archetype (adl_version=1.4; uid=8e9dfd57-5a27-4824-80f0-62a7670e53e4) openEHR-EHR-OBSERVATION.autopsy.v0 concept [at0000] -- Autopsy examination language original_language = <[ISO_639-1::en]> translations = < ["de"] = < language = <[ISO_639-1::de]> author = < ["name"] = <"Jasmin Buck, Sebastian Garde"> ["organisation"] = <"University of Heidelberg, Central Queensland University"> > > ["ru"] = < language = <[ISO_639-1::ru]> author = < ["name"] = <"Igor Lizunov"> ["email"] = <"i.lizunov@infinnity.ru"> > > > description original_author = < ["name"] = <"Sam Heard"> ["organisation"] = <"Ocean Informatics"> ["email"] = <"sam.heard@oceaninformatics.com"> ["date"] = <"22/03/2006"> > details = < ["de"] = < language = <[ISO_639-1::de]> purpose = <"Zur Dokumentation von Befunden der Autopsie mittels strukturiertem Text"> use = <""> misuse = <"Zur Dokumentation von Diagnosen sollte der EVALUATION.problem-diagnosis Archetyp benutzt werden"> copyright = <"© copyright (c) 2010 openEHR Foundation, openEHR Foundation"> > ["ru"] = < language = <[ISO_639-1::ru]> purpose = <"Для записи результатов вскрытия, используя структурированный текст."> use = <"*(en)"> misuse = <"Диагноз должен быть записан с использованием the EVALUATION.problem-diagnosis archetype."> copyright = <"© copyright (c) 2010 openEHR Foundation, openEHR Foundation"> > ["en"] = < language = <[ISO_639-1::en]> purpose = <"For recording findings at autopsy using structured text."> use = <""> misuse = <"Diagnoses should be recorded using the EVALUATION.problem-diagnosis archetype."> copyright = <"© copyright (c) 2010 openEHR Foundation, openEHR Foundation"> > > lifecycle_state = <"in_development"> other_contributors = <> other_details = < ["licence"] = <"This work is licensed under the Creative Commons Attribution-ShareAlike 4.0 License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/4.0/."> ["custodian_organisation"] = <"Ocean Informatics"> ["original_namespace"] = <"com.oceaninformatics"> ["original_publisher"] = <"Ocean Informatics"> ["custodian_namespace"] = <"com.oceaninformatics"> ["MD5-CAM-1.0.1"] = <"2468BD3D17E34A2CC49CCA134989D6B9"> ["build_uid"] = <"103f7a19-952a-47ad-b27a-d109ed5af705"> ["revision"] = <"0.0.1-alpha"> > definition OBSERVATION[at0000] matches { -- Autopsy examination 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..1; ordered} matches { ELEMENT[at0004] occurrences matches {0..1} matches { -- Clinical value matches { DV_TEXT matches {*} } } ELEMENT[at0005] occurrences matches {0..1} matches { -- External examination value matches { DV_TEXT matches {*} } } CLUSTER[at0006] occurrences matches {0..1} matches { -- Internal examination items cardinality matches {1..*; ordered} matches { ELEMENT[at0007] occurrences matches {0..*} matches { -- System name matches { DV_CODED_TEXT matches { defining_code matches { [local:: at0008, -- Cardiovascular system at0009, -- Respiratory system at0010, -- Gastro-intestinal system at0011, -- Reticulo-Endothelial system at0012, -- Genito-urinary system at0013, -- Endocrine System at0014, -- Central nervous system at0015] -- Musculoskeletal system } } } value matches { DV_TEXT matches {*} } } } } CLUSTER[at0016] occurrences matches {0..1} matches { -- Microscopic examination items cardinality matches {1..*; ordered} matches { ELEMENT[at0017] occurrences matches {0..*} matches { -- Organ name matches { DV_CODED_TEXT matches { defining_code matches { [local:: at0018, -- Adrenals at0019, -- Brain at0020, -- Heart at0021, -- Kidneys at0022, -- Liver at0023, -- Lungs at0024, -- Pancreas at0025, -- Pituitary at0026, -- Small bowel at0027, -- Spleen at0028, -- Thyroid at0029] -- Vertebra } } } value matches { DV_TEXT matches {*} } } } } } } } } } } } } ontology term_definitions = < ["de"] = < items = < ["at0000"] = < text = <"Autopsie Untersuchung"> description = <"Befunde einer Autopsie"> > ["at0001"] = < text = <"History"> description = <"@ internal @"> > ["at0002"] = < text = <"Any event"> description = <"*"> > ["at0003"] = < text = <"Tree"> description = <"@ internal @"> > ["at0004"] = < text = <"Klinisch"> description = <"Aussagen über klinische Befunde vor dem Tod"> > ["at0005"] = < text = <"Externe Untersuchung"> description = <"Befunde von externen Untersuchungen"> > ["at0006"] = < text = <"Interne