ARCHETYPE Imaging examination of a pregnant uterus (openEHR-EHR-CLUSTER.imaging_exam-pregnant_uterus.v0)

ARCHETYPE IDopenEHR-EHR-CLUSTER.imaging_exam-pregnant_uterus.v0
ConceptImaging examination of a pregnant uterus
DescriptionFindings on radiological examination of a pregnant uterus.
UseUse to record the findings on radiological examination of a pregnant uterus, and their interpretation. The intended scope for this archetype is to eventually record all detailed findings on radiological examination of a pregnant uterus using any modality. It is anticipated that further data elements may be added as requirements are identified and confirmed. This archetype is designed to be nested within the 'Additional details' SLOT in the CLUSTER.imaging_exam-uterus or within other relevant CLUSTER.imaging_exam archetypes, but can also be used within other ENTRY or CLUSTER archetypes, where clinically appropriate. If this archetype needs to be extended with further levels of structured findings, additional instances of the CLUSTER.imaging_exam or its specialisations can be nested in the 'Additional details' SLOT.
MisuseNot to be used to record non pregnancy-related imaging examination findings for the uterus. Use other archetypes from the CLUSTER.imaging_exam-uterus for this purpose. Not to be used to record imaging examination findings for any body structure or region other than a pregnant uterus. Use other archetypes from the CLUSTER.imaging_exam family for this purpose. Not to be used to record the estimated gestational age. Use OBSERVATION.gestation 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 the findings on radiological examination of a pregnant uterus, and their interpretation.
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=533FFE9077144E44F0A15BCE4296DC2A, build_uid=7a0f5eb9-27b1-410b-9247-78835669a129, 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
UID0ea59022-c082-4a63-8866-a05c2036f773
Language useden
Citeable Identifier1013.1.6514
Revision Number0.0.1-alpha
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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
Randi Brendberg, Helse Nord RHF, Norway
Peter Fedorcsak, University of Oslo, Norway (openEHR Editor)
Heather Grain, Llewelyn Grain Informatics, Australia
Anne Helbig, MD PhD, Oslo University Hospital, Norway
Anca Heyd, DIPS ASA, Norway
Evelyn Hovenga, EJSH Consulting, Australia
Mikkel Johan Gaup Grønmo, Regional forvaltning EPJ, Helse Nord, Norway (Nasjonal IKT redaktør)
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
Tina Tellum, Oslo Universitetssykehus, Norway
John Tore Valand, Haukeland Universitetssjukehus, Norway (Nasjonal IKT redaktør)
Ina Wille, Helse-Vest RHF, 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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  • Pregnant uterus
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  • Present [A gestational sac is observed.]
  • Absent [No gestational sac is observed.]
  • Indeterminate [It is not possible to determine if a gestational sac is present or absent.]
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    • Diamnionic [Two amniotic sacs are observed.]
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    • Monochorionic [One chorion or placenta is observed.]
    • Dichorionic [Two chorions or placentas are observed.]
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  • Pregnant uterus
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  • Absent [No gestational sac is observed.]
  • Indeterminate [It is not possible to determine if a gestational sac is present or absent.]
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    • Diamnionic [Two amniotic sacs are observed.]
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    • Dichorionic [Two chorions or placentas are observed.]
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