archetype (adl_version=1.4; uid=fd575057-c5ab-4de3-814e-b54f891324b4)
	openEHR-EHR-CLUSTER.cobb_angle.v0

concept
	[at0000]	-- Cobb angle
language
	original_language = <[ISO_639-1::en]>
	translations = <
		["nb"] = <
			language = <[ISO_639-1::nb]>
			author = <
				["name"] = <"John Tore Valand">
				["organisation"] = <"Helse Bergen">
				["email"] = <"john.tore.valand@helse-vest-ikt.no">
			>
		>
	>
description
	original_author = <
		["name"] = <"John Tore Valand">
		["organisation"] = <"Helse Vest IKT AS">
		["email"] = <"john.tore.valand@helse-vest-ikt.no">
		["date"] = <"2022-10-03">
	>
	details = <
		["nb"] = <
			language = <[ISO_639-1::nb]>
			purpose = <"For å registrere en Cobbvinkel.">
			use = <"Brukes for å registrere en Cobbvinkel.

Denne arketypen er utformet for å bli nøstet i SLOT'et \"Ytterligere detaljer\" i arketypen CLUSTER.imaging_exam_spine, CLUSTER.imaging_exam-cervical_spine, CLUSTER.imaging_exam-thoracic_spine, CLUSTER.imaging_exam-lumbal_spine, i SLOT'et \"Strukturerte funn\" i OBSERVATION.imaging_exam_result (Bildediagnostisk svar) eller i andre relevante Bildediagnostisk svar-arketyper, men kan også brukes innen andre ENTRY- og CLUSTER-arketyper der det er klinisk passende.

Detaljer om start- og sluttpunkter for målingen, kroppsstilling, støtteutstyr eller metode som brukes for å måle vinkelen, skal registreres i OBSERVATION.imaging_exam eller i andre relevante ENTRY-arketyper.
">
			keywords = <"skoliose, lordose, kyfose", ...>
			misuse = <"">
		>
		["en"] = <
			language = <[ISO_639-1::en]>
			purpose = <"To record a Cobb angle.">
			use = <"Use to record a Cobb angle.

This archetype is designed to be nested within the 'Findings' SLOT in the CLUSTER.imaging_exam_spine, CLUSTER.imaging_exam-cervical_spine, CLUSTER.imaging_exam-thoracic_spine, CLUSTER.imaging_exam-lumbal_spine, the 'Structured imaging findings' SLOT in the OBSERVATION.imaging_exam_result or within other relevant CLUSTER.imaging_exam archetypes, but can also be used within other ENTRY or CLUSTER archetypes, where clinically appropriate. 

Details about start and end points of the measurement, body postion, supporting devices or method used to measure the angle is to be recorded in OBSERVATION.imaging_exam or in other relevant ENTRY archetypes.">
			keywords = <"scoliosis, lordosis, kyphosis", ...>
			misuse = <"">
			copyright = <"© openEHR Foundation">
		>
	>
	lifecycle_state = <"in_development">
	other_contributors = <>
	other_details = <
		["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"] = <"Greiner, Allen K. \"Adolescent idiopathic scoliosis: radiologic decision-making.\" American family physician 65.9 (2002): 1817. Retrieved from: https://www.aafp.org/pubs/afp/issues/2002/0501/p1817.html

Horng MH, Kuok CP, Fu MJ, Lin CJ, Sun YN. Cobb Angle Measurement of Spine from X-Ray Images Using Convolutional Neural Network. Comput Math Methods Med. 2019 Feb 19;2019:6357171. doi: 10.1155/2019/6357171. PMID: 30996731; PMCID: PMC6399566.  
Retrieved from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6399566/#:~:text=In%20current%20clinical%20diagnosis%2C%20the,endplate%20of%20the%20lowest%20vertebra

