Modellbiblioteket openEHR Fork
Name
Lenke classification system
Description
A system for classification of adolescent idiopathic scoliosis.
Keywords
scoliosis orthopedics
Purpose
To record the results for each component parameter and the classification for the Lenke classification system.
Use
Use to record the results for each component parameter and the classification for the Lenke classification system.
References
Lenke LG, Betz RR, Harms J, Bridwell KH, Clements DH, Lowe TG, Blanke K. Adolescent idiopathic scoliosis: a new classification to determine extent of spinal arthrodesis. J Bone Joint Surg Am. 2001;83:1169–1181.
AO Surgery reference, Lenke classification. 20.09.22. Available at: https://surgeryreference.aofoundation.org/spine/deformities/adolescent-idiopathic-scoliosis/further-reading/lenke-classification#determination-of-sagittal-modifiers.
Archetype Id
openEHR-EHR-OBSERVATION.lenke_classification.v1
Copyright
© openEHR Foundation
Licencing
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/.
Original Author
John Tore Valand
Helse Vest IKT AS
Date Originally Authored
To record the results for each component parameter and the classification for the Lenke classification system.
Language Details
Norwegian Bokmal
John Tore Valand
Helse Bergen
Name Card Type Description
Curve type
0..1 DV_CODED_TEXT Based on evaluation of each of the three major spinal column regions; Proximal Thoracic, Main Thoracic, and Thoracolumbar/Lumbar.
Constraint for DV_CODED_TEXT
  • 1
    [Main Thoracic.]
  • 2
    [Double Thoracic.]
  • 3
    [Double Major.]
  • 4
    [Triple Major.]
  • 5
    [Thoracolumbar/Lumbar.]
  • 6
    [Thoracolumbar/Lumbar-Main Thoracic.]
Lumbar spine modifier
0..1 DV_CODED_TEXT Based on the position of the center sacral vertical line (CSVL) to the apex of the lumbar curve.
Constraint for DV_CODED_TEXT
  • A
    [Between pedicles.]
  • B
    [Touches apical body(ies).]
  • C
    [Completly medial.]
Thoracic sagittal modifier
0..1 DV_CODED_TEXT Based on the T5–T12 sagittal Cobb measurement on the standing lateral radiograph.
Constraint for DV_CODED_TEXT
  • -
    [(Hypo), < 10°.]
  • N
    [(Normal), 10° - 40°.]
  • +
    [(Hyper), < 40°.]
Classification
0..1 DV_TEXT Concatenation of the three discrete components.
Comment
For example: 1B+.
Name Card Type Description
Extension
0..* Slot (Cluster) 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 equivalents.
Slot
Slot
archetype (adl_version=1.4; uid=36d8f5af-0467-4655-ae48-a4b6d0a2eef5)
	openEHR-EHR-OBSERVATION.lenke_classification.v1

concept
	[at0000]	-- Lenke classification system
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"] = <"2022-06-17">
	>
	details = <
		["nb"] = <
			language = <[ISO_639-1::nb]>
			purpose = <"For å registrere resultatene for hvert parameter og klassifikasjon for Lenke classification system.">
			use = <"Brukes for å registrere resultatene for hvert parameter og klassifikasjon for Lenke classification system.

