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

ARCHETYPE IDopenEHR-EHR-CLUSTER.imaging_exam-heart.v0
ConceptImaging examination of the heart
DescriptionFindings on radiological examination of the heart.
UseUse to record the findings on radiological examination of the heart, and their interpretation. 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. The design of this archetype is intended to be inclusive of all reasonably anticipated and relevant findings.
MisuseNot to be used to record findings observed outside the identified body structure or region. Use a separate instance of one or more 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 the heart, and their interpretation.
References
Copyright© openEHR Foundation
AuthorsAuthor name: Heather Leslie
Organisation: Atomica Informatics
Email: heather.leslie@atomicainformatics.com
Date originally authored: 2024-06-24
Other Details LanguageAuthor name: Heather Leslie
Organisation: Atomica Informatics
Email: heather.leslie@atomicainformatics.com
Date originally authored: 2024-06-24
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=C1DDC8CD90B61EB0FBF794086BFC9761, build_uid=28cd0ae8-f1d5-4cb9-9129-5f092b7d1e4e, 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}
Keywordsheart, valve, ventricle, aorta, aortic, pulmonary, tricuspid, mitral, atrium, atria
Lifecyclein_development
UID3e5b2b98-ed29-4e45-8054-fd65abb0c53f
Language useden
Citeable Identifier1013.1.7657
Revision Number0.0.1-alpha
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  • German: Natalia Strauch, Medizinische Hochschule Hannover, Strauch.Natalia@mh-hannover.de
  • Norwegian Bokmål: Vebjørn Arntzen, Oslo University Hospital, varntzen@ous-hf.no
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  • Heart
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    • Normal
    • Enlarged
  •  Text
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  •  Coded Text
    • Normal [All valves appear normal.]
    • Abnormal [Valvular damage is observed.]
  •  Text
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  • Present
  • Absent
  • Indeterminate
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  • Present
  • Absent
  • Indeterminate
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  • Present
  • Absent
  • Indeterminate
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  • Present
  • Absent
  • Indeterminate
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  • Present
  • Absent
  • Indeterminate
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  • Present
  • Absent
  • Indeterminate
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0.12], code=at0.12, itemType=ELEMENT, level=1, text=Aortic stenosis (AS), description=Statement about the presence or absence of aortic stenosis., 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
  • Absent
  • Indeterminate
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  • Present
  • Absent
  • Indeterminate
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  • Present
  • Absent
  • Indeterminate
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  • Present
  • Absent
  • Indeterminate
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  • Heart
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  •  Coded Text
    • Normal
    • Enlarged
  •  Text
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  •  Coded Text
    • Normal [All valves appear normal.]
    • Abnormal [Valvular damage is observed.]
  •  Text
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  • Present
  • Absent
  • Indeterminate
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  • Present
  • Absent
  • Indeterminate
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0.37], code=at0.37, itemType=ELEMENT, level=1, text=Pulmonary stenosis (PS), description=Statement about the presence or absence of pulmonary stenosis., 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
  • Absent
  • Indeterminate
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0.41], code=at0.41, itemType=ELEMENT, level=1, text=Pulmonary regurgitation (PR), description=Statement about the presence or absence of pulmonary regurgitation., 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
  • Absent
  • Indeterminate
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0.4], code=at0.4, itemType=ELEMENT, level=1, text=Mitral stenosis (MS), description=Statement about the presence or absence of mitral stenosis., 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
  • Absent
  • Indeterminate
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0.8], code=at0.8, itemType=ELEMENT, level=1, text=Mitral regurgitation (MR), description=Statement about the presence or absence of mitral regurgitation., 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
  • Absent
  • Indeterminate
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0.12], code=at0.12, itemType=ELEMENT, level=1, text=Aortic stenosis (AS), description=Statement about the presence or absence of aortic stenosis., 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
  • Absent
  • Indeterminate
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0.16], code=at0.16, itemType=ELEMENT, level=1, text=Aortic regurgitation (AR), description=Statement about the presence or absence of aortic regurgitation., 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
  • Absent
  • Indeterminate
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0.28], code=at0.28, itemType=ELEMENT, level=1, text=Pericarditis, description=Statement about the presence or absence of pericarditis., 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
  • Absent
  • Indeterminate
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0.32], code=at0.32, itemType=ELEMENT, level=1, text=Myocarditis, description=Statement about the presence or absence of myocarditis., 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
  • Absent
  • Indeterminate
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