ARCHETYPE Imaging examination of a fetus in utero (openEHR-EHR-CLUSTER.imaging_exam-fetus.v0)

ARCHETYPE IDopenEHR-EHR-CLUSTER.imaging_exam-fetus.v0
ConceptImaging examination of a fetus in utero
DescriptionFindings observed in an imaging examination targeting a single embryo or fetus, using radiographic techniques.
UseUse to record a narrative description, structured details and clinical impression of the findings observed in an imaging examination targeting a single embryo or fetus. This archetype has been designed to be nested in the 'Structured imaging findings' SLOT within the OBSERVATION.imaging_exam_result archetype, but can also be used within other ENTRY or CLUSTER archetypes, where clinically appropriate. Use to provide a framework in which CLUSTER archetypes can be nested in the 'Additional details' SLOT within this archetype to record additional nested levels of structured imaging findings for related findings, such as fetal anatomy assessment or biometry measurements.
MisuseNot to be used to record findings outside the specified body structure or region. Use other archetypes from the CLUSTER.imaging_exam family for this purpose. Not to be used to record details related to the overall findings, context or technical details related to a complete imaging examination test result. Use the OBERSERVATION.imaging_exam_result for this purpose. For example, comments on the study quality, differential diagnoses, and overall impression.
PurposeTo record a narrative description, structured details and clinical impression of the findings observed in an imaging examination targeting a single embryo or fetus.
ReferencesRodgers SK, Chang C, DeBardeleben JT, Horrow MM. Normal and Abnormal US Findings in Early First-Trimester Pregnancy: Review of the Society of Radiologists in Ultrasound 2012 Consensus Panel Recommendations. Radiographics. 2015 Nov-Dec;35(7):2135-48. doi: 10.1148/rg.2015150092. PMID: 26562242.
Copyright© openEHR Foundation
AuthorsAuthor name: Heather Leslie
Organisation: Atomica Informatics
Email: heather.leslie@atomicainformatics.com
Date originally authored: 2021-11-24
Other Details LanguageAuthor name: Heather Leslie
Organisation: Atomica Informatics
Email: heather.leslie@atomicainformatics.com
Date originally authored: 2021-11-24
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=Rodgers SK, Chang C, DeBardeleben JT, Horrow MM. Normal and Abnormal US Findings in Early First-Trimester Pregnancy: Review of the Society of Radiologists in Ultrasound 2012 Consensus Panel Recommendations. Radiographics. 2015 Nov-Dec;35(7):2135-48. doi: 10.1148/rg.2015150092. PMID: 26562242., original_namespace=org.openehr, original_publisher=openEHR Foundation, custodian_namespace=org.openehr, MD5-CAM-1.0.1=7348767737EAD9B088FB05689C265FF3, build_uid=0a4d9217-51a5-42db-806e-3c427cb8ca4d, ip_acknowledgements=This artefact includes content from SNOMED Clinical Terms® (SNOMED CT®) which is copyrighted material of the International Health Terminology Standards Development Organisation (IHTSDO). Where an implementation of this artefact makes use of SNOMED CT content, the implementer must have the appropriate SNOMED CT Affiliate license - for more information contact https://www.snomed.org/snomed-ct/get-snomed or info@snomed.org., revision=0.0.1-alpha}
Keywords
Lifecyclein_development
UIDfe617ce7-0243-4edc-b4af-6c9cd7057470
Language useden
Citeable Identifier1013.1.5923
Revision Number0.0.1-alpha
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Liv Laugen, Oslo University Hospital
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openEHR-EHR-CLUSTER.imaging_finding.v0 and specialisations or
openEHR-EHR-CLUSTER.imaging_exam-lymph_node.v0 and specialisations or
openEHR-EHR-CLUSTER.imaging_exam-lymph_node_group.v0 and specialisations or
openEHR-EHR-CLUSTER.imaging_exam-abnormality.v0 and specialisations, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006], code=at0006, itemType=ELEMENT, level=1, text=Impression, description=Narrative concise, clinically relevant impression of all imaging findings for the identified body structure., comment=Also referred to as 'Opinion'. May include a comparison with previous studies of the identified body structure, where appropriate., 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[at0007], code=at0007, itemType=ELEMENT, level=1, text=Comment, description=Additional narrative about the imaging findings, 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], ResourceSimplifiedHierarchyItem [path=/items[at0.4], code=at0.4, itemType=ELEMENT, level=1, text=Label, description=A label for the embryo or fetus., comment=Used to differentiate findings for each embryo or fetus in a multiple pregnancy., 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[at0.5], code=at0.5, itemType=ELEMENT, level=1, text=Cardiac activity, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Present [Cardiac activity is observed.]
  • Absent [No cardiac activity is observed.]
  • Indeterminate [It is not possible to determine if cardiac activity is present or absent.]
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0 days..50 weeks
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0.3], code=at0.3, itemType=ELEMENT, level=1, text=Estimated weight, description=Estimated fetal weight using radiographic techniques., 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: Mass
Units:
  • >=0.0 g
    Limit decimal places: 0
  • >=0.0 kg
    Limit decimal places: 2
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openEHR-EHR-CLUSTER.imaging_exam-lymph_node_group.v0 and specialisations or
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  • Absent [No cardiac activity is observed.]
  • Indeterminate [It is not possible to determine if cardiac activity is present or absent.]
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Units:
  • >=0.0 g
    Limit decimal places: 0
  • >=0.0 kg
    Limit decimal places: 2
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