archetype (adl_version=1.4; uid=5502b586-c238-46bd-b08d-8fa0b7a826eb)
	openEHR-EHR-CLUSTER.range_of_motion.v1

concept
	[at0000]	-- Range of motion of a joint
language
	original_language = <[ISO_639-1::en]>
	translations = <
		["nb"] = <
			language = <[ISO_639-1::nb]>
			author = <
				["name"] = <"John Tore Valand, Hanne Marte Bårholm">
				["organisation"] = <"Helse Vest IKT">
				["email"] = <"john.tore.valand@helse-vest-ikt.no, hanne.marte.sandal.barholm@helse-vest-ikt.no">
			>
		>
	>
description
	original_author = <
		["name"] = <"Hanne Marte Sandal Bårholm">
		["organisation"] = <"Helse Vest IKT">
		["email"] = <"hanne.marte.sandal.barholm@helse-vest-ikt.no">
		["date"] = <"2023-11-01">
	>
	details = <
		["nb"] = <
			language = <[ISO_639-1::nb]>
			purpose = <"Måling av bevegelsesutslag for en spesifisert enkel eller sammensatt bevegelse i et ledd eller segment av ryggraden.">
			use = <"Brukes for måling av bevegelsesutslag for en enkel eller sammensatt bevegelse i et ledd eller segment av ryggraden.

Denne arketypen har vært designet spesifikt for å kunne brukes i SLOT'et \"Undersøkelsesdetaljer\" i arketypen OBSERVATION.exam (Funn ved fysisk undersøkelse) eller i en spesialisering av arketypen CLUSTER.exam for et spesifikt ledd, men kan også bli brukt i andre ENTRY- eller CLUSTER-arketyper der det er klinisk passende.

Hvilket spesifikt ledd undersøkelsen omfatter registeres i dataelementet \"Undersøkt organsystem eller struktur\" i den CLUSTER.exam arketypen hvor denne arketypen er nøstet inn. For å registrere flere ulike bevegelser må man bruke flere instanser av denne arketypen.

Vanlige leddbevegelser er lagt til DV_CODED_TEXT datatypen i elementet \"Bevegelse\". Om det er behov for å registrere ytterligere bevegelser kan disse legges til listen over tid.">
			keywords = <"ROM, AAROM, PROM, AROM, ledd, bevegelse, vinkel", ...>
			misuse = <"Benyttes ikke for å registrere spesifikke, navngitte undersøkelser som utføres på et ledd. For eksempel Thomas test eller Ortolani test for hofteleddet. Bruk exam-hip_joint arketypen for dette formålet.">
		>
		["en"] = <
			language = <[ISO_639-1::en]>
			purpose = <"To record measurement of the extent of motion for a specified simple or complex movement around an indentified joint or section of the spine.">
			use = <"Use 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.">
			keywords = <"ROM, AAROM, PROM, AROM, joint, movement, angle, motion, range", ...>
			misuse = <"Not 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.">
			copyright = <"© openEHR Foundation">
		>
	>
	lifecycle_state = <"published">
	other_contributors = <"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)">
	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">
		["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">
	>

