archetype (adl_version=1.4)
	openEHR-EHR-CLUSTER.exam-abdomen.v1
specialize
	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">
		["date"] = <"11/04/2007">
		["email"] = <"heather.leslie@oceaninformatics.biz">
	>
	details = <
		["en"] = <
			language = <[ISO_639-1::en]>
			purpose = <"A cluster for recording findings on physical examination of the abdomen">
			use = <"">
			keywords = <"examination", "physical">
			misuse = <"">
		>
	>
	lifecycle_state = <"Initial">
	other_contributors = <>

definition
	CLUSTER[at0000.1] matches {	-- Examination of the abdomen
		items cardinality matches {0..*; unordered} matches {
			CLUSTER[at0004] occurrences matches {0..1} matches {	-- Normal statements
				items cardinality matches {0..*; 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 {0..*; unordered} matches {
					CLUSTER[at0.2] occurrences matches {0..1} matches {	-- Abdominal wall
						items cardinality matches {0..*; unordered} matches {
							ELEMENT[at0.3] occurrences matches {0..1} matches {	-- Description
								value matches {
									DV_CODED_TEXT matches {
										defining_code matches {[local::]}
									}
								}
							}
							allow_archetype CLUSTER occurrences matches {0..1} matches {
								include
									archetype_id/value matches {/inspection\.v1draft/}
									archetype_id/value matches {/exam-generic-mass\.v1/}
									archetype_id/value matches {/palpation\.v1/}
									archetype_id/value matches {/inspection-skin\.v1draft/}
									archetype_id/value matches {/exam-generic-lymphnode\.v1/}
							}
						}
					}
					CLUSTER[at0.9] occurrences matches {0..1} matches {	-- Abdominal Region
						items cardinality matches {0..*; 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
										}
									}
								}
							}
							allow_archetype CLUSTER occurrences matches {0..1} matches {
								include
									archetype_id/value matches {/palpation\.v1/}
									archetype_id/value matches {/percussion\.v1/}
							}
							use_node ELEMENT /items[at0008]/items[at0.2]/items[at0.3]
						}
					}
					CLUSTER[at0.5] occurrences matches {0..1} matches {	-- Abdomen Contents
						items cardinality matches {0..*; unordered} matches {
							allow_archetype CLUSTER occurrences matches {0..1} matches {
								include
									archetype_id/value matches {/exam-generic-mass\.v1/}
									archetype_id/value matches {/exam-generic-lympnode\.v1/}
									archetype_id/value matches {/exam-generic\.v1/}
									archetype_id/value matches {/exam\.v1/}
									archetype_id/value matches {/auscultation\.v1/}
							}
							CLUSTER[at0.13] occurrences matches {0..1} matches {	-- Organs
								items cardinality matches {0..*; unordered} matches {
									CLUSTER[at0.14] occurrences matches {0..1} matches {	-- Liver
										items cardinality matches {0..*; unordered} matches {
											allow_archetype CLUSTER occurrences matches {0..1} matches {
												include
													archetype_id/value matches {/palpation\.v1/}
													archetype_id/value matches {/percussion\.v1/}
													archetype_id/value matches {/dimensions\.v1/}
													archetype_id/value matches {/relative_position_abdomen\.v1draft/}
													archetype_id/value matches {/size\.v1/}
													archetype_id/value matches {/exam-generic-mass\.v1/}
											}
											use_node ELEMENT /items[at0008]/items[at0.2]/items[at0.3]
										}
									}
									CLUSTER[at0.7] occurrences matches {0..1} matches {	-- Spleen
										items cardinality matches {0..*; unordered} matches {
											allow_archetype CLUSTER occurrences matches {0..1} matches {
												include
													archetype_id/value matches {/dimensions\.v1/}
													archetype_id/value matches {/exam-generic-mass\.v1/}
													archetype_id/value matches {/exam-generic\.v1/}
													archetype_id/value matches {/exam\.v1/}
													archetype_id/value matches {/palpation\.v1/}
													archetype_id/value matches {/percussion\.v1/}
													archetype_id/value matches {/relative_position_abdomen\.v1draft/}
													archetype_id/value matches {/size\.v1/}
											}
											use_node ELEMENT /items[at0008]/items[at0.2]/items[at0.3]
										}
									}
									CLUSTER[at0.8] occurrences matches {0..1} matches {	-- Kidney
										items cardinality matches {0..*; unordered} matches {
											allow_archetype CLUSTER occurrences matches {0..1} matches {
												include
