archetype (adl_version=1.4) openEHR-EHR-CLUSTER.exam-abdomen.v1 specialise openEHR-EHR-CLUSTER.exam.v1 concept [at0000.1] -- Examination of the abdomen language original_language = <[ISO_639-1::en]> description original_author = < ["name"] = <"Heather Leslie"> ["organisation"] = <"Ocean Informatics"> ["email"] = <"heather.leslie@oceaninformatics.com"> ["date"] = <"11/04/2007"> > details = < ["en"] = < language = <[ISO_639-1::en]> purpose = <"A cluster for recording findings on physical examination of the abdomen."> use = <""> keywords = <"examination", "physical"> misuse = <""> copyright = <"© openEHR Foundation"> > > lifecycle_state = <"AuthorDraft"> other_contributors = <> other_details = < ["MD5-CAM-1.0.1"] = <"75E4E6DE863A430A1F1C7ABF3C8DDB9A"> ["references"] = <""> > definition CLUSTER[at0000.1] matches { -- Examination of the abdomen 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] occurrences matches {0..1} matches { -- Findings items cardinality matches {1..*; unordered} matches { CLUSTER[at0.2] occurrences matches {0..1} matches { -- Abdominal wall items cardinality matches {1..*; unordered} matches { ELEMENT[at0.3] occurrences matches {0..1} matches { -- Description value matches { DV_TEXT matches {*} } } allow_archetype CLUSTER[at0.24] occurrences matches {0..1} matches { -- Abdominal wall detail include archetype_id/value matches {/openEHR-EHR-CLUSTER\.palpation(-[a-zA-Z0-9_]+)*\.v1|openEHR-EHR-CLUSTER\.inspection(-[a-zA-Z0-9_]+)*\.v1|openEHR-EHR-CLUSTER\.exam-generic(-[a-zA-Z0-9_]+)*\.v1/} } } } CLUSTER[at0.9] occurrences matches {0..1} matches { -- Abdominal region items cardinality matches {1..*; unordered} matches { ELEMENT[at0.10] occurrences matches {0..1} matches { -- Region value matches { DV_CODED_TEXT matches { defining_code matches { [local:: at0.11, -- Left upper quadrant at0.12, -- Epigastrium at0.16, -- Left upper quadrant at0.17, -- Right loin at0.18, -- Central/peri-umbilical at0.19, -- Left loin at0.20, -- Right iliac fossa at0.21] -- Left iliac fossa } } } } use_node ELEMENT /items[at0008]/items[at0.2]/items[at0.3] -- /items[Findings]/items[Abdominal wall]/items[Description] allow_archetype CLUSTER[at0.25] occurrences matches {0..1} matches { -- Abdominal region detail include archetype_id/value matches {/openEHR-EHR-CLUSTER\.exam-generic(-[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\.auscultation(-[a-zA-Z0-9_]+)*\.v1/} } } } CLUSTER[at0.5] occurrences matches {0..1} matches { -- Abdominal contents items cardinality matches {1..*; unordered} matches { use_node ELEMENT occurrences matches {0..1} /items[at0008]/items[at0.2]/items[at0.3] -- /items[Findings]/items[Abdominal wall]/items[Description] CLUSTER[at0.13] occurrences matches {0..1} matches { -- Organs items cardinality matches {1..*; unordered} matches { CLUSTER[at0.14] occurrences matches {0..1} matches { -- Liver items cardinality matches {1..*; unordered} matches { use_node ELEMENT /items[at0008]/items[at0.2]/items[at0.3] -- /items[Findings]/items[Abdominal wall]/items[Description] allow_archetype CLUSTER[at0.27] occurrences matches {0..1} matches { -- Liver detail include archetype_id/value matches {/openEHR-EHR-CLUSTER\.palpation(-[a-zA-Z0-9_]+)*\.v1|openEHR-EHR-CLUSTER\.physical_properties(-[a-zA-Z0-9_]+)*\.v1|openEHR-EHR-CLUSTER\.percussion(-[a-zA-Z0-9_]+)*\.v1|openEHR-EHR-CLUSTER\.exam-generic(-[a-zA-Z0-9_]+)*\.v1/} } } } CLUSTER[at0.7] occurrences matches {0..1} matches { -- Spleen items cardinality matches {1..*; unordered} matches { use_node ELEMENT /items[at0008]/items[at0.2]/items[at0.3] -- /items[Findings]/items[Abdominal wall]/items[Description] allow_archetype CLUSTER[at0.28] occurrences matches {0..1} matches { -- Spleen detail include archetype_id/value matches {/openEHR-EHR-CLUSTER\.palpation(-[a-zA-Z0-9_]+)*\.v1|openEHR-EHR-CLUSTER\.physical_properties(-[a-zA-Z0-9_]+)*\.v1|openEHR-EHR-CLUSTER\.percussion(-[a-zA-Z0-9_]+)*\.v1|openEHR-EHR-CLUSTER\.exam-generic(-[a-zA-Z0-9_]+)*\.v1/} } } } CLUSTER[at0.8] occurrences matches {0..1} matches { -- Kidney items cardinality matches {1..