definition
	CLUSTER[at0000] occurrences matches {1..*} matches {    -- Range of motion of a joint
		items cardinality matches {1..*; unordered} matches {
			ELEMENT[at0002] matches {    -- Movement
				value matches {
					DV_CODED_TEXT matches {
						defining_code matches {
							[local::
							at0003,    -- Abduction
							at0004,    -- Adduction
							at0005,    -- Extension
							at0006,    -- Flexion
							at0007,    -- Internal rotation
							at0008,    -- External rotation
							at0009,    -- Inversion
							at0010,    -- Eversion
							at0011,    -- Medial rotation
							at0012,    -- Lateral rotation
							at0013,    -- Dorsiflexion
							at0014,    -- Plantar flexion
							at0015,    -- Ulnar deviation
							at0016,    -- Radial deviation
							at0017,    -- Pronation
							at0018,    -- Supination
							at0019,    -- Reposition
							at0020,    -- Opposition
							at0021,    -- Radial abduction
							at0022,    -- Palmar abduction
							at0030,    -- Right lateral flexion
							at0031,    -- Left lateral flexion
							at0032,    -- Right rotation
							at0033,    -- Left rotation
							at0042,    -- Retraction
							at0043,    -- Protraction
							at0044,    -- Upward rotation
							at0045,    -- Downward rotation
							at0046,    -- Elavation
							at0047,    -- Depression
							at0048,    -- Opening
							at0049,    -- Closing
							at0050,    -- Rightward jaw translation
							at0051,    -- Leftward jaw translation
							at0052,    -- Protrusion
							at0053]    -- Retrusion
						}
					}
					DV_TEXT matches {*}
				}
			}
			ELEMENT[at0023] occurrences matches {0..1} matches {    -- Starting position
				value matches {
					DV_TEXT matches {*}
				}
			}
			ELEMENT[at0024] occurrences matches {0..1} matches {    -- Mode of examination
				value matches {
					DV_CODED_TEXT matches {
						defining_code matches {
							[local::
							at0025,    -- Active
							at0034,    -- Active-assisted
							at0026]    -- Passive
						}
					}
					DV_TEXT matches {*}
				}
			}
			ELEMENT[at0027] occurrences matches {0..1} matches {    -- Range of motion
				value matches {
					C_DV_QUANTITY <
						
						list = <
							["1"] = <
								units = <"deg">
								magnitude = <|-360.0..360.0|>
							>
							["2"] = <
								units = <"mm">
							>
							["3"] = <
								units = <"cm">
							>
						>
					>
				}
			}
			ELEMENT[at0035] occurrences matches {0..1} matches {    -- Clinical interpretation
				value matches {
					DV_TEXT matches {*}
				}
			}
			allow_archetype CLUSTER[at0028] occurrences matches {0..*} matches {    -- Additional details
				include
					archetype_id/value matches {/.*/}
			}
			ELEMENT[at0029] occurrences matches {0..1} matches {    -- Comment
				value matches {
					DV_TEXT matches {*}
				}
			}
		}
	}


