ARCHETYPE Imaging examination of the entire spine (openEHR-EHR-CLUSTER.imaging_exam-spine.v0)

ARCHETYPE IDopenEHR-EHR-CLUSTER.imaging_exam-spine.v0
ConceptImaging examination of the entire spine
DescriptionFindings on radiological examination of the entire spine.
UseUse to record the findings on radiological examinations that cover the entire spine, and their interpretation. The intended scope for this archetype is to eventually record all detailed findings on radiological examination of the entire spine using any modality. It is anticipated that further data elements may be added as requirements are identified and confirmed. This archetype and its related family of specialisations are designed to be nested within the 'Structured imaging findings' SLOT in the OBSERVATION.imaging_exam_result or within the 'Additional details' SLOT in other relevant CLUSTER.imaging_exam archetypes, but can also be used within other ENTRY or CLUSTER archetypes, where clinically appropriate. If this archetype or its specialisations need to be extended with further levels of detailed 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 imaging examination findings for any body structure or region other than the entire spine. Examinations on specific areas of the spine is to be record using other archetypes from the CLUSTER.imaging_exam family for this purpose. For example: CLUSTER.imaging_exam-cervical_spine or CLUSTER.imaging_exam-sacrum. 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 the entire spine, and their interpretation.
Referenceshttps://radiopaedia.org/articles/sagittal-balance

https:///www.ncbi.nlm.nih.gov/books/NBK534858

https://unn.no/Documents/Kvalitetsregistre/Nasjonalt%20kvalitetsregister%20for%20ryggkirurgi/Brukermanualer/Praktisk%20veileder%20og%20Brukermanual%20ryggregisteret_V3.0_190529.pdf
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=https://radiopaedia.org/articles/sagittal-balance https:///www.ncbi.nlm.nih.gov/books/NBK534858 https://unn.no/Documents/Kvalitetsregistre/Nasjonalt%20kvalitetsregister%20for%20ryggkirurgi/Brukermanualer/Praktisk%20veileder%20og%20Brukermanual%20ryggregisteret_V3.0_190529.pdf, original_namespace=org.openehr, original_publisher=openEHR Foundation, custodian_namespace=org.openehr, MD5-CAM-1.0.1=0715FC75BDEED95C50F7053A93B1B484, build_uid=8876d267-4bd7-46fa-8f01-0a5e614e87b6, 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}
Keywordsfinding, imaging, body, system, structure, region, observation, diagnostic, radiology, image
Lifecyclein_development
UID32209bd7-2307-4a15-8009-e32ff69ea895
Language useden
Citeable Identifier1013.1.6730
Revision Number0.0.1-alpha
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Marit Alice Venheim, Helse Vest IKT, Norway (Nasjonal IKT redaktør)
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
Gunn Elin Blakkisrud, DIPS ASA, Norway
Peter Fedorcsak, University of Oslo, Norway (openEHR Editor)
Kåre Flø, DIPS ASA, Norway
Evelyn Hovenga, EJSH Consulting, Australia
Kija Indrearne, Helse Bergen, Norway
Mikkel Johan Gaup Grønmo, Regional forvaltning EPJ, Helse Nord, Norway (Nasjonal IKT redaktør)
Aud Jorunn Mjelstad, Helse Bergen, Norway
Anjali Kulkarni, Karkinos, India
Kanika Kuwelker, Helse Vest IKT, Norway (Nasjonal IKT redaktør)
Liv Laugen, ​Oslo University Hospital, Norway, Norway (openEHR Editor)
Heather Leslie, Atomica Informatics, Australia (openEHR Editor)
Svenne Naumann, Finnmarkssykehuset, Norway
Mikael Nyström, Cambio Healthcare Systems AB, Sweden
Bjørn Næss, DIPS ASA, Norway
Natalia Strauch, Medizinische Hochschule Hannover, Germany
Norwegian Review Summary, Norwegian Public Hospitals, Norway
John Tore Valand, Haukeland Universitetssjukehus, Norway (Nasjonal IKT redaktør), originalLanguage=en, translators=German: Natalia Strauch, Medizinische Hochschule Hannover, Strauch.Natalia@mh-hannover.de
Norwegian Bokmål: Vebjørn Arntzen, John Tore Valand, Oslo University Hospital, Helse Bergen, varntzen@ous-hf.no, john.tore.valand@helse-vest-ikt.no
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  • Neutral [The plumb line passes within 2 cm of the posterosuperior corner of the S1 vertebral body.]
  • Negative [The plumb line passes more than 2 cm behind the posterosuperior corner of the S1 vertebral body.]
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