*; unordered} matches { use_node ELEMENT /items[at0008]/items[at0.2]/items[at0.3] -- /items[Findings]/items[Abdominal wall]/items[Description] allow_archetype CLUSTER[at0.29] occurrences matches {0..1} matches { -- Kidney detail include archetype_id/value matches {/openEHR-EHR-CLUSTER\.palpation(-[a-zA-Z0-9_]+)*\.v1|openEHR-EHR-CLUSTER\.physical_properties(-[a-zA-Z0-9_]+)*\.v1|openEHR-EHR-CLUSTER\.percussion(-[a-zA-Z0-9_]+)*\.v1|openEHR-EHR-CLUSTER\.exam-generic(-[a-zA-Z0-9_]+)*\.v1/} } } } CLUSTER[at0.15] occurrences matches {0..1} matches { -- Bowel items cardinality matches {1..*; unordered} matches { use_node ELEMENT /items[at0008]/items[at0.2]/items[at0.3] -- /items[Findings]/items[Abdominal wall]/items[Description] allow_archetype CLUSTER[at0.30] occurrences matches {0..1} matches { -- Bowel detail include archetype_id/value matches {/openEHR-EHR-CLUSTER\.palpation(-[a-zA-Z0-9_]+)*\.v1|openEHR-EHR-CLUSTER\.physical_properties(-[a-zA-Z0-9_]+)*\.v1|openEHR-EHR-CLUSTER\.percussion(-[a-zA-Z0-9_]+)*\.v1|openEHR-EHR-CLUSTER\.exam-generic(-[a-zA-Z0-9_]+)*\.v1|openEHR-EHR-CLUSTER\.auscultation(-[a-zA-Z0-9_]+)*\.v1/} } } } } } allow_archetype CLUSTER[at0.26] occurrences matches {0..*} matches { -- Abdominal contents detail include archetype_id/value matches {/openEHR-EHR-CLUSTER\.palpation(-[a-zA-Z0-9_]+)*\.v1|openEHR-EHR-CLUSTER\.physical_properties(-[a-zA-Z0-9_]+)*\.v1|openEHR-EHR-CLUSTER\.percussion(-[a-zA-Z0-9_]+)*\.v1|openEHR-EHR-CLUSTER\.exam-generic(-[a-zA-Z0-9_]+)*\.v1|openEHR-EHR-CLUSTER\.auscultation(-[a-zA-Z0-9_]+)*\.v1/} } } } allow_archetype CLUSTER[at0009] occurrences matches {0..1} 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/} } } } 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 = <"Region"> description = <"The abdominal region being described."> > ["at0.11"] = < text = <"Left upper quadrant"> description = <"*"> > ["at0.12"] = < text = <"Epigastrium"> description = <"*"> > ["at0.13"] = < text = <"Organs"> description = <"*"> > ["at0.14"] = < text = <"Liver"> description = <"Findings related to liver."> > ["at0.15"] = < text = <"Bowel"> description = <"Findings related to bowel."> > ["at0.16"] = < text = <"Left upper quadrant"> description = <"*"> > ["at0.17"] = < text = <"Right loin"> description = <"*"> > ["at0.18"] = < text = <"Central/peri-umbilical"> description = <"*"> > ["at0.19"] = < text = <"Left loin"> description = <"*"> > ["at0.2"] = < text = <"Abdominal wall"> description = <"Findings related to the abdominal wall."> > ["at0.20"] = < text = <"Right iliac fossa"> description = <"*"> > ["at0.21"] = < text = <"Left iliac fossa"> description = <"*"> > ["at0.24"] = < text = <"Abdominal wall detail"> description = <"Details of abdominal wall findings."> > ["at0.25"] = < text = <"Abdominal region detail"> description = <"Detailed findings of a specific abdominal region."> > ["at0.26"] = < text = <"Abdominal contents detail"> description = <"Detailed findings of abdominal contents."> > ["at0.27"] = < text = <"Liver detail"> description = <"Detailed liver findings."> > ["at0.28"] = < text = <"Spleen detail"> description = <"Detailed spleen findings."> > ["at0.29"] = < text = <"Kidney detail"> description = <"Detailed kidney findings."> > ["at0.3"] = < text = <"Description"> description = <"Clinical description of findings related to the abdominal wall."> > ["at0.30"] = < text = <"Bowel detail"> description = <"Detailed bowel findings."> > ["at0.5"] = < text = <"Abdominal contents"> description = <"Findings related to abdominal contents."> > ["at0.7"] = < text = <"Spleen"> description = <"Findings related to spleen."> > ["at0.8"] = < text = <"Kidney"> description = <"Findings related to kidney."> > ["at0.9"] = < text = <"Abdominal region"> description = <"Findings related to a specific abdominal region."> > ["at0000"] = < text = <"Examination"> description = <"Basic examination cluster for describing findings on physical examination when there is no named focus of examination."> > ["at0000.1"] = < text = <"Examination of the abdomen"> description = <"For recording findings on physical examination of the abdomen."> > ["at0002"] = < text = <"Clinical description"> description = <"Textural description of the part examined."> > ["at0003"] = < text = <"Detail"> description = <"More focused examination findings."> > ["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."> > ["at0009"] = < text = <"Detail"> description = <"More focused examination findings."> > > > >