ARCHETYPE Skeletal age (RCPCH) (openEHR-EHR-OBSERVATION.skeletal_age_rcpch.v0)

ARCHETYPE IDopenEHR-EHR-OBSERVATION.skeletal_age_rcpch.v0
ConceptSkeletal age (RCPCH)
DescriptionAn estimate of biological age by assessing the degree of maturation of an individual's bones. Specialised for use with the RCPCH in the UK to include additional elements.
UseUse 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.
PurposeTo record an estimate of biological age by assessing the degree of maturation of an individual's bones.
ReferencesDerived from: https://ckm.openehr.org/ckm/archetypes/1013.1.2861

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.
Copyright© openEHR Foundation, Apperta Foundation
AuthorsAuthor name: Silje Ljosland Bakke
Organisation: Nasjonal IKT HF
Email: silje.ljosland.bakke@nasjonalikt.no
Date originally authored: 2017-06-13
Other Details LanguageAuthor name: Silje Ljosland Bakke
Organisation: Nasjonal IKT HF
Email: silje.ljosland.bakke@nasjonalikt.no
Date originally authored: 2017-06-13
OtherDetails Language Independent{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=Apperta UK, references=Derived from: https://ckm.openehr.org/ckm/archetypes/1013.1.2861 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=uk.org.clinicalmodels, original_publisher=Apperta UK, custodian_namespace=uk.org.clinicalmodels, MD5-CAM-1.0.1=1D4AEFBFD470D8DDEDCCF1CC9ED44958, build_uid=4220f8a1-2932-4b40-a159-c506938342d7, revision=0.0.1-alpha}
Keywordsbone, skeleton
Lifecyclein_development
UIDff9d978a-9516-4fb3-bcfd-177da969b98b
Language useden
Citeable Identifier1051.32.1209
Revision Number0.0.1-alpha
AllArchetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=null, archetypeConceptDescription=An estimate of biological age by assessing the degree of maturation of an individual's bones. Specialised for use with the RCPCH in the UK to include additional elements., archetypeConceptComment=null, otherContributors=John Tore Valand, Helse Bergen HF, Norway
Mikkel Johan Gaup Grønmo, Helse Nord RHF, Norway, originalLanguage=en, translators=
  • Norwegian Bokmål: John Tore Valand, Silje Ljosland Bakke, Helse Bergen HF, Norway, Helse Vest IKT AS, silje.ljosland.bakke@helse-vest-ikt.no

  • , subjectOfData=unconstrained, archetypeTranslationTree=null, topLevelToAshis={state=[ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/state[at0027]/items[at0028], code=at0028, itemType=ELEMENT, level=4, text=Confounding factors, description=Narrative descripiton of any issues or factors that may impact on the assessment., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null]], content=[], capabilities=[], relationships=[], activities=[], events=[ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002], code=at0002, itemType=EVENT, level=2, text=Any event, description=Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVENT, bindings=null, values=null, extendedValues=null]], contacts=[], description=[], target=[], context=[], identities=[], protocol=[ResourceSimplifiedHierarchyItem [path=/protocol[at0007]/items[at0009], code=at0009, itemType=ELEMENT, level=2, text=Modality, description=The modality used to estimate the skeletal age., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:
    •  Coded Text
      • Radiograph [*]
      • MRI [*]
      • CT [*]
      • Ultrasound [*]
    •  Text
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0007]/items[at0021], code=at0021, itemType=ELEMENT, level=2, text=Assesment method, description=The assessment method used to estimate the skeletal age., comment=For example: Greulich & Pyle, Fishman method., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0007]/items[at0014], code=at0014, itemType=ELEMENT, level=2, 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., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:
    •  Text
    •  Coded Text
      • Hand and wrist [*]
      • Cervical vertebrae [*]
      • Frontal sinus [*]
      • Midpalatal suture [*]
      • Teeth [*]
      • Clavicle [*]
      • Iliac bone [*]
      • Femoral head [*]
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0007]/items[at0015], code=at0015, itemType=SLOT, level=2, text=Structured body site, description=The structured bodysite where the assessment where performed., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
    openEHR-EHR-CLUSTER.anatomical_location.v1 and specialisations, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0007]/items[at0029], code=at0029, itemType=SLOT, level=2, 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., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
    All not explicitly excluded archetypes, extendedValues=null]], other_participations=[], items=[], details=[], provider=[], source=[], ism_transition=[], data=[ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0005], code=at0005, itemType=ELEMENT, level=4, text=Skeletal age, description=An estimate of biological age by assessing the degree of maturation of an individual's bones., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:
    •  Duration
      >=0 seconds
    •  Quantity
      Property: Time
      Units: 0.0..<200.0 a
    •  Interval of Duration
      Lower: 0 seconds..<200 years