https://radiopaedia.org/articles/cobb-angle

https://surgeryreference.aofoundation.org/spine/deformities/adolescent-idiopathic-scoliosis/further-reading/lenke-classification">
		["original_namespace"] = <"org.openehr">
		["original_publisher"] = <"openEHR Foundation">
		["custodian_namespace"] = <"org.openehr">
		["MD5-CAM-1.0.1"] = <"C46311CCC336FD4E2AD35A393EC11646">
		["build_uid"] = <"79fa72bd-f5b2-48d6-85ed-234f50404d31">
		["revision"] = <"0.0.1-alpha">
	>

definition
	CLUSTER[at0000] matches {    -- Cobb angle
		items cardinality matches {1..*; unordered} matches {
			ELEMENT[at0010] occurrences matches {0..1} matches {    -- Upper vertebra
				value matches {
					DV_TEXT matches {*}
				}
			}
			ELEMENT[at0019] occurrences matches {0..1} matches {    -- Apex vertebra
				value matches {
					DV_TEXT matches {*}
				}
			}
			ELEMENT[at0012] occurrences matches {0..1} matches {    -- Lowest vertebra
				value matches {
					DV_TEXT matches {*}
				}
			}
			ELEMENT[at0002] occurrences matches {0..1} matches {    -- Cobb angle
				value matches {
					C_DV_QUANTITY <
						property = <[openehr::497]>
						list = <
							["1"] = <
								units = <"deg">
							>
						>
					>
				}
			}
			ELEMENT[at0015] occurrences matches {0..1} matches {    -- Comment
				value matches {
					DV_TEXT matches {*}
				}
			}
		}
	}


ontology
	term_definitions = <
		["en"] = <
			items = <
				["at0000"] = <
					text = <"Cobb angle">
					description = <"A measurement to determine the degree of curvature of the spine.">
				>
				["at0002"] = <
					text = <"Cobb angle">
					description = <"Measured angle of the spinal curve.">
				>
				["at0010"] = <
					text = <"Upper vertebra">
					description = <"The most tilted vertebra on the top of a spinal curve.">
					comment = <"Coding of the 'Upper vertebra' with a terminology is preferred, where possible.">
				>
				["at0012"] = <
					text = <"Lowest vertebra">
					description = <"The most tilted vertebra on the bottom of a spinal curve.">
					comment = <"Coding of the 'Lowest vertebra' with a terminology is preferred, where possible.">
				>
				["at0015"] = <
					text = <"Comment">
					description = <"Additional narrative about the cobb angle measurement, not captured in other fields.">
				>
				["at0019"] = <
					text = <"Apex vertebra">
					description = <"The apex of the spinal curve.">
					comment = <"Coding of the 'Apex vertebra' with a terminology is preferred, where possible.">
				>
			>
		>
		["nb"] = <
			items = <
				["at0000"] = <
					text = <"Cobbvinkel">
					description = <"En måling for å bestemme graden av krumning av ryggraden.">
				>
				["at0002"] = <
					text = <"Cobbvinkel">
					description = <"Målt vinkel på spinalkurven.">
				>
				["at0010"] = <
					text = <"Øvre vertebra">
					description = <"Den mest skråstilte ryggvirvelen på toppen av en spinalkurve.">
					comment = <"Koding av 'Øvre vertebra' med en terminologi foretrekkes, der det er mulig.">
				>
				["at0012"] = <
					text = <"Laveste vertebra">
					description = <"Den mest skråstilte ryggvirvelen på bunnen av en spinalkurve.">
					comment = <"Koding av 'Laveste vertebra' med en terminologi foretrekkes, der det er mulig.">
				>
				["at0015"] = <
					text = <"Kommentar">
					description = <"Ytterligere fritekst om målingen av cobbvinkel som ikke er registrert i andre felt.">
				>
				["at0019"] = <
					text = <"Apex vertebra">
					description = <"Toppen av spinalkurven.">
					comment = <"Koding av 'Apex vertebra' med en terminologi foretrekkes, der det er mulig.">
				>
			>
		>
	>