archetype (adl_version=1.4)
	openEHR-EHR-CLUSTER.exam-mouth.v1
specialise
	openEHR-EHR-CLUSTER.exam.v1

concept
	[at0000.1]	-- Examination of mouth
language
	original_language = <[ISO_639-1::en]>
description
	original_author = <
		["name"] = <"Heather Leslie">
		["organisation"] = <"Ocean Informatics">
		["email"] = <"heather.leslie@oceaninformatics.com">
		["date"] = <"23/05/2007">
	>
	details = <
		["en"] = <
			language = <[ISO_639-1::en]>
			purpose = <"Recording of clinical findings on physical examination of the mouth.">
			use = <"Use in conjunction with separate archetype/s for dental examinations when developed.">
			keywords = <"examination", "physical", "mouth", "tongue", "lips", "tonsils">
			misuse = <"">
			copyright = <"copyright (c) 2010 openEHR Foundation">
		>
	>
	lifecycle_state = <"AuthorDraft">
	other_contributors = <>
	other_details = <
		["MD5-CAM-1.0.1"] = <"639DFF0410427A8C48E1FDF83F6C7071">
		["references"] = <"">
	>

definition
	CLUSTER[at0000.1] matches {	-- Examination of mouth
		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[at0008.1] occurrences matches {0..1} matches {	-- Findings
				items cardinality matches {1..*; unordered} matches {
					CLUSTER[at0.9] occurrences matches {0..1} matches {	-- Lips
						items cardinality matches {1..*; unordered} matches {
							ELEMENT[at0.10] occurrences matches {0..1} matches {	-- Description
								value matches {
									DV_TEXT matches {*}
								}
							}
							allow_archetype CLUSTER[at0.40] occurrences matches {0..1} matches {	-- Lips detail
								include
									archetype_id/value matches {/openEHR-EHR-CLUSTER\.inspection\.v1/}
							}
						}
					}
					CLUSTER[at0.11] occurrences matches {0..1} matches {	-- Angle of mouth
						items cardinality matches {1..*; unordered} matches {
							use_node ELEMENT /items[at0008.1]/items[at0.9]/items[at0.10]	-- /items[Findings]/items[Lips]/items[Description]
							allow_archetype CLUSTER[at0.41] occurrences matches {0..1} matches {	-- Angle of mouth detail
								include
									archetype_id/value matches {/openEHR-EHR-CLUSTER\.inspection\.v1/}
							}
						}
					}
					CLUSTER[at0.17] occurrences matches {0..1} matches {	-- Hard palate
						items cardinality matches {1..*; unordered} matches {
							use_node ELEMENT /items[at0008.1]/items[at0.9]/items[at0.10]	-- /items[Findings]/items[Lips]/items[Description]
						}
					}
					CLUSTER[at0.18] occurrences matches {0..1} matches {	-- Soft palate
						items cardinality matches {1..*; unordered} matches {
							ELEMENT[at0.26] occurrences matches {0..1} matches {	-- Flexible and mobile
								value matches {
									DV_BOOLEAN matches {
										value matches {True, False}
									}
								}
							}
							ELEMENT[at0.34] occurrences matches {0..1} matches {	-- Gag response
								value matches {
									0|[local::at0.35], 	-- Absent
									1|[local::at0.36], 	-- +
									2|[local::at0.37], 	-- ++
									3|[local::at0.38]; 	-- +++
									0  	-- assumed value
								}
							}
							ELEMENT[at0.39] occurrences matches {0..1} matches {	-- Description of swallowing
								value matches {
									DV_TEXT matches {*}
								}
							}
							use_node ELEMENT /items[at0008.1]/items[at0.9]/items[at0.10]	-- /items[Findings]/items[Lips]/items[Description]
						}
					}
					CLUSTER[at0.21] occurrences matches {0..1} matches {	-- Uvula
						items cardinality matches {1..*; unordered} matches {
							ELEMENT[at0.22] occurrences matches {0..1} matches {	-- Deviation
								value matches {
									DV_CODED_TEXT matches {
										defining_code matches {
											[local::
											at0.23, 	-- None
											at0.24, 	-- Deviation to right
											at0.25]	-- Deviation to left
										}
									}
								}
							}
							use_node ELEMENT /items[at0008.1]/items[at0.9]/items[at0.10]	-- /items[Findings]/items[Lips]/items[Description]
						}
					}
					CLUSTER[at0.19] occurrences matches {0..1} matches {	-- Tonsillar fossa
						items cardinality matches {1..*; unordered} matches {
							ELEMENT[at0.27] occurrences matches {0..1} matches {	-- Tonsils Present
								value matches {
									DV_BOOLEAN matches {
										value matches {True, False}
									}
								}
							}
							ELEMENT[at0.28] occurrences matches {0..1} matches {	-- Relative Size
								value matches {
									0|[local::at0.29], 	-- Absent
									1|[local::at0.30], 	-- Reduced in size
									2|[local::at0.31], 	-- Expected size
									3|[local::at0.32], 	-- Enlarged
									4|[local::at0.33]  	-- Grossly enlarged
								}
							}
							use_node ELEMENT /items[at0008.1]/items[at0.9]/items[at0.10]	-- /items[Findings]/items[Lips]/items[Description]
