archetype (adl_version=1.4)
	openEHR-EHR-CLUSTER.exam-uterine_cervix.v1
specialise
	openEHR-EHR-CLUSTER.exam.v1

concept
	[at0000.1]	-- Examination of the cervix
language
	original_language = <[ISO_639-1::en]>
	translations = <
		["es-cl"] = <
			language = <[ISO_639-1::es-cl]>
			author = <
				["name"] = <"?">
			>
		>
	>
description
	original_author = <
		["name"] = <"Heather Leslie">
		["organisation"] = <"Ocean Informatics, Australia">
		["email"] = <"heather.leslie@oceaninformatics.com">
		["date"] = <"02/ 04/2007">
	>
	details = <
		["en"] = <
			language = <[ISO_639-1::en]>
			purpose = <"A cluster for recording findings regarding the uterine cervix on physical examination.">
			use = <"">
			keywords = <"examination", "physical", "cervix", "uterine">
			misuse = <"">
			copyright = <"© openEHR Foundation">
		>
		["es-cl"] = <
			language = <[ISO_639-1::es-cl]>
			purpose = <"A cluster for recording findings regarding the uterine cervix on physical examination.">
			use = <"">
			keywords = <"examination", "physical", "cervix", "uterine">
			misuse = <"">
			copyright = <"© openEHR Foundation">
		>
	>
	lifecycle_state = <"AuthorDraft">
	other_contributors = <>
	other_details = <
		["MD5-CAM-1.0.1"] = <"66CB4160984D2B0A3C3B4D04919B4A03">
		["references"] = <"">
	>

definition
	CLUSTER[at0000.1] matches {	-- Examination of the cervix
		items cardinality matches {1..*; unordered} matches {
			CLUSTER[at0004] occurrences matches {0..1} matches {	-- Normal statements
				items cardinality matches {1..*; unordered} matches {
					ELEMENT[at0005] occurrences matches {0..*} matches {	-- Normal statement
						value matches {
							DV_TEXT matches {*}
						}
					}
				}
			}
			ELEMENT[at0002] occurrences matches {0..1} matches {	-- Clinical description
				value matches {
					DV_TEXT matches {*}
				}
			}
			CLUSTER[at0008.1] occurrences matches {0..1} matches {	-- Findings
				items cardinality matches {1..*; unordered} matches {
					ELEMENT[at0.8] occurrences matches {0..1} matches {	-- Position
						value matches {
							DV_CODED_TEXT matches {
								defining_code matches {
									[local::
									at0.9, 	-- Central
									at0.10, 	-- To the right
									at0.11, 	-- To the left
									at0.12, 	-- Anterior
									at0.13]	-- Posterior
								}
							}
						}
					}
					ELEMENT[at0.36] occurrences matches {0..1} matches {	-- Consistency
						value matches {
							DV_CODED_TEXT matches {
								defining_code matches {
									[local::
									at0.37, 	-- Soft
									at0.38]	-- Firm
								}
							}
						}
					}
					allow_archetype CLUSTER[at0009] occurrences matches {0..*} matches {	-- Detail
						include
							archetype_id/value matches {/openEHR-EHR-CLUSTER\.exam-generic(-[a-zA-Z0-9_]+)*\.v1|openEHR-EHR-CLUSTER\.auscultation(-[a-zA-Z0-9_]+)*\.v1|openEHR-EHR-CLUSTER\.inspection(-[a-zA-Z0-9_]+)*\.v1|openEHR-EHR-CLUSTER\.palpation(-[a-zA-Z0-9_]+)*\.v1|openEHR-EHR-CLUSTER\.percussion(-[a-zA-Z0-9_]+)*\.v1|openEHR-EHR-CLUSTER\.physical_properties(-[a-zA-Z0-9_]+)*\.v1/}
					}
					allow_archetype CLUSTER[at0.49] occurrences matches {0..1} matches {	-- Size
						include
							archetype_id/value matches {/openEHR-EHR-CLUSTER\.physical_properties(-[a-zA-Z0-9_]+)*\.v1/}
					}
					CLUSTER[at0.48] occurrences matches {0..1} matches {	-- Labour-specific findings
						items cardinality matches {1..*; unordered} matches {
							ELEMENT[at0.14] occurrences matches {0..1} matches {	-- Effacement
								value matches {
									0|[local::at0.15], 	-- Uneffaced
									5|[local::at0.26], 	-- Ripe
									10|[local::at0.16], 	-- 10% effaced