Untersuchung"> description = <"Sammlung von Aussagen über bestimmte Systeme"> > ["at0007"] = < text = <"System"> description = <"Befunde bezüglich verschiedener Körpersysteme"> > ["at0008"] = < text = <"Kardiovaskuläres System"> description = <"Befunde des Perikards, des Herzens und der großen Gefäße"> > ["at0009"] = < text = <"Atmungssystem"> description = <"Befunde des Kehlkopf, der Luftröhre, der Bronchien, der Lungen und des Rippenfells"> > ["at0010"] = < text = <"Magen-Darm-Trakt"> description = <"Befunde der Speiseröhre, des Bauchfells, des Darms, der Leber (einschließlich der Gallenblase) und des Omentums"> > ["at0011"] = < text = <"Retikulohistiozytäres System"> description = <"Befunde der Milz, der Lymphknoten und des Knochenmarks"> > ["at0012"] = < text = <"Urogenital-Trakt"> description = <"Befunde der Niere, des Harnleiters, der Blase, der Prostata, der Hoden oder der Gebärmutter und der Eierstöcke"> > ["at0013"] = < text = <"Hormon-System"> description = <"Schilddrüse und Nebennieren"> > ["at0014"] = < text = <"Zentrales Nerven-System"> description = <"Gehirn, Kopfhaut, Hirnhaut, Rückenmark"> > ["at0015"] = < text = <"Bewegungsapparat"> description = <"Gliedmaßen, Wirbelsäule"> > ["at0016"] = < text = <"Mikroskopische Untersuchung"> description = <"Befunde der mikroskopischen Untersuchung der Organe"> > ["at0017"] = < text = <"Organ"> description = <"Befund bezüglich der Biopsie einzelner Organe"> > ["at0018"] = < text = <"Nebennieren"> description = <"Befunde bezüglich der Nebennierendrüsen"> > ["at0019"] = < text = <"Gehirn"> description = <"Befunde bezüglich des Gehirns"> > ["at0020"] = < text = <"Herz"> description = <"Befunde bezüglich des Herzens"> > ["at0021"] = < text = <"Nieren"> description = <"Befunde bezüglich der Nieren"> > ["at0022"] = < text = <"Leber"> description = <"Befunde bezüglich der Leber"> > ["at0023"] = < text = <"Lungen"> description = <"Befunde bezüglich der Lungen"> > ["at0024"] = < text = <"Bauchspeicheldrüse"> description = <"Befunde bezüglich der Bauchspeicheldrüse"> > ["at0025"] = < text = <"Hypophyse"> description = <"Befunde bezüglich der Hypophyse"> > ["at0026"] = < text = <"Dünndarm"> description = <"Befunde bezüglich des Dünndarms"> > ["at0027"] = < text = <"Milz"> description = <"Befunde bezüglich der Milz"> > ["at0028"] = < text = <"Schilddrüse"> description = <"Befunde bezüglich der Schilddrüse"> > ["at0029"] = < text = <"Wirbel"> description = <"Befunde bezüglich der Wirbelsäule"> > > > ["ru"] = < items = < ["at0000"] = < text = <"Вскрытие"> description = <"Заключение вскрытия."> > ["at0001"] = < text = <"История"> description = <"Внутренний элемент."> > ["at0002"] = < text = <"Любое событие"> description = <"**(ru)"> > ["at0003"] = < text = <"Дерево"> description = <"Внутренний элемент."> > ["at0004"] = < text = <"Clinical (en)"> description = <"*Statement about the clinical findings prior to death(en)"> > ["at0005"] = < text = <"Наружный осмотр"> description = <"Заключение наружного осмотра."> > ["at0006"] = < text = <"Секция"> description = <"Заключения по системам органов."> > ["at0007"] = < text = <"Система"> description = <"Заключение по системе органов."> > ["at0008"] = < text = <"Сердечно-сосудистая система"> description = <"Заключение по состоянию перикарда, сердца и крупных сосудов."> > ["at0009"] = < text = <"Дыхательная система"> description = <"Заключение по состоянию гортани, трахеи, бронхов, лёгких и плевры."> > ["at0010"] = < text = <"Пищеварительная система"> description = <"Заключение по состоянию пищевода, желудка, печени, поджелудочной железы, кишечника, брюшной полости."> > ["at0011"] = < text = <"Ретикуло-эндотелиальная система"> description = <"Заключение по состоянию селезёнки, лимфоузлов и костного мозга."> > ["at0012"] = < text = <"Мочеполовая система"> description = <"Заключение по состоянию почек, мочеточников, мочевого пузыря, предстательной железы и яичек, или матки и яичников."> > ["at0013"] = < text = <"Эндокринная система"> description = <"Щитовидная железа, надпочечники."> > ["at0014"] = < text = <"Центральная нервная система"> description = <"Головной и спинной мозг, покровы черепа, оболочки мозга."> > ["at0015"] = < text = <"Костно-мышечная система"> description = <"Конечности, позвоночник."