						}
					}
					CLUSTER[at0.20] occurrences matches {0..1} matches {	-- Pharynx
						items cardinality matches {1..*; unordered} matches {
							use_node ELEMENT /items[at0008.1]/items[at0.9]/items[at0.10]	-- /items[Findings]/items[Lips]/items[Description]
						}
					}
					CLUSTER[at0.14] occurrences matches {0..1} matches {	-- Tongue
						items cardinality matches {1..*; unordered} matches {
							allow_archetype CLUSTER[at0.42] occurrences matches {0..1} matches {	-- Tongue detail
								include
									archetype_id/value matches {/openEHR-EHR-CLUSTER\.cranial_nerves\.v1|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/}
							}
							use_node ELEMENT /items[at0008.1]/items[at0.9]/items[at0.10]	-- /items[Findings]/items[Lips]/items[Description]
						}
					}
					allow_archetype CLUSTER[at0009] occurrences matches {0..*} matches {	-- 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/}
					}
				}
			}
			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 = <"Description">
					description = <"Text description of clinical findings.">
				>
				["at0.11"] = <
					text = <"Angle of mouth">
					description = <"Findings about the angle of the mouth.">
				>
				["at0.14"] = <
					text = <"Tongue">
					description = <"Findings about the tongue.">
				>
				["at0.17"] = <
					text = <"Hard palate">
					description = <"Findings about the hard palate.">
				>
				["at0.18"] = <
					text = <"Soft palate">
					description = <"Findings about the soft palate.">
				>
				["at0.19"] = <
					text = <"Tonsillar fossa">
					description = <"Findings about the tonsillar fossa.">
				>
				["at0.20"] = <
					text = <"Pharynx">
					description = <"Findings about the pharynx.">
				>
				["at0.21"] = <
					text = <"Uvula">
					description = <"Findings about the uvula.">
				>
				["at0.22"] = <
					text = <"Deviation">
					description = <"Findings of uvular deviation.">
				>
				["at0.23"] = <
					text = <"None">
					description = <"The uvula is not deviated.">
				>
				["at0.24"] = <
					text = <"Deviation to right">
					description = <"The uvuula is deviated to the right.">
				>
				["at0.25"] = <
					text = <"Deviation to left">
					description = <"The uvula is deviated to the left.">
				>
				["at0.26"] = <
					text = <"Flexible and mobile">
					description = <"The soft palate is flexible and mobile.">
				>
				["at0.27"] = <
					text = <"Tonsils Present">
					description = <"The tonsils are present.">
				>
				["at0.28"] = <
					text = <"Relative Size">
					description = <"Relative size of tonsils in comparison to expected size.">
				>
				["at0.29"] = <
					text = <"Absent">
					description = <"The tonsils are absent.">
				>
				["at0.30"] = <
					text = <"Reduced in size">
					description = <"The tonsils are reduced in size.">
				>
				["at0.31"] = <
					text = <"Expected size">
					description = <"The tonsils are of expected size.">
				>
				["at0.32"] = <
					text = <"Enlarged">
					description = <"The tonsils are enlarged.">
				>
				["at0.33"] = <
					text = <"Grossly enlarged">
					description = <"The tonsils are grossly enlarged.">
				>
				["at0.34"] = <
					text = <"Gag response">
					description = <"Estimate of the gag response.">
				>
				["at0.35"] = <
					text = <"Absent">
					description = <"Absent.">
				>
				["at0.36"] = <
					text = <"+">
					description = <"Reduced.">
				>
				["at0.37"] = <
					text = <"++">
					description = <"Normal.">
				>
				["at0.38"] = <
					text = <"+++">
					description = <"Increased">
				>
				["at0.39"] = <
					text = <"Description of swallowing">
					description = <"Text description of swallowing.">
				>
				["at0.40"] = <
					text = <"Lips detail">
					description = <"Detail related to lips.">
				>
				["at0.41"] = <
					text = <"Angle of mouth detail">
					description = <"Detail about the angle of mouth.">
				>
				["at0.42"] = <
					text = <"Tongue detail">
					description = <"Detailed findings about the tongue.">
				>
				["at0.9"] = <
					text = <"Lips">
					description = <"Findings about lips.">
				>
				["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 mouth">
					description = <"Record of clinical findings on physical examination of mouth.">
				>
				["at0002"] = <
					text = <"Clinical description">
					description = <"Textural description of the part examined.">
				>
				["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.">
				>
				["at0008.1"] = <
					text = <"Findings">
					description = <"Clinical findings about the mouth.">
				>
				["at0009"] = <
					text = <"Detail">
					description = <"More focused examination findings.">
				>
			>
		>
	>