ARCHETYPE Body segment circumference (openEHR-EHR-OBSERVATION.body_segment_circumference.v1)

ARCHETYPE IDopenEHR-EHR-OBSERVATION.body_segment_circumference.v1
ConceptBody segment circumference
DescriptionMeasurement of the distance around an identified part of the body, usually identified in relation to points of surface anatomy.
UseUse to record the measurement of the distance around a part of the body, usually identified in relation to points of surface anatomy, including an indication of the relative location of the measurement start/endpoint, if required. For example: to record that a measurement around the calf was taken 10cm distal to the tibial tuberosity. Body segment measurements that are ubiquitous and, most commonly, used as part of growth charting in childhood have been modelled as unique and discrete archetypes. Rather than create an archetype for every single possible body segment measurement, the intent of this archetype is to use a common recording pattern to capture any, or all, other possible measurements of measurements around a part of the body, identified by the 'Body segment name' data element. This measurement may be recorded and tracked over time, for example to provide insight into the shape and proportions of an individual's body for purposes of clinical, anthropometric or ergonomic assessment, to record the measurement of abnormal clinical findings or observations in order to track the progress of a condition or disease. Common parameters that are measured as circumferences have been added to the DV_CODED_TEXT data type in the 'Body segment name' data element. As further parameters are identified, these can be added to this list over time.
MisuseNot to be used to record common body segment measurements that have been modelled as separate archetypes, including, but not limited to: - for Head circumference - use OBSERVATION.head_circumference; - for Hip circumference - use OBSERVATION.hip_circumference; - for Waist circumference - use OBSERVATION.waist_circumference; and - for Chest circumference - use OBSERVATION.chest_circumference. Not to be used to record the circumference of an internal body organ or a lesion. Not to be used to record the length, height or width measured between two identified points on the body - use OBSERVATION.body_segment_length for this purpose. Not to be used to record the area of a body segment - use OBSERVATION.body_segment_area for this purpose.
PurposeTo record the measurement of the distance around a part of the body, usually identified in relation to points of surface anatomy.
ReferencesDe Mits S, Coorevits P, De Clercq D, Elewaut D, Woodburn J, Roosen P. Reliability and validity of the INFOOT three-dimensional foot digitizer for patients with rheumatoid arthritis. J Am Podiatr Med Assoc. 2011 May-Jun;101(3):198-207. PubMed PMID: 21622631.

Drillis R, Contini R, Bluestein M. Body Segment Parameters; a survey of measurement techniques. Artif Limbs. 1964;8:44-66. PubMed PMID: 14208177. Available from: http://www.oandplibrary.org/al/1964_01_044.asp.

Gordon, Claire C. et. al. 1988 Anthropometric Survey of U.S. Personnel: Summary Statistics Interim Report [Internet]. March 1989 [cited 2019 Mar 25]. Available from: https://multisite.eos.ncsu.edu/www-ergocenter-ncsu-edu/wp-content/uploads/sites/18/2016/06/Anthropometric-Detailed-Data-Tables.pdf.

Man-Systems Integration Standards,Volume 1, Section 3. [Internet]. National Aeronautics and Space Administration. Anthropometry and biomechanics; [cited 2019 Mar 25]. Available from: https://msis.jsc.nasa.gov/sections/section03.htm.

