archetype (adl_version=1.4; uid=acd5ab5b-cf12-4796-9fda-5d806123b809)
	openEHR-EHR-OBSERVATION.child_growth_indicator.v0

concept
	[at0000]	-- Child growth indicator
language
	original_language = <[ISO_639-1::en]>
description
	original_author = <
		["name"] = <"Dr Ian McNicoll">
		["organisation"] = <"freshEHR Clinical Informatics">
		["email"] = <"ian@freshehr.com">
		["date"] = <"2011-04-21">
	>
	details = <
		["en"] = <
			language = <[ISO_639-1::en]>
			purpose = <"To record details about parameters plotted as percentiles on a growth chart.">
			use = <"Use to record details about parameters plotted as percentiles on a growth chart.

Use the URI to explicitly link the original measurement as recorded.

Use in a template alongside OBSERVATION.age to record the adjusted age of an infant as part of monitoring child growth patterns.">
			keywords = <"growth", "calculation", "centile", "percentile", "z-score", "SD", "height", "weight", "head cicrumference">
			misuse = <"Not to be used to record actual measurements. Use appropriate OBSERVATION archetypes for this purpose - for example OBSERVATION.height, OBSERVATION.weight, OBSERVATION.head_circumference, OBSERVATION.body_segment or OBSERVATION.blood_pressure.">
			copyright = <"© openEHR Foundation">
		>
	>
	lifecycle_state = <"in_development">
	other_contributors = <"Heather Leslie, Ocean Informatics, Australia", "Sam Heard, Ocean Informatics, Australia">
	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"] = <"National Center for Health Statistics [Internet]. Atlanta: Centers for Disease Control and Prevention. CDC Growth Charts; 2016 Dec 7 [cited 2018 Jul 23]. Available from: https://www.cdc.gov/growthcharts/cdc_charts.htm.

National Center for Health Statistics [Internet]. Atlanta: Centers for Disease Control and Prevention. WHO Growth Charts; 2016 Dec 7 [cited 2018 Jul 23]. Available from: https://www.cdc.gov/growthcharts/who_charts.htm.

WHO Multicentre Growth Reference Study Group. WHO Child Growth Standards: Length/height-for-age, weight-for-age, weight-for-length, weight-for-height and body mass index-for-age: Methods and development. Geneva: World Health Organization, 2006 (312 pages).

World Health Organiation [Internet]. Geneva: World Health Organization.The WHO Child Growth Standards; [cited 2018 Jul 23]. Available from: http://www.who.int/childgrowth/standards/en/.">
		["current_contact"] = <"Heather Leslie, Atomica Informatics<heather.leslie@atomicainformatics.com>">
		["original_namespace"] = <"org.openehr">
		["original_publisher"] = <"openEHR Foundation">
		["custodian_namespace"] = <"org.openehr">
		["MD5-CAM-1.0.1"] = <"648EA5EF137CC9CD635E5EC0F014D56C">
		["build_uid"] = <"cb05cc9a-7408-43a9-99e3-24c1447cbb6d">
		["revision"] = <"0.0.1-alpha">
	>

definition
	OBSERVATION[at0000] matches {    -- Child growth indicator
		data matches {
			HISTORY[at0001] matches {    -- Event Series
				events cardinality matches {1..*; unordered} matches {
					EVENT[at0002] occurrences matches {0..*} matches {    -- Any event
						data matches {
							ITEM_TREE[at0003] matches {    -- Tree
								items cardinality matches {0..*; unordered} matches {
									ELEMENT[at0014] occurrences matches {0..1} matches {    -- Growth indicator
										value matches {
											DV_CODED_TEXT matches {
												defining_code matches {
													[local::
													at0020,    -- Length/height-for-age
													at0023,    -- Weight-for-age
													at0025,    -- Weight-for-length/height
													at0029,    -- Body mass index-for-age (BMI-for-age)
													at0024,    -- Head circumference-for-age
													at0034,    -- Arm circumference-for-age
													at0036,    -- Subscapular skinfold-for-age
													at0037,    -- Triceps skinfold-for-age
													at0038,    -- Weight velocity
													at0039,    -- Length velocity
													at0040,    -- Head circumference velocity
													at0021,    -- Sitting height-for-age
													at0022,    -- Leg length-for-age
													at0026,    -- Systolic blood pressure-for-age-and-height
													at0027]    -- Diastolic blood pressure-for-age-and-height
												}
											}
										}
									}
									ELEMENT[at0035] occurrences matches {0..1} matches {    -- URI to original measurement
										value matches {
											DV_URI matches {*}
										}
									}
									ELEMENT[at0010] occurrences matches {0..1} matches {    -- Percentile
										value matches {
											DV_PROPORTION matches {
												numerator matches {|0.0..100.0|}
												type matches {2}
											}
										}
									}
									ELEMENT[at0011] occurrences matches {0..1} matches {    -- Z-score
										value matches {
											C_DV_QUANTITY <
												property = <[openehr::380]>
												list = <
													["1"] = <
														units = <"1">
													>
												>
											>
										}
									}
									ELEMENT[at0043] occurrences matches {0..1} matches {    -- Z-score category
										value matches {
											DV_TEXT matches {*}
										}
									}
									ELEMENT[at0041] occurrences matches {0..1} matches {    -- Clinical interpretation
										value matches {
											DV_TEXT matches {*}
										}
									}
									ELEMENT[at0019] occurrences matches {0..1} matches {    -- Comment
										value matches {
											DV_TEXT matches {*}
										}
									}
								}
							}
						}
					}
				}
			}
		}
		protocol matches {
			ITEM_TREE[at0031] matches {    -- Tree
				items cardinality matches {0..*; unordered} matches {
					ELEMENT[at0042] occurrences matches {0..1} matches {    -- Growth reference chart
						value matches {
							DV_TEXT matches {*}
						}
					}
					allow_archetype CLUSTER[at0032] occurrences matches {0..*} matches {    -- Extension
						include
							archetype_id/value matches {/.*/}
					}
				}
			}
		}
	}


