archetype (adl_version=1.4) openEHR-EHR-OBSERVATION.intravascular_pressure-jvp.v1 specialise openEHR-EHR-OBSERVATION.intravascular_pressure.v1 concept [at0000.1] -- Jugular venous pressure language original_language = <[ISO_639-1::en]> description original_author = < ["name"] = <"Sam Heard"> ["organisation"] = <"Ocean Informatics"> ["date"] = <"2004-05-18"> > details = < ["en"] = < language = <[ISO_639-1::en]> purpose = <"Intravascular pressure measurement in jugular vein."> use = <""> keywords = <"pressure", "intravascular", "jugular"> misuse = <""> copyright = <"copyright (c) 2010 openEHR Foundation"> > > lifecycle_state = <"AuthorDraft"> other_contributors = <> other_details = < ["MD5-CAM-1.0.1"] = <"8040656E2759ADB319CE3FB12B7E5E64"> ["references"] = <""> > definition OBSERVATION[at0000.1] matches { -- Jugular venous pressure 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 {1; ordered} matches { allow_archetype CLUSTER[at0036] occurrences matches {0..1} matches { -- Location include archetype_id/value matches {/openEHR-EHR-CLUSTER\.anatomical_location(-[a-zA-Z0-9_]+)*\.v1/} exclude archetype_id/value matches {/.*/} } ELEMENT[at0.39] occurrences matches {0..1} matches { -- Side value matches { DV_CODED_TEXT matches { defining_code matches { [local:: at0.40, -- Left at0.41] -- Right } } } } ELEMENT[at0.24] occurrences matches {0..1} matches { -- Visible value matches { DV_BOOLEAN matches { value matches {True, False} } } } ELEMENT[at0005.1] occurrences matches {0..1} matches { -- Visible column value matches { C_DV_QUANTITY < property = <[openehr::125]> list = < ["1"] = < units = <"cm[H20]"> magnitude = <|<=0.0|> > > > } } ELEMENT[at0015] occurrences matches {0..1} matches { -- Relative pressure value matches { 0|[local::at0016], -- markedly reduced 2|[local::at0017], -- lowered 4|[local::at0018], -- normal/expected 6|[local::at0019], -- raised 8|[local::at0020] -- markedly increased } } ELEMENT[at0007] occurrences matches {0..1} matches { -- Phase of heart cycle value matches { DV_CODED_TEXT matches { defining_code matches { [local:: at0008, -- Systolic at0009] -- Diastolic } } } } ELEMENT[at0.23] occurrences matches {0..1} matches { -- Character value matches { DV_TEXT matches {*} } } ELEMENT[at0.30] occurrences matches {0..1} matches { -- Hepatojugular reflux value matches { DV_CODED_TEXT matches { defining_code matches { [local:: at0.31, -- Negative at0.32] -- Positive } } } } ELEMENT[at0.33] occurrences matches {0..1} matches { -- Kussmaul's sign value matches { DV_CODED_TEXT matches { defining_code matches { [local:: at0.34, -- Negative at0.35] -- Positive } } } } ELEMENT[at0.36] occurrences matches {0..1} matches { -- Identifiable waveforms value matches { DV_CODED_TEXT matches { defining_code matches { [local:: at0.37, -- Cannon a-wave at0.38] -- c-v waves } } } } ELEMENT[at0034] occurrences matches {0..1} matches { -- Multimedia value matches { DV_MULTIMEDIA matches { media_type matches {[openEHR::]} } } } allow_archetype CLUSTER[at0033] occurrences matches {0..1} matches { -- Waveform include archetype_id/value matches {/openEHR-EHR-CLUSTER\.waveform(-[a-zA-Z0-9_]+)*\.v1/} exclude archetype_id/value matches {/.*/} } ELEMENT[at0035] occurrences matches {0..1} matches { -- Comment value matches { DV_TEXT matches {*} } } } } } state matches { ITEM_TREE[at0038] matches { -- Tree items cardinality matches {0..*; unordered} matches { ELEMENT[at0039.1] occurrences matches {0..1} matches { -- Position value matches { DV_CODED_TEXT matches { defining_code matches { [local:: at0.27, -- Lying flat at0.28, -- Reclining at 45 degrees at0.29] -- Sitting } } } } ELEMENT[at0040] occurrences matches {0..1} matches { -- Confounding factors value matches { DV_TEXT matches {*} } } } } } } INTERVAL_EVENT[at0004] occurrences matches {0..*} matches { -- Average over heart cycle math_function matches { DV_CODED_TEXT matches { defining_code matches {[openehr::146]} } } data matches { use_node ITEM_TREE /data[at0001]/events[at0002]/data[at0003] -- /data[history]/events[Any event]/data[Tree] } state matches { use_node ITEM_TREE /data[at0001]/events[at0002]/state[at0038] -- /data[history]/events[Any event]/state[Tree] } } } } } protocol matches { ITEM_TREE[at0021] matches { -- Tree items cardinality matches {0..*; unordered} matches { allow_archetype CLUSTER[at0030] occurrences matches {0..1} matches { -- Device include archetype_id/value matches {/openEHR-EHR-CLUSTER\.device(-[a-zA-Z0-9_]+)*\.v1/} } } } } } ontology term_definitions = < ["en"] = < items = < ["at0.23"] = < text = <"Character"> description = <"The character of the jugular pulse."> > ["at0.24"] = < text = <"Visible"> description = <"Is JVP visible?"> > ["at0.27"] = < text = <"Lying flat"> description = <"Subject is lying flat."> > ["at0.28"] = < text = <"Reclining at 45 degrees"> description = <"Subject is reclining at 45 degrees."