archetype (adl_version=1.4) openEHR-EHR-CLUSTER.cranial_nerves.v1 concept [at0000] -- Cranial Nerves language original_language = <[ISO_639-1::en]> description original_author = < ["name"] = <"Heather Leslie"> ["organisation"] = <"Ocean Informatics"> ["email"] = <"heather.leslie@oceaninformatics.com"> ["date"] = <"12/03/2007"> > details = < ["en"] = < language = <[ISO_639-1::en]> purpose = <"A cluster to capture the details of a cranial nerve examination."> use = <"As a cluster within an examination archetype."> keywords = <"cranial nerves", "CNS", "examination"> misuse = <""> copyright = <"copyright (c) 2010 openEHR Foundation"> > > lifecycle_state = <"AuthorDraft"> other_contributors = <> other_details = < ["MD5-CAM-1.0.1"] = <"10EE0F3D29E2ECEB23BA78A7107D52E9"> ["references"] = <""> > definition CLUSTER[at0000] matches { -- Cranial Nerves items cardinality matches {1..*; unordered} matches { CLUSTER[at0062] occurrences matches {0..1} matches { -- Normal Statements items cardinality matches {1..*; unordered} matches { ELEMENT[at0061] occurrences matches {0..*} matches { -- Normal statement value matches { DV_CODED_TEXT matches { defining_code matches { [local:: at0065, -- Normal cranial nerve examination at0066, -- Cranial nerves - no abnormality detected at0010, -- Normal sense of smell at0011, -- First cranial nerve normal at0067, -- Second cranial nerve normal at0020, -- Normal oculomotor movements at0021, -- Full range of ocular movements at0074, -- Normal Corneal reflex at0075] -- Pupils equal and reactive to light and accomodation (PERLA) } } } } } } CLUSTER[at0063] occurrences matches {0..1} matches { -- Findings items cardinality matches {1..*; unordered} matches { ELEMENT[at0008] occurrences matches {0..1} matches { -- Clinical Description value matches { DV_TEXT matches {*} } } CLUSTER[at0001] occurrences matches {0..1} matches { -- First Cranial Nerve items cardinality matches {1..*; unordered} matches { allow_archetype CLUSTER[at0082] occurrences matches {0..1} matches { -- Cluster: Sense of smell include archetype_id/value matches {/openEHR-EHR-CLUSTER\.sense_of_smell\.v1/} exclude archetype_id/value matches {/.*/} } } } CLUSTER[at0002] occurrences matches {0..1} matches { -- Second Cranial Nerve items cardinality matches {1..*; unordered} matches { CLUSTER[at0015] occurrences matches {0..1} matches { -- Fundoscopic examination items cardinality matches {1..*; unordered} matches { ELEMENT[at0014] occurrences matches {0..1} matches { -- Left value matches { DV_TEXT matches {*} } } ELEMENT[at0016] occurrences matches {0..1} matches { -- Right value matches { DV_TEXT matches {*} } } } } ELEMENT[at0017] occurrences matches {0..1} matches { -- Visual field testing value matches { DV_TEXT matches {*} } } use_node ELEMENT /items[at0063]/items[at0008] -- /items[Findings]/items[Clinical Description] } } CLUSTER[at0003] occurrences matches {0..1} matches { -- Third, Fourth and Sixth Cranial Nerves items cardinality matches {1..*; unordered} matches { allow_archetype CLUSTER[at0083] occurrences matches {0..1} matches { -- Cluster: Exam of eyes include archetype_id/value matches {/openEHR-EHR-CLUSTER\.exam-eyes\.v1/} exclude archetype_id/value matches {/.*/} } } } CLUSTER[at0004] occurrences matches {0..1} matches { -- Fifth Cranial Nerve items cardinality matches {1..*; unordered} matches { ELEMENT[at0027] occurrences matches {0..1} matches { -- Abnormal Corneal reflex value matches { DV_BOOLEAN matches { value matches {True} } } } ELEMENT[at0025] occurrences matches {0..1} matches { -- Sensory examination findings value matches { DV_TEXT matches {*} } } ELEMENT[at0026] occurrences matches {0..1} matches { -- Motor examination findings value matches { DV_TEXT matches {*} } } use_node ELEMENT /items[at0063]/items[at0008] -- /items[Findings]/items[Clinical Description] } } CLUSTER[at0005] occurrences matches {0..1} matches { -- Seventh Cranial Nerve items cardinality matches {1..