ARCHETYPE Range of motion of a joint (openEHR-EHR-CLUSTER.range_of_motion.v1)

ARCHETYPE IDopenEHR-EHR-CLUSTER.range_of_motion.v1
ConceptRange of motion of a joint
DescriptionMeasurement of the extent of motion for a specified simple or complex movement around an indentified joint or section of the spine.
UseUse to record the measurement of the extent of motion for a specified simple or complex movement around an indentified joint or section of the spine. This archetype has been specifically designed to be used in the 'Examination findings' SLOT within the CLUSTER.exam or a specialisation of CLUSTER.exam for a specific joint, but can also be used within other ENTRY or CLUSTER archetypes where clinically appropriate. The examined joint is identified in the 'System or structure examined' element of the CLUSTER.exam archetype in which this archetype is nested. In order to be able to record multiple movements several instances of this archetype will need to be used. Common motions around a joint have been added to the DV_CODED_TEXT data type in the 'Movement' data element. As further joint movements are identified, these can be added to this list over time.
MisuseNot to be used to record the results of specific named tests performed on a joint. For example in the hip the Thomas test or Ortolani test. Use the exam-hip_joint archetype for these purposes.
PurposeTo record measurement of the extent of motion for a specified simple or complex movement around an indentified joint or section of the spine.
References
Copyright© openEHR Foundation
AuthorsAuthor name: Hanne Marte Sandal Bårholm
Organisation: Helse Vest IKT
Email: hanne.marte.sandal.barholm@helse-vest-ikt.no
Date originally authored: 2023-11-01
Other Details LanguageAuthor name: Hanne Marte Sandal Bårholm
Organisation: Helse Vest IKT
Email: hanne.marte.sandal.barholm@helse-vest-ikt.no
Date originally authored: 2023-11-01
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=AFF2B50F9803DB3A81DE95E991760200, build_uid=9a6768f4-250f-4422-bfa5-20c0835b8c82, revision=1.0.0}
KeywordsROM, AAROM, PROM, AROM, joint, movement, angle, motion, range
Lifecyclepublished
UID5502b586-c238-46bd-b08d-8fa0b7a826eb
Language useden
Citeable Identifier1013.1.7057
Revision Number1.0.0
AllArchetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=null, archetypeConceptDescription=Measurement of the extent of motion for a specified simple or complex movement around an indentified joint or section of the spine., archetypeConceptComment=null, otherContributors=Stein Arne Rimehaug, Sunnaas sykehus, Norway
Vebjørn Arntzen, Oslo University Hospital, Norway (openEHR Editor)
Silje Ljosland Bakke, Helse Vest IKT AS, Norway (openEHR Editor)
Ivar Berge, Oslo University Hospital, Norway (openEHR Editor)
SB Bhattacharyya, Bhattacharyyas Clinical Records Research & Informatics LLP, India
Hanne Marte Bårholm, Helse Vest IKT, Norway (openEHR Editor)
Grant Forrest, Lunaria Ltd, United Kingdom
Mikkel Johan Gaup Grønmo, Helse Nord IKT, Norway (openEHR Editor)
Evelyn Hovenga, EJSH Consulting, Australia
Kanika Kuwelker, Helse Vest IKT, Norway (openEHR Editor)
Jörgen Kuylenstierna, eWeave AB, Sweden
Liv Laugen, ​Oslo University Hospital, Norway, Norway (openEHR Editor)
Heather Leslie, Atomica Informatics, Australia (openEHR Editor)
Michael Lutz, BITsoft, Germany
Svenne Naumann, Finnmarkssykehuset, Norway
Mikael Nyström, Cambio Healthcare Systems AB, Sweden
Bjørn Næss, DIPS ASA, Norway
Hallvard Reigstad, Haukeland us, Norway
Terje Sagmyr, Helse Vest IKT, Norway (openEHR Editor)
Bodil Salvesen, Barneklinikken Haukeland Universitetssykehus, Norway
Sara-Petrine Solli Veierød, Haukeland Universitetssykehus, Norway
Norwegian Review Summary, Norwegian Public Hospitals, Norway
Kanthan Theivendran, NHS, United Kingdom
John Tore Valand, Helse Vest IKT, Norway (openEHR Editor)
Marit Alice Venheim, Helse Vest IKT, Norway (openEHR Editor), originalLanguage=en, translators=
  • Norwegian Bokmål: John Tore Valand, Hanne Marte Bårholm, Helse Vest IKT, john.tore.valand@helse-vest-ikt.no, hanne.marte.sandal.barholm@helse-vest-ikt.no

    • , subjectOfData=unconstrained, archetypeTranslationTree=null, topLevelToAshis={activities=[], provider=[], items=[ResourceSimplifiedHierarchyItem [path=/items[at0002], code=at0002, itemType=ELEMENT, level=1, text=Movement, description=Identification of the movement being tested., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:
    •  Coded Text
      • Abduction
      • Adduction
      • Extension
      • Flexion
      • Internal rotation
      • External rotation
      • Inversion
      • Eversion
      • Medial rotation
      • Lateral rotation
      • Dorsiflexion
      • Plantar flexion
      • Ulnar deviation
      • Radial deviation
      • Pronation
      • Supination
      • Reposition
      • Opposition
      • Radial abduction
      • Palmar abduction
      • Right lateral flexion
      • Left lateral flexion
      • Right rotation
      • Left rotation
      • Retraction
      • Protraction
      • Upward rotation
      • Downward rotation
      • Elavation
      • Depression
      • Opening
      • Closing
      • Rightward jaw translation
      • Leftward jaw translation
      • Protrusion
      • Retrusion
    •  Text
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0023], code=at0023, itemType=ELEMENT, level=1, text=Starting position, description=Description of the joint's position when starting the examination., comment=For example: "90 degrees flexion in hip and knee in supine position" when examining internal rotation, or "15 degrees of fixed flexion deformity" when examining the flexion of the elbow., 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[at0024], code=at0024, itemType=ELEMENT, level=1, text=Mode of examination, description=Whether the examination is done actively or passively., 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
      • Active [The movement is performed by the individual. Also known as AROM.]
