ARCHETYPE LI-RADS (openEHR-EHR-CLUSTER.lirads.v1)

Name: LI-RADS
License: http://creativecommons.org/licenses/by-sa/3.0/

ARCHETYPE ID	openEHR-EHR-CLUSTER.lirads.v1
Concept	LI-RADS
Description	The Liver Imaging Reporting and Data System (LI-RADS®) is a comprehensive system for standardizing the terminology, technique, interpretation, reporting, and data collection of liver observations in individuals at high risk for hepatocellular carcinoma (HCC).
Use	This archetype will be used to present the standardized reporting and data collection of CT and MRI imaging, and ultrasound for hepatocellular carcinoma (HCC). LI-RADS uses specific imaging features of the lesion in question to identify the degree of suspicion for malignancy. This cluster can be used in the slot "Imaging result" of the superordinate archetype "Imaging examination result" (openEHR-EHR-OBSERVATION.imaging_exam_result).
Misuse	Not to be used for the documentation for patients without the risk factors of developing a hepatocelluar carcinoma, or for patients under 18 years of age. Not to be used for the documentation of suspiction of any other lieson in the liver. Not to be used for the documentation of lesions in any other body organ.
Purpose	for presentration of the standardized reporting and data collection of CT, MRI imaging and ultrasound for hepatocellular carcinoma (HCC).
References	1. Elsayes K, Kielar A, Chernyak V, Morshid A, Furlan A, Masch W, Marks R, Kamaya A, Do R, Kono Y, Fowler K, Tang A, Bashir M, Hecht E, Jambhekar K, Lyshchik A, Rodgers S, Heiken J, Kohli M, Fetzer D, Wilson S, Kassam Z, Mendiratta-Lala M, Singal A, Lim C, Cruite I, Lee J, Ash R, Mitchell D, McInnes M, Sirlin C. <p>LI-RADS: a conceptual and historical review from its beginning to its recent integration into AASLD clinical practice guidance</p>. Journal of Hepatocellular Carcinoma. 2019;Volume 6:49-69. 2. LI-RADS [Internet]. Acr.org. 2020. Available from: https://www.acr.org/Clinical-Resources/Reporting-and-Data-Systems/LI-RADS 3. Schima W, Heiken J. LI-RADS v2017 for liver nodules: how we read and report. Cancer Imaging [Internet]. 2018;18(1). Available from: https://cancerimagingjournal.biomedcentral.com/articles/10.1186/s40644-018-0149-5 4. Morgan M. LI-RADS \| Radiology Reference Article \| Radiopaedia.org [Internet]. Radiopaedia.org. 2020 [cited 2020 Mar 9]. Available from: https://radiopaedia.org/articles/li-rads
Copyright	© HiGHmed
Authors	Author name: Samer Alkarkoukly Organisation: Uniklinik Köln Email: Mabbouda@uni-koeln.de
Other Details Language	Author name: Samer Alkarkoukly Organisation: Uniklinik Köln Email: Mabbouda@uni-koeln.de
OtherDetails Language Independent	{licence=This work is licensed under the Creative Commons Attribution-ShareAlike 3.0 License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/3.0/., custodian_organisation=HiGHmed, references=1. Elsayes K, Kielar A, Chernyak V, Morshid A, Furlan A, Masch W, Marks R, Kamaya A, Do R, Kono Y, Fowler K, Tang A, Bashir M, Hecht E, Jambhekar K, Lyshchik A, Rodgers S, Heiken J, Kohli M, Fetzer D, Wilson S, Kassam Z, Mendiratta-Lala M, Singal A, Lim C, Cruite I, Lee J, Ash R, Mitchell D, McInnes M, Sirlin C. LI-RADS: a conceptual and historical review from its beginning to its recent integration into AASLD clinical practice guidance . Journal of Hepatocellular Carcinoma. 2019;Volume 6:49-69. 2. LI-RADS [Internet]. Acr.org. 2020. Available from: https://www.acr.org/Clinical-Resources/Reporting-and-Data-Systems/LI-RADS 3. Schima W, Heiken J. LI-RADS v2017 for liver nodules: how we read and report. Cancer Imaging [Internet]. 2018;18(1). Available from: https://cancerimagingjournal.biomedcentral.com/articles/10.1186/s40644-018-0149-5 4. Morgan M. LI-RADS \| Radiology Reference Article \| Radiopaedia.org [Internet]. Radiopaedia.org. 2020 [cited 2020 Mar 9]. Available from: https://radiopaedia.org/articles/li-rads, original_namespace=org.highmed, original_publisher=HiGHmed, custodian_namespace=org.highmed, MD5-CAM-1.0.1=5AF3C53769110F0128045F130C66B80E, build_uid=b13dffce-4848-48c7-a7ea-c56dedcde695, revision=1.0.1}
Keywords	LI-RADS, CT, MRI, HCC, Liver imaging, ultrasound, CEUS, hepatocellular carcinoma, American College of Radiology, ACR
Lifecycle	published
UID	c9823839-1f3a-4cac-be47-8a62d3777100
Language used	en
Citeable Identifier	1246.145.1027
Revision Number	1.0.1