									20|[local::at0.17], 	-- 20% effaced
									30|[local::at0.18], 	-- 30% effaced
									40|[local::at0.19], 	-- 40% effaced
									50|[local::at0.20], 	-- Partially (50%) effaced
									60|[local::at0.21], 	-- 60% effaced
									70|[local::at0.22], 	-- 70% effaced
									80|[local::at0.23], 	-- 80% effaced
									90|[local::at0.24], 	-- 90% effaced
									100|[local::at0.25]  	-- Fully effaced
								}
							}
							ELEMENT[at0.40] occurrences matches {0..1} matches {	-- Thickness
								value matches {
									DV_CODED_TEXT matches {
										defining_code matches {
											[local::
											at0.41, 	-- Thick
											at0.42, 	-- Thin
											at0.43, 	-- Paper-thin
											at0.44]	-- Oedematous
										}
									}
								}
							}
							ELEMENT[at0.45] occurrences matches {0..1} matches {	-- Application to presenting part
								value matches {
									DV_CODED_TEXT matches {
										defining_code matches {
											[local::
											at0.46, 	-- Loosely applied
											at0.47]	-- Tightly applied
										}
									}
								}
							}
							CLUSTER[at0.27] occurrences matches {0..2} matches {	-- Cervical os
								items cardinality matches {1..*; unordered} matches {
									ELEMENT[at0.32] occurrences matches {0..1} matches {	-- Site
										value matches {
											DV_CODED_TEXT matches {
												defining_code matches {
													[local::
													at0.33, 	-- External os
													at0.34]	-- Internal os
												}
											}
										}
									}
									CLUSTER[at0.31] occurrences matches {0..1} matches {	-- Dilation
										items cardinality matches {1..*; unordered} matches {
											ELEMENT[at0.28] occurrences matches {0..1} matches {	-- Estimate
												value matches {
													C_DV_QUANTITY <
														property = <[openehr::122]>
														list = <
															["1"] = <
																units = <"cm">
																magnitude = <|0.0..10.0|>
																precision = <|1|>
															>
														>
													>
												}
											}
											ELEMENT[at0.35] occurrences matches {0..1} matches {	-- Number of finger tips admitted
												value matches {
													DV_COUNT matches {
														magnitude matches {*}
													}
												}
											}
										}
									}
									ELEMENT[at0.29] occurrences matches {0..1} matches {	-- Description
										value matches {
											DV_TEXT matches {*}
										}
									}
								}
							}
						}
					}
					allow_archetype CLUSTER[at0.51] occurrences matches {0..1} matches {	-- Vaginal fluid
						include
							archetype_id/value matches {/openEHR-EHR-CLUSTER\.bodily_substance(-[a-zA-Z0-9_]+)*\.v1/}
					}
				}
			}
			ELEMENT[at0006] occurrences matches {0..*} matches {	-- Image
				value matches {
					DV_MULTIMEDIA matches {
						media_type matches {
							[openEHR::
							426, 
							427, 
							429]
						}
					}
				}
			}
		}
	}


ontology
	term_definitions = <
		["en"] = <
			items = <
				["at0.10"] = <
					text = <"To the right">
					description = <"The cervix is deviated to the right.">
				>
				["at0.11"] = <
					text = <"To the left">
					description = <"The cervix is deviated to the left.">
				>
				["at0.12"] = <
					text = <"Anterior">
					description = <"The cervix is anterior near the pubis.">
				>
				["at0.13"] = <
					text = <"Posterior">
					description = <"The cervix is at the back near the sacrum.">
				>
				["at0.14"] = <
					text = <"Effacement">
					description = <"The effacement of the uterine cervix in late pregnancy or labour.">
				>
				["at0.15"] = <
