archetype (adl_version=1.4) openEHR-EHR-CLUSTER.exam-nose.v1 specialise openEHR-EHR-CLUSTER.exam.v1 concept [at0000.1] -- Examination of nose language original_language = <[ISO_639-1::en]> description original_author = < ["name"] = <"Ian McNicoll"> ["organisation"] = <"Ocean Informatics, UK"> ["email"] = <"ian.mcnicoll@oceaninformatics.com"> ["date"] = <"02/11/2007"> > details = < ["en"] = < language = <[ISO_639-1::en]> purpose = <"A generic cluster for recording findings on physical examination of the nose."> use = <"To recording findings on physical examination of the nose, generally within an OBSERVATION archetype."> keywords = <"examination", "physical", "nose", "turbinates", "smell"> misuse = <""> copyright = <"copyright (c) 2010 openEHR Foundation"> > > lifecycle_state = <"AuthorDraft"> other_contributors = <"Heather Leslie, Ocean Informatics, Australia", ...> other_details = < ["MD5-CAM-1.0.1"] = <"DEC6EFA2C01EDB9C9BBDB2F812AAC7B5"> ["references"] = <""> > definition CLUSTER[at0000.1] matches { -- Examination of nose items cardinality matches {1..*; unordered} matches { CLUSTER[at0004] occurrences matches {0..1} matches { -- Normal statements items cardinality matches {1..*; unordered} matches { ELEMENT[at0005.1] occurrences matches {0..*} matches { -- Normal statement value matches { DV_CODED_TEXT matches { defining_code matches {[local::at0.39]} -- Nose examination normal } } } } } 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[at0.11] occurrences matches {0..1} matches { -- External items cardinality matches {1..*; unordered} matches { ELEMENT[at0.10] occurrences matches {0..1} matches { -- Description value matches { DV_CODED_TEXT matches { defining_code matches {[local::]} } } } 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|openEHR-EHR-CLUSTER\.palpation(-[a-zA-Z0-9_]+)*\.v1|openEHR-EHR-CLUSTER\.physical_properties(-[a-zA-Z0-9_]+)*\.v1|openEHR-EHR-CLUSTER\.exam-bone(-[a-zA-Z0-9_]+)*\.v1|openEHR-EHR-CLUSTER\.inspection-trauma(-[a-zA-Z0-9_]+)*\.v1/} } CLUSTER[at0.34] occurrences matches {0..1} matches { -- Nares items cardinality matches {1..*; unordered} matches { ELEMENT[at0.35] occurrences matches {0..1} matches { -- Nares patent? value matches { DV_BOOLEAN matches { value matches {True, False} } } } ELEMENT[at0.38] occurrences matches {0..1} matches { -- Nasal breathing? value matches { DV_BOOLEAN matches { value matches {True, False} } } } use_node ELEMENT occurrences matches {0..1} /items[at0008.1]/items[at0.11]/items[at0.10] -- /items[Findings]/items[External]/items[Description] } } } } CLUSTER[at0.12] occurrences matches {0..1} matches { -- Internal items cardinality matches {1..*; unordered} matches { use_node ELEMENT occurrences matches {0..1} /items[at0008.1]/items[at0.11]/items[at0.10] -- /items[Findings]/items[External]/items[Description] CLUSTER[at0.14] occurrences matches {0..1} matches { -- Nasal septum items cardinality matches {1..*; unordered} matches { use_node ELEMENT occurrences matches {0..1} /items[at0008.1]/items[at0.11]/items[at0.10] -- /items[Findings]/items[External]/items[Description] ELEMENT[at0.16] occurrences matches {0..1} matches { -- Septal haematoma value matches { DV_BOOLEAN matches { value matches {True, False} } } } allow_archetype CLUSTER[at0.40] occurrences matches {0..1} matches { -- Septal detail include archetype_id/value matches {/openEHR-EHR-CLUSTER\.inspection\.v1|openEHR-EHR-CLUSTER\.inspection-trauma\.v1/} } } } CLUSTER[at0.18] occurrences matches {0..1} matches { -- Nasal mucosa items cardinality matches {1..*; unordered} matches { use_node ELEMENT occurrences matches {0..1} /items[at0008.1]/items[at0.11]/items[at0.10] -- /items[Findings]/items[External]/items[Description] allow_archetype CLUSTER[at0.41] occurrences matches {0..1} matches { -- Mucosal detail include archetype_id/value matches {/openEHR-EHR-CLUSTER\.inspection(-[a-zA-Z0-9_]+)*\.v1/} } } } CLUSTER[at0.24] occurrences matches {0..1} matches { -- Turbinates items cardinality matches {1..*; unordered} matches { use_node ELEMENT occurrences matches {0..1} /items[at0008.1]/items[at0.11]/items[at0.10] -- /items[Findings]/items[External]/items[Description] allow_archetype CLUSTER[at0.42] occurrences matches {0..1} matches { -- Turbinate detail include archetype_id/value matches {/openEHR-EHR-CLUSTER\.inspection(-[a-zA-Z0-9_]+)*\.v1/} } } } CLUSTER[at0.27] occurrences matches {0..1} matches { -- Discharge items cardinality matches {1..*; unordered} matches { use_node ELEMENT occurrences matches {0..1} /items[at0008.1]/items[at0.11]/items[at0.10] -- /items[Findings]/items[External]/items[Description] allow_archetype CLUSTER[at0.43] occurrences matches {0..1} matches { -- Discharge detail include archetype_id/value matches {/openEHR-EHR-CLUSTER\.bodily_substance(-[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 = <"Clinical description of external aspect of nose."> > ["at0.11"] = < text = <"External"> description = <"Findings on inspection of the external nose."> > ["at0.12"] = < text = <"Internal"> description = <"Internal inspection of the nose."> > ["at0.14"] = < text = <"Nasal septum"> description = <"Inspection of the nasal septum."> > ["at0.16"] = < text = <"Septal haematoma"> description = <"Presence of septal haematoma."> > ["at0.18"] = < text = <"Nasal mucosa"> description = <"Findings on inspection of the nasal mucosa."> > ["at0.24"] = < text = <"Turbinates"> description = <"Inspection of the nasal turbinates."> > ["at0.27"] = < text = <"Discharge"> description = <"Nasal discharge."> > ["at0.34"] = < text = <"Nares"> description = <"Examination of the nares/nostrils."> > ["at0.35"] = < text = <"Nares patent?"> description = <"Are the nares patent?"> > ["at0.38"] = < text = <"Nasal breathing?"> description = <"Is the patient breathing nasally?"> > ["at0.39"] = < text = <"Nose examination normal"> description = <"The nose was normal on examination."> > ["at0.40"] = < text = <"Septal detail"> description = <"Detail about nasal septa."> > ["at0.41"] = < text = <"Mucosal detail"> description = <"Detail about nasal mucosa."> > ["at0.42"] = < text = <"Turbinate detail"> description = <"detail about turbinates."> > ["at0.43"] = < text = <"Discharge detail"> description = <"Details of nasal discharge."> > ["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 nose"> description = <"For recording findings on physical examination of the nose."> > ["at0002"] = < text = <"Clinical description"> description = <"Textural description of the part examined."> > ["at0003"] = < text = <"Detail"> description = <"More focused examination findings."> > ["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."> > ["at0005.1"] = < 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."> > ["at0009"] = < text = <"Detail"> description = <"More focused examination findings."> > > > >