ontology
	term_definitions = <
		["en"] = <
			items = <
				["at0000"] = <
					text = <"Range of motion of a joint">
					description = <"Measurement of the extent of motion for a specified simple or complex movement around an indentified joint or section of the spine.">
				>
				["at0002"] = <
					text = <"Movement">
					description = <"Identification of the movement being tested.">
				>
				["at0003"] = <
					text = <"Abduction">
					description = <"">
				>
				["at0004"] = <
					text = <"Adduction">
					description = <"">
				>
				["at0005"] = <
					text = <"Extension">
					description = <"">
				>
				["at0006"] = <
					text = <"Flexion">
					description = <"">
				>
				["at0007"] = <
					text = <"Internal rotation">
					description = <"">
				>
				["at0008"] = <
					text = <"External rotation">
					description = <"">
				>
				["at0009"] = <
					text = <"Inversion">
					description = <"">
				>
				["at0010"] = <
					text = <"Eversion">
					description = <"">
				>
				["at0011"] = <
					text = <"Medial rotation">
					description = <"">
				>
				["at0012"] = <
					text = <"Lateral rotation">
					description = <"">
				>
				["at0013"] = <
					text = <"Dorsiflexion">
					description = <"">
				>
				["at0014"] = <
					text = <"Plantar flexion">
					description = <"">
				>
				["at0015"] = <
					text = <"Ulnar deviation">
					description = <"">
				>
				["at0016"] = <
					text = <"Radial deviation">
					description = <"">
				>
				["at0017"] = <
					text = <"Pronation">
					description = <"">
				>
				["at0018"] = <
					text = <"Supination">
					description = <"">
				>
				["at0019"] = <
					text = <"Reposition">
					description = <"">
				>
				["at0020"] = <
					text = <"Opposition">
					description = <"">
				>
				["at0021"] = <
					text = <"Radial abduction">
					description = <"">
				>
				["at0022"] = <
					text = <"Palmar abduction">
					description = <"">
				>
				["at0023"] = <
					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.">
				>
				["at0024"] = <
					text = <"Mode of examination">
					description = <"Whether the examination is done actively or passively.">
				>
				["at0025"] = <
					text = <"Active">
					description = <"The movement is performed by the individual. Also known as AROM.">
				>
				["at0026"] = <
					text = <"Passive">
					description = <"The movement is performed by the examiner or a device. Also known as PROM.">
				>
				["at0027"] = <
					text = <"Range of motion">
					description = <"The extent of motion for an identified movement around a joint.">
				>
				["at0028"] = <
					text = <"Additional details">
					description = <"Additional structured details about the range of motion.">
				>
				["at0029"] = <
					text = <"Comment">
					description = <"Additional narrative about the range of motion findings, not captured in other fields.">
				>
				["at0030"] = <
					text = <"Right lateral flexion">
					description = <"">
				>
				["at0031"] = <
					text = <"Left lateral flexion">
					description = <"">
				>
				["at0032"] = <
					text = <"Right rotation">
					description = <"">
				>
				["at0033"] = <
					text = <"Left rotation">
					description = <"">
				>
				["at0034"] = <
					text = <"Active-assisted">
					description = <"The movement is partially assisted by the examiner or a device. Also known as AAROM.">
				>
				["at0035"] = <
					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.">
				>
				["at0042"] = <
					text = <"Retraction">
					description = <"">
				>
				["at0043"] = <
					text = <"Protraction">
					description = <"">
				>
				["at0044"] = <
					text = <"Upward rotation">
					description = <"">
				>
				["at0045"] = <
					text = <"Downward rotation">
					description = <"">
				>
				["at0046"] = <
					text = <"Elavation">
					description = <"">
				>
				["at0047"] = <
					text = <"Depression">
					description = <"">
				>
				["at0048"] = <
					text = <"Opening">
					description = <"">
				>
				["at0049"] = <
					text = <"Closing">
					description = <"">
				>
				["at0050"] = <
					text = <"Rightward jaw translation">
					description = <"">
				>
				["at0051"] = <
					text = <"Leftward jaw translation">
					description = <"">
				>
				["at0052"] = <
					text = <"Protrusion">
					description = <"">
				>
				["at0053"] = <
					text = <"Retrusion">
					description = <"">
				>
			>
		>
		["nb"] = <
			items = <
				["at0000"] = <
					text = <"Leddutslag">
					description = <"Måling av bevegelsesutslag for en spesifisert enkel eller sammensatt bevegelse i et ledd eller segment av ryggraden.">