*; unordered} matches { ELEMENT[at0033] occurrences matches {0..*} matches { -- Normal statements value matches { DV_CODED_TEXT matches { defining_code matches { [local:: at0034, -- Eyebrow elevation at0035, -- Forehead wrinkling at0036, -- Frowning at0037, -- Tightly closed eyes at0038, -- Showing teeth at0039, -- Whistling at0040, -- Puff out cheeks at0041] -- Smile } } } } CLUSTER[at0028] occurrences matches {0..1} matches { -- Abnormal findings items cardinality matches {1..*; unordered} matches { ELEMENT[at0032] occurrences matches {0..1} matches { -- Abnormal Statements value matches { DV_CODED_TEXT matches { defining_code matches { [local:: at0034, -- Eyebrow elevation at0035, -- Forehead wrinkling at0036, -- Frowning at0037, -- Tightly closed eyes at0038, -- Showing teeth at0039, -- Whistling at0040, -- Puff out cheeks at0041] -- Smile } } } } ELEMENT[at0029] occurrences matches {0..1} matches { -- Level of lesion value matches { DV_CODED_TEXT matches { defining_code matches { [local:: at0030, -- Upper motor neurone at0031] -- Lower motor neurone } } } } } } use_node ELEMENT /items[at0063]/items[at0008] -- /items[Findings]/items[Clinical Description] } } CLUSTER[at0042] occurrences matches {0..1} matches { -- Eighth Cranial Nerve items cardinality matches {1..*; unordered} matches { ELEMENT[at0043] occurrences matches {0..1} matches { -- Hearing Test results value matches { DV_CODED_TEXT matches { defining_code matches {[local::]} } } } ELEMENT[at0044] occurrences matches {0..1} matches { -- Vestibular testing results value matches { DV_CODED_TEXT matches { defining_code matches {[local::]} } } } use_node ELEMENT /items[at0063]/items[at0008] -- /items[Findings]/items[Clinical Description] } } CLUSTER[at0045] occurrences matches {0..1} matches { -- Ninth and Tenth Cranial Nerves items cardinality matches {1..*; unordered} matches { CLUSTER[at0081] occurrences matches {0..1} matches { -- Details items cardinality matches {1..*; unordered} matches { allow_archetype CLUSTER[at0084] occurrences matches {0..1} matches { -- Cluster: Exam of mouth include archetype_id/value matches {/openEHR-EHR-CLUSTER\.exam-mouth\.v1/} exclude archetype_id/value matches {/.*/} } } } } } CLUSTER[at0006] occurrences matches {0..1} matches { -- Eleventh Cranial Nerve items cardinality matches {1..*; unordered} matches { use_node ELEMENT /items[at0063]/items[at0008] -- /items[Findings]/items[Clinical Description] } } CLUSTER[at0007] occurrences matches {0..1} matches { -- Twelfth Cranial Nerve items cardinality matches {1..*; unordered} matches { CLUSTER[at0051] occurrences matches {0..1} matches { -- Tongue inspection items cardinality matches {1..*; unordered} matches { CLUSTER[at0080] occurrences matches {0..1} matches { -- Details items cardinality matches {1..*; unordered} matches { allow_archetype CLUSTER[at0085] occurrences matches {0..1} matches { -- Cluster: Inspection of tongue include archetype_id/value matches {/openEHR-EHR-CLUSTER\.inspection-tongue\.v1/} exclude archetype_id/value matches {/.*/} } } } } } } } } } } } ontology term_definitions = < ["en"] = < items = < ["at0000"] = < text = <"Cranial Nerves"> description = <"Findings on examination of Cranial nerves."> > ["at0001"] = < text = <"First Cranial Nerve"> description = <"Findings on examination of First Cranial Nerve."> > ["at0002"] = < text = <"Second Cranial Nerve"> description = <"Findings on examination of Second Cranial Nerve."> > ["at0003"] = < text = <"Third, Fourth and Sixth Cranial Nerves"> description = <"Findings on examination of Third, Fourth and Sixth Cranial Nerves."> > ["at0004"] = < text = <"Fifth Cranial Nerve"> description = <"Findings on examination of Fifth Cranial Nerve."> > ["at0005"] = < text = <"Seventh Cranial Nerve"> description = <"Findings on examination of Seventh Cranial Nerve."