					text = <"Uneffaced">
					description = <"The cervix has not changed its form.">
				>
				["at0.16"] = <
					text = <"10% effaced">
					description = <"The cervix is effaced to about 10%.">
				>
				["at0.17"] = <
					text = <"20% effaced">
					description = <"The cervix is effaced to about 20%.">
				>
				["at0.18"] = <
					text = <"30% effaced">
					description = <"The cervix is effaced to about 30%.">
				>
				["at0.19"] = <
					text = <"40% effaced">
					description = <"The cervix is effaced to about 40%.">
				>
				["at0.20"] = <
					text = <"Partially (50%) effaced">
					description = <"The cervix is partially effaced to about 50%.">
				>
				["at0.21"] = <
					text = <"60% effaced">
					description = <"The cervix is effaced to about 60%.">
				>
				["at0.22"] = <
					text = <"70% effaced">
					description = <"The cervix is effaced to about 70%.">
				>
				["at0.23"] = <
					text = <"80% effaced">
					description = <"The cervix is effaced to about 80%.">
				>
				["at0.24"] = <
					text = <"90% effaced">
					description = <"The cervix is effaced to about 90%.">
				>
				["at0.25"] = <
					text = <"Fully effaced">
					description = <"The cervix is fully effaced to 100%.">
				>
				["at0.26"] = <
					text = <"Ripe">
					description = <"The cervix is ripe and beginning to efface.">
				>
				["at0.27"] = <
					text = <"Cervical os">
					description = <"The outlet of the uterus.">
				>
				["at0.28"] = <
					text = <"Estimate">
					description = <"The dilation of the os.">
				>
				["at0.29"] = <
					text = <"Description">
					description = <"Findings about the cervical os.">
				>
				["at0.31"] = <
					text = <"Dilation">
					description = <"Dilation of cervix.">
				>
				["at0.32"] = <
					text = <"Site">
					description = <"Identify part of cervix which is being examined.">
				>
				["at0.33"] = <
					text = <"External os">
					description = <"External opening of the cervix to the vagina.">
				>
				["at0.34"] = <
					text = <"Internal os">
					description = <"Internal opening of the cervix to the uterus.">
				>
				["at0.35"] = <
					text = <"Number of finger tips admitted">
					description = <"Number of finger tips that are able to be admitted into the internal or external os.">
				>
				["at0.36"] = <
					text = <"Consistency">
					description = <"Consistency of cervix.">
				>
				["at0.37"] = <
					text = <"Soft">
					description = <"Soft.">
				>
				["at0.38"] = <
					text = <"Firm">
					description = <"Firm.">
				>
				["at0.40"] = <
					text = <"Thickness">
					description = <"Cervical thickness.">
				>
				["at0.41"] = <
					text = <"Thick">
					description = <"Thick.">
				>
				["at0.42"] = <
					text = <"Thin">
					description = <"Thin.">
				>
				["at0.43"] = <
					text = <"Paper-thin">
					description = <"Very thin.">
				>
				["at0.44"] = <
					text = <"Oedematous">
					description = <"Thickened and swollen.">
				>
				["at0.45"] = <
					text = <"Application to presenting part">
					description = <"Application of cervix to fetal presenting part.">
				>
				["at0.46"] = <
					text = <"Loosely applied">
					description = <"Not moulded to presenting part.">
				>
				["at0.47"] = <
					text = <"Tightly applied">
					description = <"Moulded to presenting part.">
				>
				["at0.48"] = <
					text = <"Labour-specific findings">
					description = <"Findings related to labour.">
				>
				["at0.49"] = <
					text = <"Size">
					description = <"Details of cervical size.">
				>
				["at0.51"] = <
					text = <"Vaginal fluid">
					description = <"Details of vaginal fluid.">
				>