				>
				["at0002"] = <
					text = <"Bevegelse">
					description = <"Bevegelsen som blir undersøkt.">
				>
				["at0003"] = <
					text = <"Abduksjon">
					description = <"">
				>
				["at0004"] = <
					text = <"Adduksjon">
					description = <"">
				>
				["at0005"] = <
					text = <"Ekstensjon">
					description = <"">
				>
				["at0006"] = <
					text = <"Fleksjon">
					description = <"">
				>
				["at0007"] = <
					text = <"Innadrotasjon">
					description = <"">
				>
				["at0008"] = <
					text = <"Utadrotasjon">
					description = <"">
				>
				["at0009"] = <
					text = <"Inversjon">
					description = <"">
				>
				["at0010"] = <
					text = <"Eversjon">
					description = <"">
				>
				["at0011"] = <
					text = <"Medial rotasjon">
					description = <"">
				>
				["at0012"] = <
					text = <"Lateral rotasjon">
					description = <"">
				>
				["at0013"] = <
					text = <"Dorsalfleksjon">
					description = <"">
				>
				["at0014"] = <
					text = <"Plantarfleksjon">
					description = <"">
				>
				["at0015"] = <
					text = <"Ulnar deviasjon">
					description = <"">
				>
				["at0016"] = <
					text = <"Radial deviasjon">
					description = <"">
				>
				["at0017"] = <
					text = <"Pronasjon">
					description = <"">
				>
				["at0018"] = <
					text = <"Supinasjon">
					description = <"">
				>
				["at0019"] = <
					text = <"Reposisjon">
					description = <"">
				>
				["at0020"] = <
					text = <"Opposisjon">
					description = <"">
				>
				["at0021"] = <
					text = <"Radial abduksjon">
					description = <"">
				>
				["at0022"] = <
					text = <"Palmar abduksjon">
					description = <"">
				>
				["at0023"] = <
					text = <"Utgangsposisjon">
					description = <"Beskrivelse av leddets posisjon når man starter undersøkelsen.">
					comment = <"For eksempel: \"90 graders fleksjon i hofte og kne med pasienten i ryggleie\" når man undersøker innadrotasjon, eller \"15 graders fast fleksjonsdeformitet\" når man undersøker fleksjon i albuen.">
				>
				["at0024"] = <
					text = <"Undersøkelsesmetode">
					description = <"Om undersøkelsen er gjennomført aktivt eller passivt.">
				>
				["at0025"] = <
					text = <"Aktiv">
					description = <"Individet utfører bevegelsen selv.">
				>
				["at0026"] = <
					text = <"Passiv">
					description = <"Bevegelsen er utført av en behandler eller en maskin.">
				>
				["at0027"] = <
					text = <"Leddutslag">
					description = <"Bevegelsesutslag for en gitt bevegelse i et ledd.">
				>
				["at0028"] = <
					text = <"Ytterligere detaljer">
					description = <"Ytterligere strukturerte detaljer om leddutslaget.">
				>
				["at0029"] = <
					text = <"Kommentar">
					description = <"Ytterligere fritekst om funn ved leddutslag som ikke dekkes av andre elementer.">
				>
				["at0030"] = <
					text = <"Høyre lateral fleksjon">
					description = <"">
				>
				["at0031"] = <
					text = <"Venstre lateral fleksjon">
					description = <"">
				>
				["at0032"] = <
					text = <"Høyrerotasjon">
					description = <"">
				>
				["at0033"] = <
					text = <"Venstrerotasjon">
					description = <"">
				>
				["at0034"] = <
					text = <"Aktiv med assistanse">
					description = <"Bevegelsen er delvis assistert av en behandler eller en maskin.">
				>
				["at0035"] = <
					text = <"Fortolkning">
					description = <"Enkelt ord, setning, frase eller kort beskrivelse som representerer den kliniske betydning og viktigheten av funnene ved undersøkelse av leddutslag.">
					comment = <"For eksempel: 'Innenfor normalområdet', 'Økt leddutslag' eller 'Redusert leddutslag'. Det anbefales å kode \"Fortolkning\" med en terminologi dersom mulig.">
				>
				["at0042"] = <
					text = <"Retraksjon">
					description = <"">
				>
				["at0043"] = <
					text = <"Protraksjon">
					description = <"">
				>
				["at0044"] = <
					text = <"Rotasjon oppover">
					description = <"">
				>
				["at0045"] = <
					text = <"Rotasjon nedover">
					description = <"">
				>
				["at0046"] = <
					text = <"Elevasjon">
					description = <"">
				>
				["at0047"] = <
					text = <"Depresjon">
					description = <"">
				>
				["at0048"] = <
					text = <"Gaping">
					description = <"">
				>
				["at0049"] = <
					text = <"Lukking">
					description = <"">
				>
				["at0050"] = <
					text = <"Kjevetranslasjon mot høyre">
					description = <"">
				>
				["at0051"] = <
					text = <"Kjevetranslasjon mot venstre">
					description = <"">
				>
				["at0052"] = <
					text = <"Protrusjon">
					description = <"">
				>
				["at0053"] = <
					text = <"Retrusjon">
					description = <"">
				>
			>
		>
	>