ontology
	term_definitions = <
		["en"] = <
			items = <
				["at0000"] = <
					text = <"Child growth indicator">
					description = <"Details about parameters plotted on a growth chart to allow monitoring of a child's growth over time, relative to a reference population.">
				>
				["at0001"] = <
					text = <"Event Series">
					description = <"@ internal @">
				>
				["at0002"] = <
					text = <"Any event">
					description = <"Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time.">
				>
				["at0003"] = <
					text = <"Tree">
					description = <"@ internal @">
				>
				["at0010"] = <
					text = <"Percentile">
					description = <"Percentile calculated using standard normal distribution for the age (or adjusted age).">
				>
				["at0011"] = <
					text = <"Z-score">
					description = <"The deviation of an individual's value from the median value for a reference population, divided by the standard deviation of the reference population.">
					comment = <"Also known as the Standard deviation score (SD).">
				>
				["at0014"] = <
					text = <"Growth indicator">
					description = <"The name of the growth parameter.">
				>
				["at0019"] = <
					text = <"Comment">
					description = <"A comment about the growth indicator, not captured in other fields.">
				>
				["at0020"] = <
					text = <"Length/height-for-age">
					description = <"Length or height plotted against age, or adjusted age.">
				>
				["at0021"] = <
					text = <"Sitting height-for-age">
					description = <"Sitting height plotted against age, or adjusted age.">
				>
				["at0022"] = <
					text = <"Leg length-for-age">
					description = <"Subischial leg length plotted against age, or adjusted age.">
				>
				["at0023"] = <
					text = <"Weight-for-age">
					description = <"Weight plotted against age, or adjusted age.">
				>
				["at0024"] = <
					text = <"Head circumference-for-age">
					description = <"Head circumference plotted against age, or adjusted age.">
				>
				["at0025"] = <
					text = <"Weight-for-length/height">
					description = <"Weight plotted against height/length.">
				>
				["at0026"] = <
					text = <"Systolic blood pressure-for-age-and-height">
					description = <"Systolic blood pressure plotted against age (or adjusted age) and height/length.">
				>
				["at0027"] = <
					text = <"Diastolic blood pressure-for-age-and-height">
					description = <"Diastolic blood pressure plotted against age (or adjusted age) and height/length.">
				>
				["at0029"] = <
					text = <"Body mass index-for-age (BMI-for-age)">
					description = <"Body mass index plotted against age, or adjusted age.">
				>
				["at0031"] = <
					text = <"Tree">
					description = <"@ internal @">
				>
				["at0032"] = <
					text = <"Extension">
					description = <"Additional information required to capture local content or to align with other reference models/formalisms.">
					comment = <"For example: local information requirements or additional metadata to align with FHIR or CIMI equivalents.">
				>
				["at0034"] = <
					text = <"Arm circumference-for-age">
					description = <"Arm circumference plotted against age, or adjusted age.">
				>
				["at0035"] = <
					text = <"URI to original measurement">
					description = <"Link to the original measurement.">
				>
				["at0036"] = <
					text = <"Subscapular skinfold-for-age">
					description = <"Subscapular skinfold plotted against age, or adjusted age.">
				>
				["at0037"] = <
					text = <"Triceps skinfold-for-age">
					description = <"Triceps skinfold plotted against age, or adjusted age.">
				>
				["at0038"] = <
					text = <"Weight velocity">
					description = <"Weight velocity plotted against age, or adjusted age.">
				>
				["at0039"] = <
					text = <"Length velocity">
					description = <"Length velociy plotted against age, or adjusted age.">
				>
				["at0040"] = <
					text = <"Head circumference velocity">
					description = <"Head circumference velocity plotted against age, or adjusted age.">
				>
				["at0041"] = <
					text = <"Clinical interpretation">
					description = <"Clinical interpretation of the growth indicator chart.">
				>
				["at0042"] = <
					text = <"Growth reference chart">
					description = <"Specifies the standard or syndrome-specific reference charts used to calculate the growth indicator data.">
					comment = <"For example, for a typical height assessment, 'WHO' might be used, whereas for children diagnosed with Turner Syndrome, the 'Turner' standard would be applicable (see the Royal College of Paediatrics and Child Health API (https://growth.rcpch.ac.uk/).">
				>
				["at0043"] = <
					text = <"Z-score category">
					description = <"The category or grouping of the Z score.">
					comment = <"For example:  a choice between <-3, <-2, or Normal.">
				>
			>
		>
	>