				["at0.8"] = <
					text = <"Position">
					description = <"The position in relation to the normal anatomical position.">
				>
				["at0.9"] = <
					text = <"Central">
					description = <"The cervix is central and in the normal position.">
				>
				["at0000"] = <
					text = <"Examination">
					description = <"Generic examination cluster for describing a finding on physical examination.">
				>
				["at0000.1"] = <
					text = <"Examination of the cervix">
					description = <"Examination findings on physical examination of the uterine cervix.">
				>
				["at0001"] = <
					text = <"Object">
					description = <"The object of the examination.">
				>
				["at0002"] = <
					text = <"Clinical description">
					description = <"Textural description of the part examined.">
				>
				["at0004"] = <
					text = <"Normal statements">
					description = <"A group of statements about the normality of the examination.">
				>
				["at0005"] = <
					text = <"Normal statement">
					description = <"A specific statement of normality.">
				>
				["at0006"] = <
					text = <"Image">
					description = <"Drawing or image of the area examined.">
				>
				["at0008"] = <
					text = <"Findings">
					description = <"Clinical findings.">
				>
				["at0008.1"] = <
					text = <"Findings">
					description = <"Clinical findings.">
				>
				["at0009"] = <
					text = <"Detail">
					description = <"More focused examination findings.">
				>
			>
		>
		["es-cl"] = <
			items = <
				["at0.10"] = <
					text = <"A la derecha">
					description = <"El cuello está desviado a la derecha">
				>
				["at0.11"] = <
					text = <"A la izquierda">
					description = <"El cuello está desviado a la izquierda">
				>
				["at0.12"] = <
					text = <"Anterior">
					description = <"El cuello está anterior, cerca del pubis">
				>
				["at0.13"] = <
					text = <"Posterior">
					description = <"El cuello está posterior, cerca del sacro">
				>
				["at0.14"] = <
					text = <"Borramiento">
					description = <"El borramiento del cuello uterino en embarazo o trabajo de parto avanzados">
				>
				["at0.15"] = <
					text = <"Largo">
					description = <"El cuello no ha cambiado su forma">
				>
				["at0.16"] = <
					text = <"10% borrado">
					description = <"El cuello se ha borrado cerca de un 10%">
				>
				["at0.17"] = <
					text = <"20% borrado">
					description = <"El cuello se ha borrado cerca de un 20%">
				>
				["at0.18"] = <
					text = <"30% borrado">
					description = <"El cuello se ha borrado cerca de un 30%">
				>
				["at0.19"] = <
					text = <"40% borrado">
					description = <"El cuello se ha borrado cerca de un 40%">
				>
				["at0.20"] = <
					text = <"Parcialmente borrado (50%)">
					description = <"El cuello se ha borrado parcialmente hasta un 50%">
				>
				["at0.21"] = <
					text = <"60% borrado">
					description = <"El cuello se ha borrado cerca de un 60%">
				>
				["at0.22"] = <
					text = <"70% borrado">
					description = <"El cuello se ha borrado cerca de un 70%">
				>
				["at0.23"] = <
					text = <"80% borrado">
					description = <"El cuello se ha borrado cerca de un 80%">
				>
				["at0.24"] = <
					text = <"90% borrado">
					description = <"El cuello se ha borrado cerca de un 90%">
				>
				["at0.25"] = <
					text = <"Completamente borrado">
					description = <"El cuello se ha borrado en un 100%">
				>
				["at0.26"] = <
					text = <"Blando">
					description = <"El cuello está blando y comienza a borrarse">
				>
				["at0.27"] = <
					text = <"Orificio cervical">
					description = <"La salida del utero">
				>
				["at0.28"] = <
					text = <"Estimado">