Per dags dato finnes det ingen validert norsk oversettelse av verktøyet. Man har derfor i arketypen valgt å beholde orginalspråk for alle dataelementene. Om det på et tidspunkt etableres en validert norsk oversettelse, vil arketypen oppdateres med denne.">
			keywords = <"skoliose, ortopedi", ...>
			misuse = <"">
		>
		["en"] = <
			language = <[ISO_639-1::en]>
			purpose = <"To record the results for each component parameter and the classification for the Lenke classification system.">
			use = <"Use to record the results for each component parameter and the classification for the Lenke classification system.">
			keywords = <"scoliosis, orthopedics", ...>
			misuse = <"">
			copyright = <"© openEHR Foundation">
		>
	>
	lifecycle_state = <"published">
	other_contributors = <"Vebjørn Arntzen, Oslo University Hospital, Norway (openEHR Editor)", "Silje Ljosland Bakke, Helse Vest IKT AS, Norway (openEHR Editor)", "SB Bhattacharyya, Bhattacharyyas Clinical Records Research & Informatics LLP, India", "Randi Brendberg, Helse Nord RHF, Norway", "Mikkel Johan Gaup Grønmo, Regional forvaltning EPJ, Helse Nord, Norway (openEHR Editor)", "Evelyn Hovenga, EJSH Consulting, Australia", "Kanika Kuwelker, Helse Vest IKT, Norway", "Liv Laugen, ​Oslo University Hospital, Norway, Norway (openEHR Editor)", "Heather Leslie, Atomica Informatics, Australia (openEHR Editor)", "Hanne Marte Bårholm, Helse Vest IKT, Norway", "Thomas Natvik, Helse Bergen, Norway", "Mikael Nyström, Cambio Healthcare Systems AB, Sweden", "Terje Sagmyr, Helse Vest IKT, Norway", "Norwegian Review Summary, Norwegian Public Hospitals, Norway", "John Tore Valand, Helse Bergen, 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">
		["references"] = <"Lenke LG, Betz RR, Harms J, Bridwell KH, Clements DH, Lowe TG, Blanke K. Adolescent idiopathic scoliosis: a new classification to determine extent of spinal arthrodesis. J Bone Joint Surg Am. 2001;83:1169–1181.

AO Surgery reference, Lenke classification. 20.09.22. Available at: https://surgeryreference.aofoundation.org/spine/deformities/adolescent-idiopathic-scoliosis/further-reading/lenke-classification#determination-of-sagittal-modifiers.">
		["original_namespace"] = <"org.openehr">
		["original_publisher"] = <"openEHR Foundation">
		["custodian_namespace"] = <"org.openehr">
		["MD5-CAM-1.0.1"] = <"3824D24C7B8238070BE0B6512BBC81F6">
		["build_uid"] = <"9b996370-255c-46df-be99-5692e1cd3f31">
		["revision"] = <"1.0.0">
	>

definition
	OBSERVATION[at0000] matches {    -- Lenke classification system
		data matches {
			HISTORY[at0001] matches {    -- History
				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[at0004] occurrences matches {0..1} matches {    -- Curve type
										value matches {
											DV_CODED_TEXT matches {
												defining_code matches {
													[local::
													at0022,    -- 1
													at0023,    -- 2
													at0024,    -- 3
													at0025,    -- 4
													at0026,    -- 5
													at0027]    -- 6
												}
											}
										}
									}
									ELEMENT[at0011] occurrences matches {0..1} matches {    -- Lumbar spine modifier
										value matches {
											DV_CODED_TEXT matches {
												defining_code matches {
													[local::
													at0012,    -- A
													at0013,    -- B
													at0014]    -- C
												}
											}
										}
									}
									ELEMENT[at0015] occurrences matches {0..1} matches {    -- Thoracic sagittal modifier
										value matches {
											DV_CODED_TEXT matches {
												defining_code matches {
													[local::
													at0016,    -- -
													at0017,    -- N
													at0018]    -- +
												}
											}
										}
									}
									ELEMENT[at0019] occurrences matches {0..1} matches {    -- Classification
										value matches {
											DV_TEXT matches {*}
										}
									}
								}
							}
						}
					}
				}
			}
		}
		protocol matches {
			ITEM_TREE[at0021] matches {    -- Item tree
				items cardinality matches {0..*; unordered} matches {
					allow_archetype CLUSTER[at0020] occurrences matches {0..*} matches {    -- Extension
						include
							archetype_id/value matches {/.*/}
					}
				}
			}
		}
	}


