v1
Concept	Circular anatomical location
Description	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.
Use	Use 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.
Misuse	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. 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.
Purpose	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.
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.
Copyright	© openEHR Foundation
Authors	Author name: Heather Leslie Organisation: Atomica Informatics Email: heather.leslie@atomicainformatics.com Date originally authored: 2008-11-10
Other Details Language	Author 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=678618E29451E816512E7B0093C25FA1, build_uid=3e5b2e15-09a4-4182-a3e9-95a35a2e7995, revision=1.1.0}
Keywords	location, site, anatomical, relative, approximate, anatomic region, topographic anatomy, macroscopic anatomy, macroscopic, anatomic, anatomy, clock, o'clock, position, surface anatomy
Lifecycle	published
UID	f114b64a-30e8-4646-a6dd-fee53863cc33
Language used	en
Citeable Identifier	1013.1.1995
Revision Number	1.1.0
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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 at0067::One o'clock [The body site is located at the one o'clock position relative to the identified reference point.] at0068::Two o'clock [The body site is located at the two o'clock position relative to the identified reference point.] at0069::Three o'clock [The body site is located at the three o'clock position relative to the identified reference point.] at0070::Four o'clock [The body site is located at the four o'clock position relative to the identified reference point.] at0071::Five o'clock [The body site is located at the five o'clock position relative to the identified reference point.] at0072::Six o'clock [The body site is located at the six o'clock position relative to the identified reference point.] at0073::Seven o'clock [The body site is located at the seven o'clock position relative to the identified reference point.] at0074::Eight o'clock [The body site is located at the eight o'clock position relative to the identified reference point.] at0075::Nine o'clock [The body site is located at the nine o'clock position relative to the identified reference point.] at0076::Ten o'clock [The body site is located at the ten o'clock position relative to the identified reference point.] at0077::Eleven o'clock [The body site is located at the eleven o'clock position relative to the identified reference point.] at0078::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 ° , 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 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.media_file.v1 and specialisations, extendedValues=null]], source=[], ism_transition=[]}, 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[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 at0067::One o'clock [The body site is located at the one o'clock position relative to the identified reference point.] at0068::Two o'clock [The body site is located at the two o'clock position relative to the identified reference point.] at0069::Three o'clock [The body site is located at the three o'clock position relative to the identified reference point.] at0070::Four o'clock [The body site is located at the four o'clock position relative to the identified reference point.] at0071::Five o'clock [The body site is located at the five o'clock position relative to the identified reference point.] at0072::Six o'clock [The body site is located at the six o'clock position relative to the identified reference point.] at0073::Seven o'clock [The body site is located at the seven o'clock position relative to the identified reference point.] at0074::Eight o'clock [The body site is located at the eight o'clock position relative to the identified reference point.] at0075::Nine o'clock [The body site is located at the nine o'clock position relative to the identified reference point.] at0076::Ten o'clock [The body site is located at the ten o'clock position relative to the identified reference point.] at0077::Eleven o'clock [The body site is located at the eleven o'clock position relative to the identified reference point.] at0078::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 ° , 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 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.media_file.v1 and specialisations, extendedValues=null]], minIndents={}, termBindingRetrievalErrorMessage=null]