> > ["at0016"] = < text = <"Микроскопия"> description = <"Заключение о микроскопической структуре органа."> > ["at0017"] = < text = <"Орган"> description = <"Заключение биопсии отдельных органов."> > ["at0018"] = < text = <"Надпочечники"> description = <"Заключение относительно надпочечников."> > ["at0019"] = < text = <"Головной мозг"> description = <"Заключение относительноголовного мозга."> > ["at0020"] = < text = <"Сердце"> description = <"Заключение относительно сердца."> > ["at0021"] = < text = <"Почки"> description = <"Заключение относительно почек."> > ["at0022"] = < text = <"Печень"> description = <"Заключение относительно печени."> > ["at0023"] = < text = <"Лёгкие"> description = <"Заключение относительно лёгких."> > ["at0024"] = < text = <"Поджелудочная железа"> description = <"Заключение относительно поджелудочной железы."> > ["at0025"] = < text = <"Гипофиз"> description = <"Заключение относительно гипофиза."> > ["at0026"] = < text = <"Тонкий кишечник"> description = <"Заключение относительно тонкого кишечника."> > ["at0027"] = < text = <"Селезёнка"> description = <"Заключение относительно селезёнки."> > ["at0028"] = < text = <"Щитовидная железа"> description = <"Заключение относительно щитовидной железы."> > ["at0029"] = < text = <"Позвоночник"> description = <"Заключение относительно позвоночника(ru)"> > > > ["en"] = < items = < ["at0000"] = < text = <"Autopsy examination"> description = <"Findings at autopsy."> > ["at0001"] = < text = <"history"> description = <"@ internal @"> > ["at0002"] = < text = <"Any event"> description = <"*"> > ["at0003"] = < text = <"Tree"> description = <"@ internal @"> > ["at0004"] = < text = <"Clinical"> description = <"Statement about the clinical findings prior to death."> > ["at0005"] = < text = <"External examination"> description = <"Findings on external examination."> > ["at0006"] = < text = <"Internal examination"> description = <"Collection of statements about particular systems."> > ["at0007"] = < text = <"System"> description = <"Findings relating to different body systems."> > ["at0008"] = < text = <"Cardiovascular system"> description = <"Findings of the pericardium, heart and large vessels."> > ["at0009"] = < text = <"Respiratory system"> description = <"Findings about larynx, trachea, bronchi, lungs and pleura."> > ["at0010"] = < text = <"Gastro-intestinal system"> description = <"Findings about oesophagus, peritoneum, bowel, liver (including gallbladder) and omentum."> > ["at0011"] = < text = <"Reticulo-Endothelial system"> description = <"Findings about the spleen, lymphnodes and bone marrow."> > ["at0012"] = < text = <"Genito-urinary system"> description = <"Findings about the kidneys, ureters, bladders, prostate, testicles or uterus, ovaries."> > ["at0013"] = < text = <"Endocrine System"> description = <"Thyroid, adrenals."> > ["at0014"] = < text = <"Central nervous system"> description = <"Brain, scalp, dura, spinal cord."> > ["at0015"] = < text = <"Musculoskeletal system"> description = <"Limbs, vertebral column."> > ["at0016"] = < text = <"Microscopic examination"> description = <"Findings on microscopy organised by organ."> > ["at0017"] = < text = <"Organ"> description = <"Findings relating to biopsies of individual organs."> > ["at0018"] = < text = <"Adrenals"> description = <"Findings related to the adrenal glands."> > ["at0019"] = < text = <"Brain"> description = <"Findings related to the brain."> > ["at0020"] = < text = <"Heart"> description = <"Findings relating to the heart."> > ["at0021"] = < text = <"Kidneys"> description = <"Findings related to the kidneys."> > ["at0022"] = < text = <"Liver"> description = <"Findings related to the liver."> > ["at0023"] = < text = <"Lungs"> description = <"Findings related to the lungs."> > ["at0024"] = < text = <"Pancreas"> description = <"Findings related to the pancreas."> > ["at0025"] = < text = <"Pituitary"> description = <"Findings related to the pituitary."> > ["at0026"] = < text = <"Small bowel"> description = <"Findings related to the small bowel."> > ["at0027"] = < text = <"Spleen"> description = <"Findings related to the spleen."> > ["at0028"] = < text = <"Thyroid"> description = <"Findings related to the thyroid."> > ["at0029"] = < text = <"Vertebra"> description = <"Findings related to the spinal column."> > > > >