													archetype_id/value matches {/dimensions\.v1/}
													archetype_id/value matches {/exam-generic-mass\.v1/}
													archetype_id/value matches {/exam-generic\.v1/}
													archetype_id/value matches {/exam\.v1/}
													archetype_id/value matches {/palpation\.v1/}
													archetype_id/value matches {/percussion\.v1/}
													archetype_id/value matches {/relative_position_abdomen\.v1draft/}
											}
											use_node ELEMENT /items[at0008]/items[at0.2]/items[at0.3]
										}
									}
									CLUSTER[at0.15] occurrences matches {0..1} matches {	-- Bowel
										items cardinality matches {0..*; unordered} matches {
											allow_archetype CLUSTER occurrences matches {0..1} matches {
												include
													archetype_id/value matches {/palpation\.v1/}
													archetype_id/value matches {/exam-generic-mass\.v1/}
													archetype_id/value matches {/exam-generic\.v1/}
													archetype_id/value matches {/exam\.v1/}
													archetype_id/value matches {/percussion\.v1/}
													archetype_id/value matches {/relative_position_abdomen\.v1draft/}
											}
											use_node ELEMENT /items[at0008]/items[at0.2]/items[at0.3]
										}
									}
								}
							}
							use_node ELEMENT /items[at0008]/items[at0.2]/items[at0.3]
						}
					}
					CLUSTER[at0003] occurrences matches {0..1} matches {	-- Detail
						items cardinality matches {0..*; unordered} matches {
							allow_archetype CLUSTER occurrences matches {0..1} matches {
								include
									archetype_id/value matches {/exam-generic\.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"] = <
					description = <"*">
					text = <"Region">
				>
				["at0.11"] = <
					description = <"*">
					text = <"Left upper quadrant">
				>
				["at0.12"] = <
					description = <"*">
					text = <"Epigastrium">
				>
				["at0.13"] = <
					description = <"*">
					text = <"Organs">
				>
				["at0.14"] = <
					description = <"*">
					text = <"Liver">
				>
				["at0.15"] = <
					description = <"*">
					text = <"Bowel">
				>
				["at0.16"] = <
					description = <"*">
					text = <"Left upper quadrant">
				>
				["at0.17"] = <
					description = <"*">
					text = <"Right loin">
				>
				["at0.18"] = <
					description = <"*">
					text = <"Central/peri-umbilical">
				>
				["at0.19"] = <
					description = <"*">
					text = <"Left loin">
				>
				["at0.2"] = <
					description = <"*">
					text = <"Abdominal wall">
				>
				["at0.20"] = <
					description = <"*">
					text = <"Right iliac fossa">
				>
				["at0.21"] = <
					description = <"*">
					text = <"Left iliac fossa">
				>
				["at0.22"] = <
					description = <"*">
					text = <"New element">
				>
				["at0.23"] = <
					description = <"Clinical description of finding">
					text = <"Description">
				>
				["at0.3"] = <
					description = <"Clincial description of findings">
					text = <"Description">
				>
				["at0.4"] = <
					description = <"Shape of abdomen">
					text = <"Shape">
				>
				["at0.5"] = <
					description = <"*">
					text = <"Abdomen Contents">
				>
				["at0.6"] = <
					description = <"Clinical description">
					text = <"Description">
				>
				["at0.7"] = <
					description = <"*">
					text = <"Spleen">
				>
				["at0.8"] = <
					description = <"*">
					text = <"Kidney">
				>
				["at0.9"] = <
					description = <"*">
					text = <"Abdominal Region">
				>
				["at0000"] = <
					description = <"Basic examination cluster for describing findings on physical examination when there is no named focus of examination">
					text = <"Examination">
				>
				["at0000.1"] = <
					description = <"For recording findings on physical examination of the abdomen">
					text = <"Examination of the abdomen">
				>
				["at0002"] = <
					description = <"Textural description of the part examined">
					text = <"Clinical description">
				>
				["at0003"] = <
					description = <"More focused examination findings">
					text = <"Detail">
				>
				["at0004"] = <
					description = <"A group of statements about the normality of the examination">
					text = <"Normal statements">
				>
				["at0005"] = <
					description = <"A specific statement of normality">
					text = <"Normal statement">
				>
				["at0006"] = <
					description = <"Drawing or image of the area examined">
					text = <"Image">
				>
				["at0008"] = <
					description = <"Clinical findings">
					text = <"Findings">
				>
			>
		>
	>