					description = <"La dilatación del orificio cervical">
				>
				["at0.29"] = <
					text = <"*Description(en)">
					description = <"*Findings about the cervical os.(en)">
				>
				["at0.31"] = <
					text = <"Dilatación">
					description = <"Dilatación del cuello">
				>
				["at0.32"] = <
					text = <"Lugar">
					description = <"Identifica la parte del cuello que está siendo examinada">
				>
				["at0.33"] = <
					text = <"OCE">
					description = <"Orificio cervical externo (se abre a la vagina)">
				>
				["at0.34"] = <
					text = <"OCI">
					description = <"Orificio cervical interno (se abre al útero)">
				>
				["at0.35"] = <
					text = <"Cantidad de dedos que pasan">
					description = <"Número de dedos que pasan  por el orificio cervical interno o externo">
				>
				["at0.36"] = <
					text = <"Consistencia">
					description = <"Consistencia del cuello">
				>
				["at0.37"] = <
					text = <"Suave">
					description = <"Suave">
				>
				["at0.38"] = <
					text = <"Firme">
					description = <"Firme">
				>
				["at0.40"] = <
					text = <"Grosor">
					description = <"Grosor cervical">
				>
				["at0.41"] = <
					text = <"Grueso">
					description = <"Grueso">
				>
				["at0.42"] = <
					text = <"Delgado">
					description = <"Delgado">
				>
				["at0.43"] = <
					text = <"Muy delgado">
					description = <"Muy delgado">
				>
				["at0.44"] = <
					text = <"Edematoso">
					description = <"Engrosado e hinchado">
				>
				["at0.45"] = <
					text = <"Aplicación a polo presentado">
					description = <"Aplicación del cuello al polo fetal presentado">
				>
				["at0.46"] = <
					text = <"Aplicado libremente">
					description = <"No moldeado al polo fetal presentado">
				>
				["at0.47"] = <
					text = <"Aplicado firmemente">
					description = <"Moldeado al polo fetal presentado">
				>
				["at0.48"] = <
					text = <"*Labour-specific findings(en)">
					description = <"*Findings related to labour.(en)">
				>
				["at0.49"] = <
					text = <"*Size(en)">
					description = <"*Details of cervical size.(en)">
				>
				["at0.51"] = <
					text = <"*Vaginal fluid(en)">
					description = <"*Details of vaginal fluid.(en)">
				>
				["at0.8"] = <
					text = <"Posición">
					description = <"La posición en relación a la posición anatómica normal">
				>
				["at0.9"] = <
					text = <"Central">
					description = <"El cuello está central y en la posición normal">
				>
				["at0000"] = <
					text = <"Examen">
					description = <"Grupo genérico de examen para describir un hallazgo en el examen físico">
				>
				["at0000.1"] = <
					text = <"Examen del cuello">
					description = <"Hallazgos del examen físico del cuello uterino">
				>
				["at0001"] = <
					text = <"Objeto">
					description = <"El objeto del examen">
				>
				["at0002"] = <
					text = <"Descripción clínica">
					description = <"Descripción textual de las partes examinadas">
				>
				["at0004"] = <
					text = <"Conclusiones normales">
					description = <"Un grupo de conclusiones acerca de la normalidad del examen">
				>
				["at0005"] = <
					text = <"Conclusión normal">
					description = <"Una conclusión específica de normalidad">
				>
				["at0006"] = <
					text = <"Imagen">
					description = <"Dibujo o imagen del área examinada">
				>
				["at0008"] = <
					text = <"Hallazgos">
					description = <"Hallazgos clínicos">
				>
				["at0008.1"] = <
					text = <"*Findings(en)">
					description = <"*Clinical findings.(en)">
				>
				["at0009"] = <
					text = <"*Detail(en)">
					description = <"*More focused examination findings.(en)">
				>
			>
		>
	>