archetype (adl_version=1.4; uid=50b84708-9887-4cdb-8561-4dcd7cd54f7b)
	openEHR-EHR-OBSERVATION.skeletal_age.v0

concept
	[at0000]	-- Skeletal age
language
	original_language = <[ISO_639-1::en]>
	translations = <
		["nb"] = <
			language = <[ISO_639-1::nb]>
			author = <
				["name"] = <"John Tore Valand, Silje Ljosland Bakke">
				["organisation"] = <"Helse Bergen HF, Norway, Helse Vest IKT AS">
				["email"] = <"silje.ljosland.bakke@helse-vest-ikt.no">
			>
		>
	>
description
	original_author = <
		["name"] = <"Silje Ljosland Bakke">
		["organisation"] = <"Nasjonal IKT HF">
		["email"] = <"silje.ljosland.bakke@nasjonalikt.no">
		["date"] = <"2017-06-13">
	>
	details = <
		["nb"] = <
			language = <[ISO_639-1::nb]>
			purpose = <"For å registrere et estimat av biologisk alder ved å vurdere graden av modning av skjelettet.">
			use = <"Brukes for å registrere et estimat av biologisk alder ved å vurdere graden av modning av skjelettet.

Skjelettalder kan fastlås gjennom flere ulike metoder. For eksempel: Røntgen av håndrot, nakkevirvler, pannebihuler eller ******">
			keywords = <"bein", "skjelett">
			misuse = <"">
		>
		["en"] = <
			language = <[ISO_639-1::en]>
			purpose = <"To record an estimate of biological age by assessing the degree of maturation of an individual's bones.">
			use = <"Use to record an estimate of biological age by assessing the degree of maturation of an individual's bones.

The skeletal age can be determined by several different methods including but not limited to: Hand-wrist radiograph, Cervical vertebrae radiograph, Frontal sinus radiograph, Midpalatine suture.">
			keywords = <"bone", "skeleton">
			misuse = <"">
			copyright = <"© openEHR Foundation">
		>
	>
	lifecycle_state = <"in_development">
	other_contributors = <"John Tore Valand, Helse Bergen HF, Norway", "Mikkel Johan Gaup Grønmo, Helse Nord RHF, Norway">
	other_details = <
		["licence"] = <"This work is licensed under the Creative Commons Attribution-ShareAlike 3.0 License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/3.0/.">
		["custodian_organisation"] = <"openEHR Foundation">
		["references"] = <"Manzoor Mughal, A., Hassan, N., & Ahmed, A. (2014). Bone Age Assessment Methods: A Critical Review. Pakistan Journal of Medical Sciences, 30(1), 211–215. http://doi.org/10.12669/pjms.301.4295.">
		["original_namespace"] = <"org.openehr">
		["original_publisher"] = <"openEHR Foundation">
		["custodian_namespace"] = <"org.openehr">
		["MD5-CAM-1.0.1"] = <"DC19A22461EA2024424C34F5886C0AA2">
		["build_uid"] = <"a822e12b-acdb-4d58-ba48-f03745d9ff83">
		["revision"] = <"0.0.1-alpha">
	>