All	Archetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=null, archetypeConceptDescription=The Liver Imaging Reporting and Data System (LI-RADS®) is a comprehensive system for standardizing the terminology, technique, interpretation, reporting, and data collection of liver observations in individuals at high risk for hepatocellular carcinoma (HCC)., archetypeConceptComment=null, otherContributors=, originalLanguage=en, translators= German: Samer Alkarkoukly, Uniklinik Köln, mabbouda@uni-koeln.de , subjectOfData=unconstrained, archetypeTranslationTree=null, topLevelToAshis={state=[], content=[], source=[], events=[], capabilities=[], details=[], protocol=[], provider=[], data=[], activities=[], contacts=[], identities=[], relationships=[], description=[], ism_transition=[], target=[], credentials=[], items=[ResourceSimplifiedHierarchyItem [path=/items[at0003], code=at0003, itemType=ELEMENT, level=1, text=New element(en), description=(en), comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values= at0004::Ultraschall LI-RADS®(en) [Zur Überwachung. Mittels konventioneller Sonographie. Bei Patienten mit Leberzirrhose und anderen Hochrisikopatienten.(en)] at0005::CEUS LI-RADS®(en) [Zur HCC-Diagnostik. Mittels Kontrastmittel-Ultraschall (KMUS, contrast-enhanced. (en)] at0006::CT/MRT Diagnostisches LI-RADS®(en) [Zur HCC-Diagnostik und zum Staging. Bei Patienten mit Leberzirrhose und anderen Hochrisikopatienten einschließlich Transplantationskandidaten mit HCC. (en)] at0007::CT/MRT Therapieansprechen LI-RADS®(en) [Zur Beurteilung des HCC-Therapieansprechens auf lokoregionäre Therapie. Bei Patienten mit Leberzirrhose und anderen Hochrisikopatienten einschließlich Transplantationskandidaten mit HCC. Mittels CT, MRT mit extrazellulären Kontrastmittteln (extracellular agents, ECA), oder MRT mit hepatobiliären Kontrastmitteln (hepatobiliary agents, HBA).(en)] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0008], code=at0008, itemType=ELEMENT, level=1, text=New element(en), description=*(en), 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[at0009], code=at0009, itemType=ELEMENT, level=1, text=New element(en), description=*(en), comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values= at0010::LR-NC(en) [Bei fehlender Beurteilbarkeit aufgrund fehlender oder schlechter Bildgebung.(en)] at0011::LR-TIV(en) [Bei definitivem Nachweis von Tumorinfiltration in die Vene (TIV).(en)] at0012::LR-1(en) [Wenn definitiv gutartig.(en)] at0013::LR-2(en) [Wenn wahrscheinlich gutartig.(en)] at0014::LR-3(en) [Bei mittlerer Wahrscheinlichkeit für Malignität.(en)] at0015::LR-4(en) [Wenn wahrscheinlich HCC.(en)] at0016::LR-5(en) [Wenn definitiv HCC.(en)] at0017::LR-M(en) [Wenn wahrscheinlich oder definitiv maligne aber nicht HCC-spezifisch (z. B. Schießscheibenzeichen).(en)] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0018], code=at0018, itemType=ELEMENT, level=1, text=New element(en), description=*(en), comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values= at0019::LR-TR Nicht beurteilbar(en) [Behandelt, Ansprechen nicht beurteilbar (aufgrund fehlender Bildgebung oder schlechter Qualität)(en)] at0020::LR-TR Avital(en) [Behandelt, wahrscheinlich oder definitiv avital(en)] at0021::LR-TR nicht eindeutig(en) [Behandelt, nicht eindeutig vital(en)] at0022::LR-TR vital(en) [Behandelt, wahrscheinlich oder definitiv vital(en)] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0023], code=at0023, itemType=ELEMENT, level=1, text=New element(en), description=*(en), comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values= at0025::Kein APHE(en) [*(en)] at0026::APHE (kein rim-Zeichen)(en) [*(en)] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0027], code=at0027, itemType=ELEMENT, level=1, text=New element(en), description=*(en), comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:* Quantity Property: Length Units: mm Text , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0028], code=at0028, itemType=ELEMENT, level=1, text=New element(en), description=(en), comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values= at0029::ja(en) [*(en)] at0030::nein(en) [*(en)] at0053::Unbestimmt (de) [nicht auswertbar oder nicht eindeutig (de)] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0031], code=at0031, itemType=ELEMENT, level=1, text=New element(en), description=*(en), comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values= at0032::ja(en) [*(en)] at0033::nein(en) [*(en)] at0054::Unbestimmt (de) [] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0034], code=at0034, itemType=ELEMENT, level=1, text=New element(en), description=*(en), comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values= at0035::ja(en) [*(en)] at0036::nein(en) [*(en)] at0055::Unbestimmt (de) [nicht auswertbar oder nicht eindeutig (de)] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0037], code=at0037, itemType=ELEMENT, level=1, text=New element(en), description=*(en), comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values= at0038::ja(en) [*(en)] at0039::nein(en) [*(en)] at0056::Unbestimmt (de) [] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0040], code=at0040, itemType=ELEMENT, level=1, text=DV_TEXT, description=, 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]], context=[], other_participations=[]}, topLevelItems={items=ResourceSimplifiedHierarchyItem [path=ROOT_/, code=at0000, itemType=CLUSTER, level=0, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=1.., cardinalityText= (Cardinality: 1.., unordered), subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=null, extendedValues=null]}, addHierarchyItemsTo=items, currentHierarchyItemsForAdding=[ResourceSimplifiedHierarchyItem [path=/items[at0003], code=at0003, itemType=ELEMENT, level=1, text=New element(en), description=(en), comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values= at0004::Ultraschall LI-RADS®(en) [Zur Überwachung. Mittels konventioneller Sonographie. Bei Patienten mit Leberzirrhose und anderen Hochrisikopatienten.