> > ["at0.29"] = < text = <"Sitting"> description = <"Subject is sitting."> > ["at0.30"] = < text = <"Hepatojugular reflux"> description = <"Observation that JVP changes with changes of abdominal pressure; also known as abdominal jugular reflux."> > ["at0.31"] = < text = <"Negative"> description = <"Indicated the internal jugular vein swelling as a response to increased abdominal pressure, but returning to normal immediately."> > ["at0.32"] = < text = <"Positive"> description = <"Indicated the internal jugular vein swelling as a response to increased abdominal pressure, but being sustained and followed by a slower than normal return to usual levels."> > ["at0.33"] = < text = <"Kussmaul's sign"> description = <"A positive Kussmaul's sign represents the abnormal response where a JVP rises with inspiration."> > ["at0.34"] = < text = <"Negative"> description = <"Normal response where the JVP is lowered during inspiration."> > ["at0.35"] = < text = <"Positive"> description = <"Abnormal response where the JVP rises with inspiration."> > ["at0.36"] = < text = <"Identifiable waveforms"> description = <"Presence of identifiable waveforms."> > ["at0.37"] = < text = <"Cannon a-wave"> description = <"Abnormal wave pattern resulting when the atrium contracts against a closed tricuspid valve."> > ["at0.38"] = < text = <"c-v waves"> description = <"Abnormal finding in tricuspid regurgitation."> > ["at0.39"] = < text = <"Side"> description = <"Laterality of the pressure."> > ["at0.40"] = < text = <"Left"> description = <"Left side jugular venous pressure."> > ["at0.41"] = < text = <"Right"> description = <"Right side jugular venous pressure."> > ["at0000"] = < text = <"Intravascular pressure"> description = <"The pressure in a specific location, blood vessel or heart cavity, at a specific phase of the heart or an average over the heart cycle."> > ["at0000.1"] = < text = <"Jugular venous pressure"> description = <"The pressure in the internal jugular vein during specific phase of the heart cycle or an average over the heart cycle."> > ["at0001"] = < text = <"history"> description = <"@ internal @"> > ["at0002"] = < text = <"Any event"> description = <"Generic event."> > ["at0003"] = < text = <"Tree"> description = <"@ internal @"> > ["at0004"] = < text = <"Average over heart cycle"> description = <"The average over one heart cycle."> > ["at0005"] = < text = <"Pressure"> description = <"The pressure measured."> > ["at0005.1"] = < text = <"Visible column"> description = <"The pressure measured."> > ["at0007"] = < text = <"Phase of heart cycle"> description = <"The phase of the heart cycle at the time of the measurement"> > ["at0008"] = < text = <"Systolic"> description = <"During contraction of the heart."> > ["at0009"] = < text = <"Diastolic"> description = <"During relaxation of the heart."> > ["at0015"] = < text = <"Relative pressure"> description = <"The pressure in relative terms."> > ["at0016"] = < text = <"markedly reduced"> description = <"The pressure is much lower than normal or expected."> > ["at0017"] = < text = <"lowered"> description = <"The pressure is reduced."> > ["at0018"] = < text = <"normal/expected"> description = <"The pressure is normal or as expected."> > ["at0019"] = < text = <"raised"> description = <"The pressure is raised."> > ["at0020"] = < text = <"markedly increased"> description = <"The pressure is much higher than normal or expected."> > ["at0021"] = < text = <"Tree"> description = <"@ internal @"> > ["at0022"] = < text = <"Device"> description = <"The device used to measure the pressure."> > ["at0023"] = < text = <"Pre-systolic"> description = <"Phase of the heart immediately prior to contraction of the heart."> > ["at0024"] = < text = <"Pre-diastolic"> description = <"The phase of the heart immediately prior to filling of the ventricle."> > ["at0027"] = < text = <"Whole cycle"> description = <"The pressure measueerd is over the whole heart cycle."> > ["at0030"] = < text = <"Device"> description = <"The device used to record the measurement."> > ["at0033"] = < text = <"Waveform"> description = <"A waveform representation of the pressure"> > ["at0034"] = < text = <"Multimedia"> description = <"A multimedia representation of the pressure reading, other than waveforms."> > ["at0035"] = < text = <"Comment"> description = <"A text comment on the reading."> > ["at0036"] = < text = <"Location"> description = <"The location of the pressure measurement."> > ["at0038"] = < text = <"Tree"> description = <"@ internal @"> > ["at0039"] = < text = <"Position"> description = <"Position of patient during measurment."> > ["at0039.1"] = < text = <" Position"> description = <"Position of patient during measurment."> > ["at0040"] = < text = <"Confounding factors"> description = <"Other factors that may interfere with interpretation of the measurement."> > > > >