definition
	OBSERVATION[at0000] matches {	-- Skeletal age
		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[at0005] occurrences matches {0..1} matches {	-- Skeletal age
										value matches {
											DV_DURATION matches {
												value matches {PYM/|>=P0Y|}
											}
										}
									}
									ELEMENT[at0006] occurrences matches {0..1} matches {	-- Comment
										value matches {
											DV_TEXT matches {*}
										}
									}
								}
							}
						}
						state matches {
							ITEM_TREE[at0027] matches {	-- Tree
								items cardinality matches {0..*; unordered} matches {
									ELEMENT[at0028] occurrences matches {0..1} matches {	-- Confounding factors
										value matches {
											DV_TEXT matches {*}
										}
									}
								}
							}
						}
					}
				}
			}
		}
		protocol matches {
			ITEM_TREE[at0007] matches {	-- Tree
				items cardinality matches {0..*; unordered} matches {
					ELEMENT[at0009] occurrences matches {0..1} matches {	-- Modality
						value matches {
							DV_CODED_TEXT matches {
								defining_code matches {
									[local::
									at0010, 	-- Radiograph
									at0011, 	-- MRI
									at0012, 	-- CT
									at0022]	-- Ultrasound
								}
							}
							DV_TEXT matches {*}
						}
					}
					ELEMENT[at0021] occurrences matches {0..1} matches {	-- Assesment method
						value matches {
							DV_TEXT matches {*}
						}
					}
					ELEMENT[at0014] occurrences matches {0..1} matches {	-- Body site
						value matches {
							DV_TEXT matches {*}
							DV_CODED_TEXT matches {
								defining_code matches {
									[local::
									at0017, 	-- Hand and wrist
									at0018, 	-- Cervical vertebrae
									at0019, 	-- Frontal sinus
									at0020, 	-- Midpalatal suture
									at0023, 	-- Teeth
									at0024, 	-- Clavicle
									at0025, 	-- Iliac bone
									at0026]	-- Femoral head
								}
							}
						}
					}
					allow_archetype CLUSTER[at0015] occurrences matches {0..*} matches {	-- Structured body site
						include
							archetype_id/value matches {/openEHR-EHR-CLUSTER\.anatomical_location(-[a-zA-Z0-9_]+)*\.v1/}
					}
					allow_archetype CLUSTER[at0029] occurrences matches {0..*} matches {	-- Extension
						include
							archetype_id/value matches {/.*/}
					}
				}
			}
		}
	}