      • Active-assisted [The movement is partially assisted by the examiner or a device. Also known as AAROM.]
      • Passive [The movement is performed by the examiner or a device. Also known as PROM.]
    •  Text
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0027], code=at0027, itemType=ELEMENT, level=1, text=Range of motion, description=The extent of motion for an identified movement around a joint., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=null, values=Units:
    • -360.0..360.0 °
    • mm
    • cm
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0035], code=at0035, itemType=ELEMENT, level=1, text=Clinical interpretation, description=Single word, phrase or brief description that represents the clinical meaning and significance of the range of motion finding., comment=For example: 'Within normal range', 'Increased range of motion' or 'Decreased range of motion'. Coding of the 'Interpretation' 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=/items[at0028], code=at0028, itemType=SLOT, level=1, text=Additional details, description=Additional structured details about the range of motion., comment=null, 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], ResourceSimplifiedHierarchyItem [path=/items[at0029], code=at0029, itemType=ELEMENT, level=1, text=Comment, description=Additional narrative about the range of motion 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]], source=[], content=[], events=[], data=[], context=[], details=[], credentials=[], identities=[], protocol=[], state=[], target=[], ism_transition=[], relationships=[], contacts=[], capabilities=[], description=[], other_participations=[]}, topLevelItems={items=ResourceSimplifiedHierarchyItem [path=ROOT_/, code=at0000, itemType=CLUSTER, level=0, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..*, occurencesText=Mandatory, repeating, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=null, extendedValues=null]}, addHierarchyItemsTo=items, currentHierarchyItemsForAdding=[ResourceSimplifiedHierarchyItem [path=/items[at0002], code=at0002, itemType=ELEMENT, level=1, text=Movement, description=Identification of the movement being tested., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:
    •  Coded Text
      • Abduction
      • Adduction
      • Extension
      • Flexion
      • Internal rotation
      • External rotation
      • Inversion
      • Eversion
      • Medial rotation
      • Lateral rotation
      • Dorsiflexion
      • Plantar flexion
      • Ulnar deviation
      • Radial deviation
      • Pronation
      • Supination
      • Reposition
      • Opposition
      • Radial abduction
      • Palmar abduction
      • Right lateral flexion
      • Left lateral flexion
      • Right rotation
      • Left rotation
      • Retraction
      • Protraction
      • Upward rotation
      • Downward rotation
      • Elavation
      • Depression
      • Opening
      • Closing
      • Rightward jaw translation
      • Leftward jaw translation
      • Protrusion
      • Retrusion
    •  Text
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0023], code=at0023, itemType=ELEMENT, level=1, text=Starting position, description=Description of the joint's position when starting the examination., comment=For example: "90 degrees flexion in hip and knee in supine position" when examining internal rotation, or "15 degrees of fixed flexion deformity" when examining the flexion of the elbow., 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[at0024], code=at0024, itemType=ELEMENT, level=1, text=Mode of examination, description=Whether the examination is done actively or passively., 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
      • Active [The movement is performed by the individual. Also known as AROM.]
      • Active-assisted [The movement is partially assisted by the examiner or a device. Also known as AAROM.]
      • Passive [The movement is performed by the examiner or a device. Also known as PROM.]
    •  Text
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0027], code=at0027, itemType=ELEMENT, level=1, text=Range of motion, description=The extent of motion for an identified movement around a joint., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=null, values=Units:
    • -360.0..360.0 °
    • mm
    • cm
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0035], code=at0035, itemType=ELEMENT, level=1, text=Clinical interpretation, description=Single word, phrase or brief description that represents the clinical meaning and significance of the range of motion finding., comment=For example: 'Within normal range', 'Increased range of motion' or 'Decreased range of motion'. Coding of the 'Interpretation' 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=/items[at0028], code=at0028, itemType=SLOT, level=1, text=Additional details, description=Additional structured details about the range of motion., comment=null, 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], ResourceSimplifiedHierarchyItem [path=/items[at0029], code=at0029, itemType=ELEMENT, level=1, text=Comment, description=Additional narrative about the range of motion 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]], minIndents={}, termBindingRetrievalErrorMessage=null]