archetype (adl_version=1.4) openEHR-EHR-CLUSTER.auscultation.v1 concept [at0000] -- Auscultation language original_language = <[ISO_639-1::en]> description original_author = < ["name"] = <"Sam Heard"> ["organisation"] = <"Ocean Informatics"> ["email"] = <"sam.heard@oceaninformatics.com"> ["date"] = <"7/04/2007"> > details = < ["en"] = < language = <[ISO_639-1::en]> purpose = <"To record data found on examination by auscultation/listening."> use = <"To be embedded in an openEHR-EHR-OBSERVATION.exam cluster to express findings determined by auscultation."> keywords = <"auscultate", "listen", "auscultation", "listening", "bruit", "bowel sounds", "sounds"> misuse = <"Not for use in any other context at present."> copyright = <"copyright (c) 2010 openEHR Foundation"> > > lifecycle_state = <"OrganisationDraft"> other_contributors = <"Heather Leslie", ...> other_details = < ["MD5-CAM-1.0.1"] = <"C66B38E8B00A3C982EC70C9B7C514266"> ["references"] = <""> > definition CLUSTER[at0000] matches { -- Auscultation items cardinality matches {1..*; unordered} matches { CLUSTER[at0001] occurrences matches {0..1} matches { -- Normal Statements items cardinality matches {1..*; unordered} matches { ELEMENT[at0003] occurrences matches {0..*} matches { -- Normal Statement value matches { DV_CODED_TEXT matches { defining_code matches { [local:: at0056, -- No murmur at0057, -- No bruit at0073, -- Normal bowel sounds at0085] -- No abnormality detected } } } } } } ELEMENT[at0004] occurrences matches {0..1} matches { -- Clinical Description value matches { DV_TEXT matches {*} } } CLUSTER[at0002] occurrences matches {0..1} matches { -- Findings items cardinality matches {1..*; unordered} matches { CLUSTER[at0009] occurrences matches {0..1} matches { -- Bowel sounds items cardinality matches {1..*; unordered} matches { ELEMENT[at0074] occurrences matches {0..*} matches { -- Specific Findings value matches { DV_CODED_TEXT matches { defining_code matches { [local:: at0078, -- Absent bowel sounds at0079, -- Decreased bowel sounds at0080, -- Increased bowel sounds at0081] -- Tinkling bowel sounds } } } } use_node ELEMENT /items[at0004] -- /items[Clinical Description] } } CLUSTER[at0010] occurrences matches {0..1} matches { -- Vessel bruit items cardinality matches {1..*; unordered} matches { ELEMENT[at0088] matches { -- Vessel name value matches { DV_TEXT matches {*} } } ELEMENT[at0030] occurrences matches {0..1} matches { -- Maximal Location value matches { DV_TEXT matches {*} } } ELEMENT[at0091] occurrences matches {0..1} matches { -- Description value matches { DV_TEXT matches {*} } } } } CLUSTER[at0089] occurrences matches {0..1} matches { -- Other sounds items cardinality matches {1..*; unordered} matches { ELEMENT[at0090] matches { -- Description value matches { DV_TEXT matches {*} } } use_node ELEMENT /items[at0002]/items[at0010]/items[at0030] -- /items[Findings]/items[Vessel bruit]/items[Maximal Location] } } CLUSTER[at0086] occurrences matches {0..*} matches { -- Localised auscultation items cardinality matches {1..*; unordered} matches { ELEMENT[at0087] matches { -- Site or region value matches { DV_TEXT matches {*} } } allow_archetype CLUSTER[at0092] occurrences matches {0..1} matches { -- Cluster auscultation include archetype_id/value matches {/openEHR-EHR-CLUSTER\.auscultation\.v1/} } } } } } } } ontology term_definitions = < ["en"] = < items = < ["at0000"] = < text = <"Auscultation"> description = <"Findings on Auscultation."> > ["at0001"] = < text = <"Normal Statements"> description = <"A group of statements about the normality of auscultation."> > ["at0002"] = < text = <"Findings"> description = <"Findings on auscultation."> > ["at0003"] = < text = <"Normal Statement"> description = <"Statements about the normality of the auscultation."> > ["at0004"] = < text = <"Clinical Description"> description = <"Detailed clinical description of the findings on auscultation."> > ["at0009"] = < text = <"Bowel sounds"> description = <"Group of findings about auscultation of the bowel."> > ["at0010"] = < text = <"Vessel bruit"> description = <"Group of findings about auscultation of a major blood vessel."> > ["at0030"] = < text = <"Maximal Location"> description = <"Site where finding is heard maximally."> > ["at0056"] = < text = <"No murmur"> description = <"No murmur is heard."> > ["at0057"] = < text = <"No bruit"> description = <"No bruit is heard."> > ["at0073"] = < text = <"Normal bowel sounds"> description = <"Bowel sounds are normal in intensity and character."> > ["at0074"] = < text = <"Specific Findings"> description = <"Specific auscultatory findings related to examination of the bowels."> > ["at0078"] = < text = <"Absent bowel sounds"> description = <"No bowel sounds can be heard."> > ["at0079"] = < text = <"Decreased bowel sounds"> description = <"Bowel sounds are less than normal."> > ["at0080"] = < text = <"Increased bowel sounds"> description = <"Bowel sounds are more intense than normal."> > ["at0081"] = < text = <"Tinkling bowel sounds"> description = <"High pitched and very frequent bowel sounds can be heard."> > ["at0085"] = < text = <"No abnormality detected"> description = <"Nothing abnormal on auscultation."> > ["at0086"] = < text = <"Localised auscultation"> description = <"Auscultation in a particular site."> > ["at0087"] = < text = <"Site or region"> description = <"The site of the localised findings."> > ["at0088"] = < text = <"Vessel name"> description = <"The name of the vessel to which is being listened."> > ["at0089"] = < text = <"Other sounds"> description = <"Recording of sounds of a different nature."> > ["at0090"] = < text = <"Description"> description = <"Description of other sounds."> > ["at0091"] = < text = <"Description"> description = <"Description of the bruit."> > ["at0092"] = < text = <"Cluster auscultation"> description = <"Description of the cluster."> > > > >