gallbladder

Identified gallbladder

Captures whether a gallbladder is demonstrated and how its identity was established.

1. Which observations identify this structure as the gallbladder, and where is it relative to the liver? definition
2. If it is not visualised, what evidence distinguishes examination limitations, contraction, removal and congenital absence? provenance

Cystic duct boundary

Records the observed neck-to-duct transition and any uncertainty or alteration.

1. Where does the gallbladder neck transition into the cystic duct in this individual? boundary
2. Which imaging or operative evidence establishes that connection and any anatomical variant? provenance

Measured organ form

Captures organ dimensions and wall appearance under stated examination conditions.

1. What are the gallbladder dimensions and measured wall thickness, including the sites and methods used? measurement
2. What fasting, meal, distension and technical conditions accompanied these measurements? provenance

Material and attachment

Records the features used to distinguish calculi, sludge and focal lesions.

1. What material or focal lesion is observed, with what size, number, location and mobility? measurement
2. What evidence of attachment, acoustic shadowing or vascularity supports the proposed classification, and what remains indeterminate? provenance

Observed filling state

Distinguishes anatomical distension from demonstrated filling during a functional examination.

1. Is the gallbladder contracted or distended, and is there serial or tracer evidence of filling? measurement
2. What preparation, timing and technical limitations affect interpretation of apparent filling or nonfilling? provenance

Protocol-bound emptying result

Preserves the functional result together with the conditions required to interpret it.

1. What emptying response or ejection fraction was measured, over what interval and using which stimulus? measurement
2. Which protocol-specific reference and documented confounders were used when interpreting the result? provenance

Qualified local disease assessment

Records evidence supporting or opposing inflammation or impaired outflow at the gallbladder interface.

1. Which local observations support or oppose inflammation or impaired gallbladder outflow? provenance
2. Which conclusions concern the gallbladder itself, and which require linked duct, liver or whole-person assessments? boundary

Integrity and pathology evidence

Separates imaging suspicion from operative or pathological confirmation.

1. Is wall disruption or a focal lesion suspected or demonstrated, and by which examination or specimen? provenance
2. What qualified clinical review or follow-up has been requested for this unresolved finding? action

Gallbladder action record

Distinguishes proposed, authorised and completed organ-directed actions.

1. What gallbladder-directed action is proposed, authorised or completed, and what clinical decision supports it? action
2. What organ-specific anatomy or uncertainty must be resolved before the responsible clinician proceeds? boundary

Postintervention organ state

Records what remains and how subsequent observations relate to the preintervention gallbladder.

1. Does the intervention record establish an intact gallbladder, a residual gallbladder remnant or complete removal? provenance
2. How are any removed specimen, residual gallbladder tissue and cystic duct stump distinguished and linked to the original organ? boundary

Kinds and varieties

Reported by the breadth pass; each item needs checking against its source before it becomes normative.

1. Which of these kinds and varieties hold for the sense of gallbladder this model covers, and on what evidence? provenance

Identifiers and schemes

Reported by the breadth pass; each item needs checking against its source before it becomes normative.

1. Which of these identifiers and schemes hold for the sense of gallbladder this model covers, and on what evidence? provenance

Standards and regulation

Reported by the breadth pass; each item needs checking against its source before it becomes normative.

1. Which of these standards and regulation hold for the sense of gallbladder this model covers, and on what evidence? provenance

Real-world use

Reported by the breadth pass; each item needs checking against its source before it becomes normative.

1. Which of these real-world use hold for the sense of gallbladder this model covers, and on what evidence? provenance

Typical measurements

Reported by the breadth pass; each item needs checking against its source before it becomes normative.

1. Which of these typical measurements hold for the sense of gallbladder this model covers, and on what evidence? provenance

Failure modes and hazards

Reported by the breadth pass; each item needs checking against its source before it becomes normative.

1. Which of these failure modes and hazards hold for the sense of gallbladder this model covers, and on what evidence? provenance

Regional variation

Reported by the breadth pass; each item needs checking against its source before it becomes normative.

1. Which of these regional variation hold for the sense of gallbladder this model covers, and on what evidence? provenance

Neighbouring kinds and how to tell them apart

Reported by the breadth pass; each item needs checking against its source before it becomes normative.

1. Which of these neighbouring kinds and how to tell them apart hold for the sense of gallbladder this model covers, and on what evidence? provenance