National health and nutrition examination survey III: Body Measurements (Anthropometry) [Internet]. Rockville, MD: Westat, Inc; 1988 Oct [cited 2019 May 10]. Available from: https://wwwn.cdc.gov/nchs/data/nhanes3/manuals/anthro.pdf.
Copyright© openEHR Foundation
AuthorsAuthor name: Heather Leslie
Organisation: Atomica Informatics, Australia
Email: heather.leslie@atomicainformatics.com
Date originally authored: 2019-03-07
Other Details LanguageAuthor name: Heather Leslie
Organisation: Atomica Informatics, Australia
Email: heather.leslie@atomicainformatics.com
Date originally authored: 2019-03-07
OtherDetails Language Independent{licence=This work is licensed under the Creative Commons Attribution-ShareAlike 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/4.0/., custodian_organisation=openEHR Foundation, references=De Mits S, Coorevits P, De Clercq D, Elewaut D, Woodburn J, Roosen P. Reliability and validity of the INFOOT three-dimensional foot digitizer for patients with rheumatoid arthritis. J Am Podiatr Med Assoc. 2011 May-Jun;101(3):198-207. PubMed PMID: 21622631. Drillis R, Contini R, Bluestein M. Body Segment Parameters; a survey of measurement techniques. Artif Limbs. 1964;8:44-66. PubMed PMID: 14208177. Available from: http://www.oandplibrary.org/al/1964_01_044.asp. Gordon, Claire C. et. al. 1988 Anthropometric Survey of U.S. Personnel: Summary Statistics Interim Report [Internet]. March 1989 [cited 2019 Mar 25]. Available from: https://multisite.eos.ncsu.edu/www-ergocenter-ncsu-edu/wp-content/uploads/sites/18/2016/06/Anthropometric-Detailed-Data-Tables.pdf. Man-Systems Integration Standards,Volume 1, Section 3. [Internet]. National Aeronautics and Space Administration. Anthropometry and biomechanics; [cited 2019 Mar 25]. Available from: https://msis.jsc.nasa.gov/sections/section03.htm. National health and nutrition examination survey III: Body Measurements (Anthropometry) [Internet]. Rockville, MD: Westat, Inc; 1988 Oct [cited 2019 May 10]. Available from: https://wwwn.cdc.gov/nchs/data/nhanes3/manuals/anthro.pdf., original_namespace=org.openehr, original_publisher=openEHR Foundation, custodian_namespace=org.openehr, MD5-CAM-1.0.1=AC30F8E50737FAE49F4196AEF19D5A8A, build_uid=ec4ac54b-8c6d-4a31-8b5b-fb9cc7b44e95, revision=1.0.1}
Keywordsanthropometry, measurement, circumference
Lifecyclepublished
UID5cadc966-530f-4f77-8215-ec9db8d9fb61
Language useden
Citeable Identifier1013.1.3790
Revision Number1.0.1
AllArchetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=null, archetypeConceptDescription=Measurement of the distance around an identified part of the body, usually identified in relation to points of surface anatomy., archetypeConceptComment=null, otherContributors=Marit Alice Venheim, Helse Vest IKT, Norway
Vebjørn Arntzen, Oslo University Hospital, Norway (openEHR Editor)
Silje Ljosland Bakke, Helse Vest IKT AS, Norway (openEHR Editor)
Randi Brendberg, Helse Nord RHF, Norway
Angela Crovetti, CDC/NIOSH, United States
Mikkel Gaup Grønmo, FSE, Helse Nord, Norway (Nasjonal IKT redaktør)
Evelyn Hovenga, EJSH Consulting, Australia
Lars Ivar Mehlum, Nasjonal IKT HF, Norway
Lars Morgan Karlsen, DIPS ASA, Norway
Heidi Koikkalainen, United Kingdom (openEHR Editor)
Tomi Laptoš, Marand, Slovenia
Liv Laugen, Oslo universitetssykehus, Norway
Heather Leslie, Atomica Informatics, Australia (openEHR Editor)
Anne M Gromsrud, DIPS AS, Norway
Priscila Maranhão, MEDCIDS-FMUP, Portugal
Ian McNicoll, freshEHR Clinical Informatics, United Kingdom (openEHR Editor)
Johannes Michael Strehle, Helse-Nord, Norway
Svenne Naumann, Finnmarkssykehuset, Norway
Bjørn Næss, DIPS ASA, Norway
Jayashree Panickar, Karolinska Institute, Sweden
Line Silsand, univertsity hospital of northern norway, Norway (openEHR Editor)
Trine Strand, Oslo Universitetssykehus (OUS), Norway
Norwegian Review Summary, Nasjonal IKT HF, Norway
Micaela Thierley, Helse Bergen, Norway
John Tore Valand, Helse Bergen, Norway (openEHR Editor), originalLanguage=en, translators=
  • Norwegian Bokmål: John Tore Valand, Vebjørn Arntzen, Helse Bergen HF, Oslo universitetssykehus HF, john.tore.valand@helse-bergen.no; varntzen@ous-hf.no

