| ARCHETYPE ID | openEHR-EHR-CLUSTER.imaging_exam-lymph_node.v0 |
|---|---|
| Concept | Imaging examination of a lymph node |
| Description | Findings observed in an imaging examination targeting a single lymph node, using radiographic techniques. |
| Use | Use to record a narrative description, structured details and clinical impression of the findings observed in an imaging examination targeting a single lymph node. This archetype has been designed to be used in the 'Structured imaging findings' SLOT within the OBSERVATION.imaging_exam_result archetype, but can also be used within other ENTRY or CLUSTER archetypes, where clinically appropriate. Use to provide a framework in which CLUSTER archetypes can be nested in the 'Additional details' SLOT within this archetype to record additional nested levels of structured imaging findings for related body substructures or site-specific findings. |
| Misuse | Not to be used to record findings outside the specified body structure or region. Use other 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 OBERSERVATION.imaging_exam_result for this purpose. For example, comments on the study quality, differential diagnoses, and overall impression. |
| Purpose | To record a narrative description, structured details and clinical impression of the findings observed in an imaging examination targeting a single lymph node. |
| References | |
| Copyright | © openEHR Foundation |
| Authors | Author name: Heather Leslie Organisation: Atomica Informatics Email: heather.leslie@atomicainformatics.com Date originally authored: 2021-11-24 |
| Other Details Language | Author name: Heather Leslie Organisation: Atomica Informatics Email: heather.leslie@atomicainformatics.com Date originally authored: 2021-11-24 |
| Other Details (Language Independent) |
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| Keywords | |
| Lifecycle | in_development |
| UID | e515a328-b219-4968-9162-75a51f951582 |
| Language used | en |
| Citeable Identifier | 1246.145.1741 |
| Revision Number | 0.0.1-alpha |
| items | |
| Body structure | Body structure: Identification of the body structure or region examined.
|
| Anatomical location | Anatomical location: Simple body site for the identified structure. If the anatomical location of the identified body structure is known, this data element is redundant. |
| Structured anatomical location | Structured anatomical location: Structured details about the anatomical location of the identified body structure. If the anatomical location of the identified body structure is known or it has been identified in the 'Anatomical location' data element, this data element is redundant. Include: openEHR-EHR-CLUSTER.anatomical_ openEHR-EHR-CLUSTER.anatomical_ openEHR-EHR-CLUSTER.anatomical_ |
| Imaging findings | Imaging findings: Narrative description of the imaging findings observed during this examination. |
| SLOT: Additional details | SLOT: Additional details: Additional structured details about imaging findings for the identified body structure or region, or findings for related substructures. Include: openEHR-EHR-CLUSTER.imaging_ openEHR-EHR-CLUSTER.imaging_ |
| Impression | Impression: Narrative concise, clinically relevant impression of all imaging findings for the identified body structure. Also referred to as 'Opinion'. May include a comparison with previous studies of the identified body structure, where appropriate. |
| Comment | Comment: Additional narrative about the imaging findings, not captured in other fields. |
| Diameter | Diameter: A measured diameter of the lymph node. This data element has 3 occurrences to allow for measurements in 3 different axes. Property: Length Units: >=0.0 mm Limit decimal places: 0 |
| Other contributors | Vebjørn Arntzen, Oslo University Hospital Liv Laugen, Oslo University Hospital Peter Fedorcsak, Oslo University Hospital |
| Translators |