archetype (adl_version=1.4; uid=90e6342c-c561-40c9-8eda-b07da65e801a)
	openEHR-EHR-OBSERVATION.mantoux_test_result.v0

concept
	[at0000]	-- Mantoux test result
language
	original_language = <[ISO_639-1::en]>
description
	original_author = <
		["name"] = <"Heather Leslie">
		["organisation"] = <"Atomica Informatics">
		["email"] = <"heather.leslie@atomicainformatics.com">
		["date"] = <"2012-11-21">
	>
	details = <
		["en"] = <
			language = <[ISO_639-1::en]>
			purpose = <"To record thetest result, including findings and interpretation, following administration of the Mantoux Tuberculin Skin Test (TST).">
			use = <"Use to record the test result, including findings and interpretation, following administration of the Mantoux Tuberculin Skin Test (TST).">
			keywords = <"TB", "Mantoux", "reaction", "tuburculin", "TST">
			misuse = <"">
			copyright = <"© openEHR Foundation">
		>
	>
	lifecycle_state = <"in_development">
	other_contributors = <"Merrilyn Curtis, AnalyzeIT, Australia", "Sistine Barretto-Daniels, 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"] = <"Nayak S, Acharjya B. Mantoux test and its interpretation. Indian Dermatol Online J. 2012 Jan;3(1):2-6. doi: 10.4103/2229-5178.93479. PMID: 23130251; PMCID: PMC3481914. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3481914/.">
		["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"] = <"8BA03A4FE79E57F943C24308E6300812">
		["build_uid"] = <"b9869743-507a-46a6-9dc4-1e0bc31e3874">
		["revision"] = <"0.0.1-alpha">
	>

definition
	OBSERVATION[at0000] matches {    -- Mantoux test result
		data matches {
			HISTORY[at0001] matches {    -- Event Series
				events cardinality matches {1..*; unordered} matches {
					POINT_EVENT[at0002] occurrences matches {0..*} matches {    -- Any point-in-time event
						data matches {
							ITEM_TREE[at0003] matches {    -- Tree
								items cardinality matches {0..*; unordered} matches {
									ELEMENT[at0011] occurrences matches {0..3} matches {    -- Diameter
										value matches {
											C_DV_QUANTITY <
												property = <[openehr::122]>
												list = <
													["1"] = <
														units = <"mm">
														magnitude = <|>=0.0|>
														precision = <|0|>
													>
												>
											>
										}
									}
									ELEMENT[at0012] occurrences matches {0..1} matches {    -- Clinical description
										value matches {
											DV_TEXT matches {*}
										}
									}
									ELEMENT[at0005] occurrences matches {0..1} matches {    -- Interpretation
										value matches {
											DV_CODED_TEXT matches {
												defining_code matches {
													[local::
													at0009,    -- Positive
													at0010]    -- Negative
												}
											}
											DV_TEXT matches {*}
										}
									}
									allow_archetype CLUSTER[at0016] occurrences matches {0..*} matches {    -- Multimedia representation
										include
											archetype_id/value matches {/openEHR-EHR-CLUSTER\.media_file(-[a-zA-Z0-9_]+)*\.v1/}
									}
									ELEMENT[at0008] occurrences matches {0..*} matches {    -- Comment
										value matches {
											DV_TEXT matches {*}
										}
									}
								}
							}
						}
					}
				}
			}
		}
		protocol matches {
			ITEM_TREE[at0014] matches {    -- Tree
				items cardinality matches {0..*; unordered} matches {
					ELEMENT[at0007] occurrences matches {0..*} matches {    -- Rationale for interpretation
						value matches {
							DV_TEXT matches {*}
						}
					}
					allow_archetype CLUSTER[at0015] occurrences matches {0..*} matches {    -- Extension
						include
							archetype_id/value matches {/.*/}
					}
				}
			}
		}
	}


ontology
	term_definitions = <
		["en"] = <
			items = <
				["at0000"] = <
					text = <"Mantoux test result">
					description = <"The test result, including findings and interpretation, following administration of the Mantoux Tuberculin Skin Test (TST).">
				>
				["at0001"] = <
					text = <"Event Series">
					description = <"@ internal @">
				>
				["at0002"] = <
					text = <"Any point-in-time event">
					description = <"Default, unspecified point-in-time event which may be more explicitly defined in a template or at run-time.">
				>
				["at0003"] = <
					text = <"Tree">
					description = <"@ internal @">
				>
				["at0005"] = <
					text = <"Interpretation">
					description = <"Clinical interpretation of the induration response.">
				>
				["at0007"] = <
					text = <"Rationale for interpretation">
					description = <"Rationale used to interpret the reaction.">
					comment = <"The criterion or classification as positive or negative takes into account two parameters: size of induration; and a mixture of patient's background risk of infection, including age, occupation and health conditions. For example: a patient with a HIV-positive status would have a different criteria for recording a positive Mantoux test than the general population.">
				>
				["at0008"] = <
					text = <"Comment">
					description = <"Additional narrative about the Mantoux test result, not captured in other fields.">
					comment = <"For example, 'suspicious of infection', 'suggestive of infection', 'consistent with past infection', '90% of patients have infection', and 'virtually all have infection'.
http://rcpamanual.edu.au/index.php?option=com_content&view=article&id=80&Itemid=80">
				>
				["at0009"] = <
					text = <"Positive">
					description = <"The reaction is positive, based on the specified patient criterion.">
				>
				["at0010"] = <
					text = <"Negative">
					description = <"The reaction is negative, based on the specified patient criterion.">
				>
				["at0011"] = <
					text = <"Diameter">
					description = <"The measured diameter of the induration reaction.">
				>
				["at0012"] = <
					text = <"Clinical description">
					description = <"Narrative description about the Mantoux reaction findings.">
					comment = <"For example: noting the formation of vesicles, bullae, lymphangitis, ulceration and necrosis at the test site.">
				>
				["at0014"] = <
					text = <"Tree">
					description = <"@ internal @">
				>
				["at0015"] = <
					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.">
				>
				["at0016"] = <
					text = <"Multimedia representation">
					description = <"Digital image, video or diagram representing the test result.">
					comment = <"Multiple formats are allowed but they should represent equivalent clinical content.">
				>
			>
		>
	>