      Upper: 0 seconds..<200 years
    •  Text
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0006], code=at0006, itemType=ELEMENT, level=4, text=Comment, description=Additional narrative not covered in other fields., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0032], code=at0032, itemType=ELEMENT, level=4, text=Centile, description=Bone age centile., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_PROPORTION, bindings=null, values=
    • Percent
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0034], code=at0034, itemType=ELEMENT, level=4, text=Standard deviation score (SDS), description=Standard deviation score (SDS) of bone age measurment., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=null, values=Property: Proportion
    Units:
    Limit decimal places: 1, extendedValues=null]], credentials=[]}, topLevelItems={state=ResourceSimplifiedHierarchyItem [path=ROOT_/data[at0001]/events[at0002]/state[at0027], code=at0027, itemType=ITEM_TREE, level=2, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=0..1, cardinalityText=optional, subCardinalityFormal=0..*, subCardinalityText=Minimum of 0 items, dataType=ITEM_TREE, bindings=null, values=null, extendedValues=null], protocol=ResourceSimplifiedHierarchyItem [path=ROOT_/protocol[at0007], code=at0007, itemType=ITEM_TREE, level=0, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=0..1, cardinalityText=optional, subCardinalityFormal=0..*, subCardinalityText=Minimum of 0 items, dataType=ITEM_TREE, bindings=null, values=null, extendedValues=null], data=ResourceSimplifiedHierarchyItem [path=ROOT_/data[at0001]/events[at0002]/data[at0003], code=at0003, itemType=ITEM_TREE, level=2, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=0..1, cardinalityText=optional, subCardinalityFormal=0..*, subCardinalityText=Minimum of 0 items, dataType=ITEM_TREE, bindings=null, values=null, extendedValues=null]}, addHierarchyItemsTo=protocol, currentHierarchyItemsForAdding=[ResourceSimplifiedHierarchyItem [path=/protocol[at0007]/items[at0009], code=at0009, itemType=ELEMENT, level=2, text=Modality, description=The modality used to estimate the skeletal age., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:
    •  Coded Text
      • Radiograph [*]
      • MRI [*]
      • CT [*]
      • Ultrasound [*]
    •  Text
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0007]/items[at0021], code=at0021, itemType=ELEMENT, level=2, text=Assesment method, description=The assessment method used to estimate the skeletal age., comment=For example: Greulich & Pyle, Fishman method., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0007]/items[at0014], code=at0014, itemType=ELEMENT, level=2, 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., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:
    •  Text
    •  Coded Text
      • Hand and wrist [*]
      • Cervical vertebrae [*]
      • Frontal sinus [*]
      • Midpalatal suture [*]
      • Teeth [*]
      • Clavicle [*]
      • Iliac bone [*]
      • Femoral head [*]
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0007]/items[at0015], code=at0015, itemType=SLOT, level=2, text=Structured body site, description=The structured bodysite where the assessment where performed., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
    openEHR-EHR-CLUSTER.anatomical_location.v1 and specialisations, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0007]/items[at0029], code=at0029, itemType=SLOT, level=2, 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., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
    All not explicitly excluded archetypes, extendedValues=null]], minIndents={}, termBindingRetrievalErrorMessage=null]