ontology
	term_definitions = <
		["en"] = <
			items = <
				["at0000"] = <
					text = <"Skeletal age">
					description = <"An estimate of biological age by assessing the degree of maturation of an individual's bones.">
				>
				["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 @">
				>
				["at0005"] = <
					text = <"Skeletal age">
					description = <"An estimate of biological age by assessing the degree of maturation of an individual's bones.">
				>
				["at0006"] = <
					text = <"Comment">
					description = <"Additional narrative not covered in other fields.">
				>
				["at0007"] = <
					text = <"Tree">
					description = <"@ internal @">
				>
				["at0009"] = <
					text = <"Modality">
					description = <"The  modality used to estimate the skeletal age.">
				>
				["at0010"] = <
					text = <"Radiograph">
					description = <"*">
				>
				["at0011"] = <
					text = <"MRI">
					description = <"*">
				>
				["at0012"] = <
					text = <"CT">
					description = <"*">
				>
				["at0014"] = <
					text = <"Body site">
					description = <"Simple bodysite where the assessment was performed.">
					comment = <"Coding of the 'Body site' with a coding system is desirable, if available.">
				>
				["at0015"] = <
					text = <"Structured body site">
					description = <"The structured  bodysite where the assessment where performed.">
				>
				["at0017"] = <
					text = <"Hand and wrist">
					description = <"*">
				>
				["at0018"] = <
					text = <"Cervical vertebrae">
					description = <"*">
				>
				["at0019"] = <
					text = <"Frontal sinus">
					description = <"*">
				>
				["at0020"] = <
					text = <"Midpalatal suture">
					description = <"*">
				>
				["at0021"] = <
					text = <"Assesment method">
					description = <"The assessment method used to estimate the skeletal age.">
					comment = <"For example: Greulich & Pyle, Fishman method.">
				>
				["at0022"] = <
					text = <"Ultrasound">
					description = <"*">
				>
				["at0023"] = <
					text = <"Teeth">
					description = <"*">
				>
				["at0024"] = <
					text = <"Clavicle">
					description = <"*">
				>
				["at0025"] = <
					text = <"Iliac bone">
					description = <"*">
				>
				["at0026"] = <
					text = <"Femoral head">
					description = <"*">
				>
				["at0027"] = <
					text = <"Tree">
					description = <"@ internal @">
				>
				["at0028"] = <
					text = <"Confounding factors">
					description = <"Narrative descripiton of any issues or factors that may impact on the assessment.">
				>
				["at0029"] = <
					text = <"Extension">
					description = <"Additional information required to capture local context or to align with other reference models/formalisms.">
					comment = <"For example: Local hospital departmental infomation or additional metadata to align with FHIR or CIMI equivalents.">
				>
			>
		>
		["nb"] = <
			items = <
				["at0000"] = <
					text = <"Skjelettalder">
					description = <"Et estimat av biologisk alder ved å vurdere graden av modning av skjelettet.">
				>
				["at0001"] = <
					text = <"Event Series">
					description = <"@ internal @">
				>
				["at0002"] = <
					text = <"Uspesifisert hendelse">
					description = <"Standard, uspesifisert tidspunkt eller tidsintervall som kan defineres mer eksplisitt i en template eller i en applikasjon.">
				>
				["at0003"] = <
					text = <"Tree">
					description = <"@ internal @">
				>
				["at0005"] = <
					text = <"Skjelettalder">
					description = <"Et estimat av biologisk alder ved å vurdere graden av modning av skjelettet.">
				>
				["at0006"] = <
					text = <"Kommentar">
					description = <"Ytterligere fritekst om målingen som ikke er registrert i andre felt.">
				>
				["at0007"] = <
					text = <"Tree">
					description = <"@ internal @">
				>
				["at0009"] = <
					text = <"Modalitet">
					description = <"Modalitet benyttet for å estimere skjelettalder.">
				>
				["at0010"] = <
					text = <"Røntgen">
					description = <"*">
				>
				["at0011"] = <
					text = <"MR">
					description = <"*">
				>
				["at0012"] = <
					text = <"CT">
					description = <"*">
				>
				["at0014"] = <
					text = <"Kroppssted">
					description = <"Registrering av ett enkelt område på kroppen hvor vurderingen ble utført.">
					comment = <"Koding av \"Kroppssted\" med en terminologi er ønskelig om mulig.">
				>
				["at0015"] = <
					text = <"Strukturert kroppssted">
					description = <"Strukturert anatomisk lokalisering hvor undersøkelsen ble utført.">
				>
				["at0017"] = <
					text = <"Hånd og håndledd">
					description = <"*">
				>
				["at0018"] = <
					text = <"Nakkevirvler">
					description = <"*">
				>
				["at0019"] = <
					text = <"Pannebihuler">
					description = <"*">
				>
				["at0020"] = <
					text = <"Midt-palatin sutur">
					description = <"*">
				>
				["at0021"] = <
					text = <"Vurderingsmetode">
					description = <"Vurderingsmetoden som ble benyttet for å estimere skjelettalder.">
					comment = <"For eksempel: Greulich & Pyle, Fishman method.">
				>
				["at0022"] = <
					text = <"Ultralyd">
					description = <"*">
				>
				["at0023"] = <
					text = <"Tenner">
					description = <"*">
				>
				["at0024"] = <
					text = <"Kragebein">
					description = <"*">
				>
				["at0025"] = <
					text = <"Tarmbeinet">
					description = <"*">
				>
				["at0026"] = <
					text = <"Lårbeinshodet">
					description = <"*">
				>
				["at0027"] = <
					text = <"Tree">
					description = <"@ internal @">
				>
				["at0028"] = <
					text = <"Konfunderende faktorer">
					description = <"Fritekstbeskrivelse av problemer eller faktorer som kan ha påvirkning på målingen.">
				>
				["at0029"] = <
					text = <"Tilleggsinformasjon">
					description = <"Ytterligere informasjon som er nødvendig for å registrere lokalt innhold/kontekst, eller for å sammenstille med andre referansemodeller/formalismer.">
					comment = <"F.eks lokale informasjonskrav eller ekstra metadata for å tilpasse med FHIR eller CIMI ekvivalenter.">
				>
			>
		>
	>