  • , subjectOfData=unconstrained, archetypeTranslationTree=null, topLevelToAshis={state=[ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/state[at0010]/items[at0011], code=at0011, itemType=ELEMENT, level=4, text=Confounding factors, description=Record any issues or factors that may impact on the measurement of the body segment., comment=For example: an uncooperative child., 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=/data[at0001]/events[at0002]/state[at0010]/items[at0031], code=at0031, itemType=ELEMENT, level=4, text=Body position, description=The position of the individual at the time of measurement., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:
    •  Coded Text
      • Standing [Standing at the time of measurement.]
      • Sitting [Sitting (for example on bed or chair) at the time of measurement.]
      • Lying [Lying flat at the time of measurement.]
    •  Text
    , extendedValues=null]], contacts=[], details=[], description=[], content=[], provider=[], data=[ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0004], code=at0004, itemType=ELEMENT, level=4, text=Body segment name, description=Name of the measured body segment., comment=Use the 'Measurement method' element and/or recording the 'Measurement origin/endpoint' to record how the body segment is measured., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:
    •  Text
    •  Coded Text
      • Arm Circumference [Girth of the upper arm.]
      • Thigh circumference [Girth of the upper leg.]
      • Calf circumference [Girth of the calf muscle of the lower leg.]
      • Forearm circumference [Girth of the forearm.]
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0005], code=at0005, itemType=ELEMENT, level=4, text=Laterality, description=Side of the segment measured., comment=Only relevant for circumference measurement of a limb., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
    • Left [Left side of the body.]
    • Right [Right side of the body.]
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0008], code=at0008, itemType=ELEMENT, level=4, text=Circumference, description=Measured girth of the identified body segment., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, 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=/data[at0001]/events[at0002]/data[at0003]/items[at0009], code=at0009, itemType=ELEMENT, level=4, text=Comment, description=Additional narrative about the circumference measurement of the body segment, not captured in other fields., 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]], identities=[], other_participations=[], activities=[], protocol=[ResourceSimplifiedHierarchyItem [path=/protocol[at0014]/items[at0015], code=at0015, itemType=SLOT, level=2, text=Measuring device, description=Details of the device used for measuring the body part., 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.device.v1 and specialisations, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0014]/items[at0027], code=at0027, itemType=ELEMENT, level=2, text=Measurement method, description=Narrative description of the method used for measurement., comment=Specify in order to ensure that a sequence of measurements are taken at the same point and in the same way. For example: 'Sitting with knee bent at 90 degrees'., 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=/protocol[at0014]/items[at0029], code=at0029, itemType=ELEMENT, level=2, text=Measurement origin/endpoint, description=Identification of a simple body site for the location of the start/end point of the measurement., comment=Coding of the name of the body site with a terminology is preferred, where possible., 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=/protocol[at0014]/items[at0030], code=at0030, itemType=SLOT, level=2, text=Structured origin/endpoint, description=A structured anatomical location for the start/end point of the measurement including relative location, if required., comment=For example: to record that a measurement around the calf was taken 10cm distal to the tibial tuberosity., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
    openEHR-EHR-CLUSTER.anatomical_location.v1 or
    openEHR-EHR-CLUSTER.anatomical_location_relative.v1, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0014]/items[at0016], code=at0016, itemType=SLOT, level=2, text=Extension, description=Additional information required to extend the model with local content or to align with other reference models or formalisms., comment=For example: local information requirements; or additional metadata to align with FHIR., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
    All not explicitly excluded archetypes, extendedValues=null]], credentials=[], events=[ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002], code=at0002, itemType=EVENT, level=2, text=Any event, description=Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVENT, bindings=null, values=null, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0012], code=at0012, itemType=INTERVAL_EVENT, level=2, text=Average measurement, description=The average of several measurements of the same body segment taken during a single examination., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=INTERVAL_EVENT, bindings=null, values=Math. function: Mean
    , extendedValues=null]], context=[], relationships=[], target=[], capabilities=[], items=[], source=[], ism_transition=[]}, topLevelItems={state=ResourceSimplifiedHierarchyItem [path=ROOT_/data[at0001]/events[at0002]/state[at0010], code=at0010, itemType=ITEM_TREE, level=2, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=0..1, cardinalityText=optional, subCardinalityFormal=0..*, subCardinalityText=Minimum of 0 items, dataType=ITEM_TREE, bindings=null, values=null, extendedValues=null], data=ResourceSimplifiedHierarchyItem [path=ROOT_/data[at0001]/events[at0002]/data[at0003], code=at0003, itemType=ITEM_TREE, level=2, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=0..1, cardinalityText=optional, subCardinalityFormal=2..*, subCardinalityText=Minimum of 2 items, dataType=ITEM_TREE, bindings=null, values=null, extendedValues=null], protocol=ResourceSimplifiedHierarchyItem [path=ROOT_/protocol[at0014], code=at0014, itemType=ITEM_TREE, level=0, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=0..1, cardinalityText=optional, subCardinalityFormal=0..*, subCardinalityText=Minimum of 0 items, dataType=ITEM_TREE, bindings=null, values=null, extendedValues=null]}, addHierarchyItemsTo=protocol, currentHierarchyItemsForAdding=[ResourceSimplifiedHierarchyItem [path=/protocol[at0014]/items[at0015], code=at0015, itemType=SLOT, level=2, text=Measuring device, description=Details of the device used for measuring the body part., 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.device.v1 and specialisations, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0014]/items[at0027], code=at0027, itemType=ELEMENT, level=2, text=Measurement method, description=Narrative description of the method used for measurement., comment=Specify in order to ensure that a sequence of measurements are taken at the same point and in the same way. For example: 'Sitting with knee bent at 90 degrees'., 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=/protocol[at0014]/items[at0029], code=at0029, itemType=ELEMENT, level=2, text=Measurement origin/endpoint, description=Identification of a simple body site for the location of the start/end point of the measurement., comment=Coding of the name of the body site with a terminology is preferred, where possible., 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=/protocol[at0014]/items[at0030], code=at0030, itemType=SLOT, level=2, text=Structured origin/endpoint, description=A structured anatomical location for the start/end point of the measurement including relative location, if required., comment=For example: to record that a measurement around the calf was taken 10cm distal to the tibial tuberosity., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
    openEHR-EHR-CLUSTER.anatomical_location.v1 or
    openEHR-EHR-CLUSTER.anatomical_location_relative.v1, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0014]/items[at0016], code=at0016, itemType=SLOT, level=2, text=Extension, description=Additional information required to extend the model with local content or to align with other reference models or formalisms., comment=For example: local information requirements; or additional metadata to align with FHIR., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
    All not explicitly excluded archetypes, extendedValues=null]], minIndents={}, termBindingRetrievalErrorMessage=null]