> > ["at0006"] = < text = <"Eleventh Cranial Nerve"> description = <"Findings on examination of Eleventh Cranial Nerve."> > ["at0007"] = < text = <"Twelfth Cranial Nerve"> description = <"Findings on examination of Twelfth Cranial Nerve."> > ["at0008"] = < text = <"Clinical Description"> description = <"Detailed findings on examination of cranial nerve/s."> > ["at0010"] = < text = <"Normal sense of smell"> description = <"*"> > ["at0011"] = < text = <"First cranial nerve normal"> description = <"*"> > ["at0014"] = < text = <"Left"> description = <"Findings on examination of left fundus."> > ["at0015"] = < text = <"Fundoscopic examination"> description = <"Findings on fundoscopic examination."> > ["at0016"] = < text = <"Right"> description = <"Findings on examination of right fundus."> > ["at0017"] = < text = <"Visual field testing"> description = <"*"> > ["at0020"] = < text = <"Normal oculomotor movements"> description = <"*"> > ["at0021"] = < text = <"Full range of ocular movements"> description = <"*"> > ["at0025"] = < text = <"Sensory examination findings"> description = <"Detailed description of sensory examination findings."> > ["at0026"] = < text = <"Motor examination findings"> description = <"Detailed description of motor examination findings."> > ["at0027"] = < text = <"Abnormal Corneal reflex"> description = <"Examination of corneal reflex is normal."> > ["at0028"] = < text = <"Abnormal findings"> description = <"*"> > ["at0029"] = < text = <"Level of lesion"> description = <"*"> > ["at0030"] = < text = <"Upper motor neurone"> description = <"*"> > ["at0031"] = < text = <"Lower motor neurone"> description = <"*"> > ["at0032"] = < text = <"Abnormal Statements"> description = <"*"> > ["at0033"] = < text = <"Normal statements"> description = <"Normal statements on examination of Seventh cranial nerve."> > ["at0034"] = < text = <"Eyebrow elevation"> description = <"*"> > ["at0035"] = < text = <"Forehead wrinkling"> description = <"*"> > ["at0036"] = < text = <"Frowning"> description = <"*"> > ["at0037"] = < text = <"Tightly closed eyes"> description = <"*"> > ["at0038"] = < text = <"Showing teeth"> description = <"*"> > ["at0039"] = < text = <"Whistling"> description = <"*"> > ["at0040"] = < text = <"Puff out cheeks"> description = <"*"> > ["at0041"] = < text = <"Smile"> description = <"*"> > ["at0042"] = < text = <"Eighth Cranial Nerve"> description = <"*"> > ["at0043"] = < text = <"Hearing Test results"> description = <"Detailed description of hearing test results."> > ["at0044"] = < text = <"Vestibular testing results"> description = <"Detailed description of vestibular test results"> > ["at0045"] = < text = <"Ninth and Tenth Cranial Nerves"> description = <"*"> > ["at0051"] = < text = <"Tongue inspection"> description = <"*"> > ["at0061"] = < text = <"Normal statement"> description = <"*"> > ["at0062"] = < text = <"Normal Statements"> description = <"*"> > ["at0063"] = < text = <"Findings"> description = <"*"> > ["at0065"] = < text = <"Normal cranial nerve examination"> description = <"*"> > ["at0066"] = < text = <"Cranial nerves - no abnormality detected"> description = <"*"> > ["at0067"] = < text = <"Second cranial nerve normal"> description = <"*"> > ["at0074"] = < text = <"Normal Corneal reflex"> description = <"*"> > ["at0075"] = < text = <"Pupils equal and reactive to light and accomodation (PERLA)"> description = <"*"> > ["at0080"] = < text = <"Details"> description = <"*"> > ["at0081"] = < text = <"Details"> description = <"*"> > ["at0082"] = < text = <"Cluster: Sense of smell"> description = <"*"> > ["at0083"] = < text = <"Cluster: Exam of eyes"> description = <"*"> > ["at0084"] = < text = <"Cluster: Exam of mouth"> description = <"*"> > ["at0085"] = < text = <"Cluster: Inspection of tongue"> description = <"*"> > > > >