ontology
	term_definitions = <
		["en"] = <
			items = <
				["at0000"] = <
					text = <"Lenke classification system">
					description = <"A system for classification of adolescent idiopathic scoliosis.">
				>
				["at0001"] = <
					text = <"History">
					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 @">
				>
				["at0004"] = <
					text = <"Curve type">
					description = <"Based on evaluation of each of the three major spinal column regions; Proximal Thoracic, Main Thoracic, and Thoracolumbar/Lumbar.">
				>
				["at0011"] = <
					text = <"Lumbar spine modifier">
					description = <"Based on the position of the center sacral vertical line (CSVL) to the apex of the lumbar curve.">
				>
				["at0012"] = <
					text = <"A">
					description = <"Between pedicles.">
				>
				["at0013"] = <
					text = <"B">
					description = <"Touches apical body(ies).">
				>
				["at0014"] = <
					text = <"C">
					description = <"Completly medial.">
				>
				["at0015"] = <
					text = <"Thoracic sagittal modifier">
					description = <"Based on the T5–T12 sagittal Cobb measurement on the standing lateral radiograph.">
				>
				["at0016"] = <
					text = <"-">
					description = <"(Hypo), < 10°.">
				>
				["at0017"] = <
					text = <"N">
					description = <"(Normal), 10° - 40°.">
				>
				["at0018"] = <
					text = <"+">
					description = <"(Hyper), < 40°.">
				>
				["at0019"] = <
					text = <"Classification">
					description = <"Concatenation of the three discrete components.">
					comment = <"For example: 1B+.">
				>
				["at0020"] = <
					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 equivalents.">
				>
				["at0021"] = <
					text = <"Item tree">
					description = <"@ internal @">
				>
				["at0022"] = <
					text = <"1">
					description = <"Main Thoracic.">
				>
				["at0023"] = <
					text = <"2">
					description = <"Double Thoracic.">
				>
				["at0024"] = <
					text = <"3">
					description = <"Double Major.">
				>
				["at0025"] = <
					text = <"4">
					description = <"Triple Major.">
				>
				["at0026"] = <
					text = <"5">
					description = <"Thoracolumbar/Lumbar.">
				>
				["at0027"] = <
					text = <"6">
					description = <"Thoracolumbar/Lumbar-Main Thoracic.">
				>
			>
		>
		["nb"] = <
			items = <
				["at0000"] = <
					text = <"Lenke classification system">
					description = <"Et system for å klassifisere idiopatisk skoliose hos ungdom.">
				>
				["at0001"] = <
					text = <"History">
					description = <"@ internal @">
				>
				["at0002"] = <
					text = <"Uspesifisert hendelse">
					description = <"Standard, uspesifisert tidspunkt eller tidsintervall som kan defineres mer eksplisitt i et templat eller i en applikasjon.">
				>
				["at0003"] = <
					text = <"Tree">
					description = <"@ internal @">
				>
				["at0004"] = <
					text = <"Curve type">
					description = <"Based on evaluation of each of the three major spinal column regions; Proximal Thoracic, Main Thoracic, and Thoracolumbar/Lumbar.">
				>
				["at0011"] = <
					text = <"Lumbar spine modifier">
					description = <"Based on the position of the center sacral vertical line (CSVL) to the apex of the lumbar curve.">
				>
				["at0012"] = <
					text = <"A">
					description = <"Between pedicles.">
				>
				["at0013"] = <
					text = <"B">
					description = <"Touches apical body(ies).">
				>
				["at0014"] = <
					text = <"C">
					description = <"Completly medial.">
				>
				["at0015"] = <
					text = <"Thoracic sagittal modifier">
					description = <"Based on the T5–T12 sagittal Cobb measurement on the standing lateral radiograph.">
				>
				["at0016"] = <
					text = <"-">
					description = <"(Hypo), < 10°.">
				>
				["at0017"] = <
					text = <"N">
					description = <"(Normal), 10° - 40°.">
				>
				["at0018"] = <
					text = <"+">
					description = <"(Hyper), < 40°.">
				>
				["at0019"] = <
					text = <"Classification">
					description = <"Concatenation of the three discrete components.">
					comment = <"For example: 1B+.">
				>
				["at0020"] = <
					text = <"Tilleggsinformasjon">
					description = <"Ytterligere informasjon som trengs for å kunne registrere lokalt definert innhold eller for å tilpasse til andre referansemodeller/formalismer.">
					comment = <"For eksempel lokale informasjonsbehov eller ytterligere metadata for å kunne tilpasse til tilsvarende konsepter i FHIR.">
				>
				["at0021"] = <
					text = <"Item tree">
					description = <"@ internal @">
				>
				["at0022"] = <
					text = <"1">
					description = <"Main Thoracic.">
				>
				["at0023"] = <
					text = <"2">
					description = <"Double Thoracic.">
				>
				["at0024"] = <
					text = <"3">
					description = <"Double Major.">
				>
				["at0025"] = <
					text = <"4">
					description = <"Triple Major.">
				>
				["at0026"] = <
					text = <"5">
					description = <"Thoracolumbar/Lumbar.">
				>
				["at0027"] = <
					text = <"6">
					description = <"Thoracolumbar/Lumbar-Main Thoracic.">
				>
			>
		>
	>