(en)] at0005::CEUS LI-RADS®(en) [Zur HCC-Diagnostik. Mittels Kontrastmittel-Ultraschall (KMUS, contrast-enhanced. (en)] at0006::CT/MRT Diagnostisches LI-RADS®(en) [Zur HCC-Diagnostik und zum Staging. Bei Patienten mit Leberzirrhose und anderen Hochrisikopatienten einschließlich Transplantationskandidaten mit HCC. (en)] at0007::CT/MRT Therapieansprechen LI-RADS®(en) [Zur Beurteilung des HCC-Therapieansprechens auf lokoregionäre Therapie. Bei Patienten mit Leberzirrhose und anderen Hochrisikopatienten einschließlich Transplantationskandidaten mit HCC. Mittels CT, MRT mit extrazellulären Kontrastmittteln (extracellular agents, ECA), oder MRT mit hepatobiliären Kontrastmitteln (hepatobiliary agents, HBA).(en)] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0008], code=at0008, itemType=ELEMENT, level=1, text=New element(en), description=*(en), 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[at0009], code=at0009, itemType=ELEMENT, level=1, text=New element(en), description=*(en), comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values= at0010::LR-NC(en) [Bei fehlender Beurteilbarkeit aufgrund fehlender oder schlechter Bildgebung.(en)] at0011::LR-TIV(en) [Bei definitivem Nachweis von Tumorinfiltration in die Vene (TIV).(en)] at0012::LR-1(en) [Wenn definitiv gutartig.(en)] at0013::LR-2(en) [Wenn wahrscheinlich gutartig.(en)] at0014::LR-3(en) [Bei mittlerer Wahrscheinlichkeit für Malignität.(en)] at0015::LR-4(en) [Wenn wahrscheinlich HCC.(en)] at0016::LR-5(en) [Wenn definitiv HCC.(en)] at0017::LR-M(en) [Wenn wahrscheinlich oder definitiv maligne aber nicht HCC-spezifisch (z. B. Schießscheibenzeichen).(en)] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0018], code=at0018, itemType=ELEMENT, level=1, text=New element(en), description=*(en), comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values= at0019::LR-TR Nicht beurteilbar(en) [Behandelt, Ansprechen nicht beurteilbar (aufgrund fehlender Bildgebung oder schlechter Qualität)(en)] at0020::LR-TR Avital(en) [Behandelt, wahrscheinlich oder definitiv avital(en)] at0021::LR-TR nicht eindeutig(en) [Behandelt, nicht eindeutig vital(en)] at0022::LR-TR vital(en) [Behandelt, wahrscheinlich oder definitiv vital(en)] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0023], code=at0023, itemType=ELEMENT, level=1, text=New element(en), description=*(en), comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values= at0025::Kein APHE(en) [*(en)] at0026::APHE (kein rim-Zeichen)(en) [*(en)] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0027], code=at0027, itemType=ELEMENT, level=1, text=New element(en), description=*(en), comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:* Quantity Property: Length Units: mm Text , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0028], code=at0028, itemType=ELEMENT, level=1, text=New element(en), description=(en), comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values= at0029::ja(en) [*(en)] at0030::nein(en) [*(en)] at0053::Unbestimmt (de) [nicht auswertbar oder nicht eindeutig (de)] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0031], code=at0031, itemType=ELEMENT, level=1, text=New element(en), description=*(en), comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values= at0032::ja(en) [*(en)] at0033::nein(en) [*(en)] at0054::Unbestimmt (de) [] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0034], code=at0034, itemType=ELEMENT, level=1, text=New element(en), description=*(en), comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values= at0035::ja(en) [*(en)] at0036::nein(en) [*(en)] at0055::Unbestimmt (de) [nicht auswertbar oder nicht eindeutig (de)] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0037], code=at0037, itemType=ELEMENT, level=1, text=New element(en), description=*(en), comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values= at0038::ja(en) [*(en)] at0039::nein(en) [*(en)] at0056::Unbestimmt (de) [] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0040], code=at0040, itemType=ELEMENT, level=1, text=DV_TEXT, description=, 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]