archetype (adl_version=1.4) openEHR-EHR-CLUSTER.scar.v1 concept [at0000] -- Examination of Scar language original_language = <[ISO_639-1::en]> description original_author = < ["name"] = <"Heather Leslie"> ["organisation"] = <"Ocean Informatics, Australia"> ["email"] = <"heather.leslie@oceaninformatics.com"> ["date"] = <"01-11-2012"> > details = < ["en"] = < language = <[ISO_639-1::en]> purpose = <"For recording the examination findings from the physical examination of a single scar in the skin."> use = <"Use to record the examination findings from the physical examination of a single scar in the skin. If multiple scars are observed during examination, these should be recorded separately. Designed to be used with SLOTs within clinically appropriate OBSERVATION or other CLUSTER archetypes as part of recording the findings on clinical examination."> keywords = <"scar", "examination", "inspection", "skin", "wound", "healing", "keloid", "hypertrophic"> misuse = <""> copyright = <"© openEHR Foundation"> > > lifecycle_state = <"CommitteeDraft"> other_contributors = <> other_details = < ["current_contact"] = <"Heather Leslie, Ocean Informatics, Australia, heather.leslie@oceaninformatics.com"> ["MD5-CAM-1.0.1"] = <"3399AD3177E073705551527F043C0171"> > definition CLUSTER[at0000] matches { -- Examination of Scar items cardinality matches {1..*; unordered} matches { ELEMENT[at0009] matches { -- Anatomical Location value matches { DV_TEXT matches {*} } } ELEMENT[at0003] occurrences matches {0..1} matches { -- Presence of Scar? value matches { DV_BOOLEAN matches { value matches {True, False} } } } ELEMENT[at0001] occurrences matches {0..1} matches { -- Clinical Description value matches { DV_TEXT matches {*} } } ELEMENT[at0004] occurrences matches {0..1} matches { -- Healing value matches { DV_CODED_TEXT matches { defining_code matches { [local:: at0005, -- Normal at0007, -- Hypertrophic at0006, -- Keloid at0008] -- Atrophic } } } } ELEMENT[at0002] occurrences matches {0..*} matches { -- Clinical Interpretation value matches { DV_TEXT matches {*} } } } } ontology term_definitions = < ["en"] = < items = < ["at0000"] = < text = <"Examination of Scar"> description = <"Physical examination of a single scar in the skin resulting from repair of a wound or injury."> > ["at0001"] = < text = <"Clinical Description"> description = <"Narrative description of the scar."> comment = <"For example, the extent and possible cause of the scar."> > ["at0002"] = < text = <"Clinical Interpretation"> description = <"Single word, phrase or brief summary description of the scar."> comment = <"For example, the "> > ["at0003"] = < text = <"Presence of Scar?"> description = <"Is a scar present in the anatomical location being examined?"> > ["at0004"] = < text = <"Healing"> description = <"Description of the healing that has occurred."> > ["at0005"] = < text = <"Normal"> description = <"The scar appears to have healed normally."> > ["at0006"] = < text = <"Keloid"> description = <"The scar has healed with marked hypertrophy, with growth evident outside the original wound area."> > ["at0007"] = < text = <"Hypertrophic"> description = <"The scar is raised above the surrounding skin."> > ["at0008"] = < text = <"Atrophic"> description = <"The scar is depressed below the surrounding skin."> > ["at0009"] = < text = <"Anatomical Location"> description = <"Identification of an anatomical location under examination for a scar."> comment = <"Coding with a terminology is desirable, where possible. For example, mid-sternum, or right iliac fossa."> > > > >