ARCHETYPE Imaging examination of an adnexal mass (openEHR-EHR-CLUSTER.imaging_exam-lesion-adnexal_mass.v0)

ARCHETYPE IDopenEHR-EHR-CLUSTER.imaging_exam-lesion-adnexal_mass.v0
ConceptImaging examination of an adnexal mass
DescriptionFindings on radiological examination of an adnexal mass identified in the pelvis, usually related to a single ovary and/or fallopian tube and associated connective tissues.
UseUse to record the findings on radiological examination of a single adnexal mass. The intent of this archetype is to describe the key attributes which would support a determination of the risk of an adnexal mass being malignant. This archetype has been specifically designed to be used in the 'Additional details' SLOT within any of the CLUSTER.imaging_exam family of archetypes which will provide the context for the adnexal mass, for example CLUSTER.imaging_exam-pelvis, CLUSTER.imaging_exam-ovary, or the CLUSTER.imaging_exam-fallopian_tube archetypes, but can also be used within other ENTRY or CLUSTER archetypes where clinically appropriate. If there is more than one adnexal mass within the context of the same body structure or region, use a separate instance of this archetype to describe each mass.
MisuseNot to be used to record findings for a 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 OBSERVATION.imaging_exam_result for this purpose. For example, comments on the study quality, differential diagnoses, and overall impression.
PurposeTo record the findings on radiological examination of a single adnexal mass.
References
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, original_namespace=org.openehr, original_publisher=openEHR Foundation, custodian_namespace=org.openehr, MD5-CAM-1.0.1=164D568C5F4AD3390BA4C842D95BD91C, build_uid=070aa77f-d36f-4e90-b8b7-977c7e69f195, 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}
Keywordsabnormality, lesion, mass, tumour, tumor, nodule, cyst, ovary, fallopian
Lifecyclein_development
UIDc48fbeda-df84-47b2-be2c-cff4bbdedf7e
Language useden
Citeable Identifier1013.1.5939
Revision Number0.0.1-alpha
AllArchetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=null, archetypeConceptDescription=Findings on radiological examination of an adnexal mass identified in the pelvis, usually related to a single ovary and/or fallopian tube and associated connective tissues., archetypeConceptComment=null, otherContributors=Vebjørn Arntzen, Oslo University Hospital, Norway (openEHR Editor)
Silje Ljosland Bakke, Helse Vest IKT AS, Norway (openEHR Editor)
SB Bhattacharyya, Bhattacharyyas Clinical Records Research & Informatics LLP, India
Peter Fedorcsak, University of Oslo, Norway (openEHR Editor)
Heather Grain, Llewelyn Grain Informatics, Australia
Evelyn Hovenga, EJSH Consulting, Australia
Anjali Kulkarni, Karkinos, India
Liv Laugen, ​Oslo University Hospital, Norway, Norway (openEHR Editor)
Heather Leslie, Atomica Informatics, Australia (openEHR Editor)
Mikael Nyström, Cambio Healthcare Systems AB, Sweden
Norwegian Review Summary, Norwegian Public Hospitals, Norway, originalLanguage=en, translators=German: Natalia Strauch, Medizinische Hochschule Hannover, Strauch.Natalia@mh-hannover.de
Norwegian Bokmål: Peter Fedorcsak, Vebjørn Arntzen, University of Oslo, Oslo University Hospital, peterfe@uio.no, varntzen@ous-hf.no
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Units:
  • >=0.0 mm
    Limit decimal places: 0
  • >=0.0 cm
    Limit decimal places: 1
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0.9], code=at0.9, itemType=ELEMENT, level=1, text=Shape, description=The shape of the lesion., 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[at0.10], code=at0.10, itemType=ELEMENT, level=1, text=Texture, description=The texture of the lesion., 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[at0.11], code=at0.11, itemType=ELEMENT, level=1, text=Definition, description=The definition of the lesion., comment=For example: 'Well-defined' (The lesion is well-defined); and 'Poorly-defined' (The lesion is poorly-defined)., 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[at0.14], code=at0.14, itemType=ELEMENT, level=1, text=Contour, description=The contour of the lesion., 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[at0.15], code=at0.15, itemType=ELEMENT, level=1, text=Margin, description=The margin of the lesion., 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[at0.16], code=at0.16, itemType=ELEMENT, level=1, text=Calcification, description=Presence of calcification in the lesion., 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 [Calcification is observed.]
  • Absent [Calcification is not observed.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0.19], code=at0.19, itemType=ELEMENT, level=1, text=Effect, description=Narrative description about the effect of the lesion on surrounding structures., comment=For example: presence of an echo shadow behind the lesion or that it is distorting adjacent structures., 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[at0.20], code=at0.20, itemType=ELEMENT, level=1, text=Vascularisation, description=Assessment of the blood flow to the lesion., comment=For example: Doppler score 0/None; Doppler score 1/ Mild; Doppler score 2/Moderate; or Doppler score 3/Marked., 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[at0.25], code=at0.25, itemType=ELEMENT, level=1, text=Vascularisation description, description=Narrative descripiton about the blood flow to the lesion., 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[at0.0.15], code=at0.0.15, itemType=ELEMENT, level=1, text=Solid diameter, description=A measured diameter of the largest solid tissue component., comment=This data element has 3 occurrences to allow for 3 measurements in different axes., uncommonOntologyItems=null, occurencesFormal=0..3, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=null, values=Property: Length
Units:
  • >=0.0 mm
    Limit decimal places: 0
  • >=0.0 cm
    Limit decimal places: 1
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0.0.8], code=at0.0.8, itemType=ELEMENT, level=1, text=Number of cyst locules, description=The number of cyst locules in the adnexal mass., comment=null, uncommonOntologyItems=null, occurencesFormal=0..3, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=min: >=0

, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0.0.13], code=at0.0.13, itemType=ELEMENT, level=1, text=Number of papillary projections, description=The number of papillary projections in the adnexal mass., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=min: >=0

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Units: >=0.0 mm
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Units:
  • >=0.0 mm
    Limit decimal places: 0
  • >=0.0 cm
    Limit decimal places: 1
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0.9], code=at0.9, itemType=ELEMENT, level=1, text=Shape, description=The shape of the lesion., 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[at0.10], code=at0.10, itemType=ELEMENT, level=1, text=Texture, description=The texture of the lesion., 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[at0.11], code=at0.11, itemType=ELEMENT, level=1, text=Definition, description=The definition of the lesion., comment=For example: 'Well-defined' (The lesion is well-defined); and 'Poorly-defined' (The lesion is poorly-defined)., 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[at0.14], code=at0.14, itemType=ELEMENT, level=1, text=Contour, description=The contour of the lesion., 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[at0.15], code=at0.15, itemType=ELEMENT, level=1, text=Margin, description=The margin of the lesion., 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[at0.16], code=at0.16, itemType=ELEMENT, level=1, text=Calcification, description=Presence of calcification in the lesion., 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 [Calcification is observed.]
  • Absent [Calcification is not observed.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0.19], code=at0.19, itemType=ELEMENT, level=1, text=Effect, description=Narrative description about the effect of the lesion on surrounding structures., comment=For example: presence of an echo shadow behind the lesion or that it is distorting adjacent structures., 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[at0.20], code=at0.20, itemType=ELEMENT, level=1, text=Vascularisation, description=Assessment of the blood flow to the lesion., comment=For example: Doppler score 0/None; Doppler score 1/ Mild; Doppler score 2/Moderate; or Doppler score 3/Marked., 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[at0.25], code=at0.25, itemType=ELEMENT, level=1, text=Vascularisation description, description=Narrative descripiton about the blood flow to the lesion., 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[at0.0.15], code=at0.0.15, itemType=ELEMENT, level=1, text=Solid diameter, description=A measured diameter of the largest solid tissue component., comment=This data element has 3 occurrences to allow for 3 measurements in different axes., uncommonOntologyItems=null, occurencesFormal=0..3, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=null, values=Property: Length
Units:
  • >=0.0 mm
    Limit decimal places: 0
  • >=0.0 cm
    Limit decimal places: 1
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0.0.8], code=at0.0.8, itemType=ELEMENT, level=1, text=Number of cyst locules, description=The number of cyst locules in the adnexal mass., comment=null, uncommonOntologyItems=null, occurencesFormal=0..3, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=min: >=0

, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0.0.13], code=at0.0.13, itemType=ELEMENT, level=1, text=Number of papillary projections, description=The number of papillary projections in the adnexal mass., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=min: >=0

, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0.0.14], code=at0.0.14, itemType=ELEMENT, level=1, text=Maximal septum thickness, description=The measured width of the thickest septum., 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 mm
Limit decimal places: 0, extendedValues=null]], minIndents={}, termBindingRetrievalErrorMessage=null]