archetype (adl_version=1.4) openEHR-EHR-CLUSTER.inspection-external_ear.v1 specialise openEHR-EHR-CLUSTER.inspection.v1 concept [at0000.1] -- Inspection of External ear language original_language = <[ISO_639-1::en]> description original_author = < ["name"] = <"Ian McNicoll"> ["organisation"] = <"Ocean Informatics"> ["date"] = <"02/11/2007"> > details = < ["en"] = < language = <[ISO_639-1::en]> purpose = <"For recording the findings on inspection of the external ear"> use = <"For use with the exam clusters for recording findings on inspection"> keywords = <"inspect", "visual", "ear", "external"> misuse = <"Should only be used in the exam observation"> copyright = <"copyright (c) 2009 openEHR Foundation"> > > lifecycle_state = <"AuthorDraft"> other_contributors = <> other_details = < ["references"] = <""> > definition CLUSTER[at0000.1] matches { -- Inspection of External ear items cardinality matches {0..*; unordered} matches { CLUSTER[at0001] occurrences matches {0..1} matches { -- Normal statements items cardinality matches {0..*; unordered} matches { ELEMENT[at0002] occurrences matches {0..1} matches { -- Normal statement value matches { DV_CODED_TEXT matches { defining_code matches { [local:: at0.53, -- External ear normal at0.56, -- Pinna normal at0.57] -- External Auditory Canal normal } } } } } } ELEMENT[at0048] occurrences matches {0..1} matches { -- Clinical Description value matches { DV_TEXT matches {*} } } CLUSTER[at0006] occurrences matches {0..1} matches { -- Findings items cardinality matches {0..*; unordered} matches { ELEMENT[at0036] occurrences matches {0..1} matches { -- Colour description value matches { DV_TEXT matches {*} } } CLUSTER[at0005] occurrences matches {0..1} matches { -- Location items cardinality matches {0..*; unordered} matches { ELEMENT[at0.61] occurrences matches {0..1} matches { -- Anatomical area value matches { DV_CODED_TEXT matches { defining_code matches { [local:: at0.62, -- Pinna at0.63] -- External Auditory Canal } } } } ELEMENT[at0022] occurrences matches {0..*} matches { -- Description value matches { DV_TEXT matches {*} } } } } CLUSTER[at0018] occurrences matches {0..1} matches { -- Shape or distribution items cardinality matches {0..*; unordered} matches { ELEMENT[at0019] occurrences matches {0..1} matches { -- Description value matches { DV_CODED_TEXT matches { defining_code matches { [local:: at0.58, -- Hypoplasia at0.59, -- Atresia at0.60] -- Bat } } } } ELEMENT[at0020] occurrences matches {0..1} matches { -- Symmetrical value matches { DV_BOOLEAN matches { value matches {True, False} } } } } } ELEMENT[at0051] occurrences matches {0..1} matches { -- Contour value matches { DV_TEXT matches {*} } } ELEMENT[at0027] occurrences matches {0..1} matches { -- Overlying skin or surface value matches { DV_TEXT matches {*} } } ELEMENT[at0024] occurrences matches {0..1} matches { -- Surrounds value matches { DV_TEXT matches {*} } } CLUSTER[at0028] occurrences matches {0..1} matches { -- Edge items cardinality matches {0..*; unordered} matches { ELEMENT[at0033] occurrences matches {0..1} matches { -- Description value matches { DV_TEXT matches {*} } } ELEMENT[at0029] occurrences matches {0..1} matches { -- Definition value matches { DV_CODED_TEXT matches { defining_code matches { [local:: at0030, -- Well defined at0031, -- Moderately defined at0032] -- Poorly defined } } } } } } ELEMENT[at0034] occurrences matches {0..1} matches { -- Translucent value matches { DV_BOOLEAN matches { value matches {True, False} } } } ELEMENT[at0.52] occurrences matches {0..1} matches { -- Operative scars value matches { DV_TEXT matches {*} } } CLUSTER[at0049] occurrences matches {0..1} matches { -- Detail items cardinality matches {0..*; unordered} matches { allow_archetype CLUSTER[at0052] occurrences matches {0..1} matches { include archetype_id/value matches {/openEHR-EHR-CLUSTER\.exam\.v1/} } } } } } ELEMENT[at0050] occurrences matches {0..1} matches { -- Drawing value matches { DV_MULTIMEDIA matches { media_type matches { [openEHR:: 425, 426, 427, 428, 429] } } } } } } ontology term_definitions = < ["en"] = < items = < ["at0.52"] = < text = <"Operative scars"> description = <"Any ear related operative scars"> > ["at0.53"] = < text = <"External ear normal"> description = <"*"> > ["at0.54"] = < text = <"Pinna"> description = <"*"> > ["at0.55"] = < text = <"External audiroty Canal"> description = <"*"> > ["at0.56"] = < text = <"Pinna normal"> description = <"*"> > ["at0.57"] = < text = <"External Auditory Canal normal"> description = <"*"> > ["at0.58"] = < text = <"Hypoplasia"> description = <"*"> > ["at0.59"] = < text = <"Atresia"> description = <"*"> > ["at0.60"] = < text = <"Bat"> description = <"*"> > ["at0.61"] = < text = <"Anatomical area"> description = <"*"> > ["at0.62"] = < text = <"Pinna"> description = <"*"> > ["at0.63"] = < text = <"External Auditory Canal"> description = <"*"> > ["at0000"] = < text = <"Inspection"> description = <"The findings on physical examination by inspection"> > ["at0000.1"] = < text = <"Inspection of External ear"> description = <"The findings on physical examination by inspection of external ear"> > ["at0001"] = < text = <"Normal statements"> description = <"An optional group of statements about the normality of the inspection"> > ["at0002"] = < text = <"Normal statement"> description = <"A specific statement about the normality of inspection"> > ["at0005"] = < text = <"Location"> description = <"The location of any findings"> > ["at0006"] = < text = <"Findings"> description = <"Specific findings on inspection"> > ["at0018"] = < text = <"Shape or distribution"> description = <"The shape or distribution of the object inspected"> > ["at0019"] = < text = <"Description"> description = <"Description of the external ear"> > ["at0020"] = < text = <"Symmetrical"> description = <"Whether the distribution is symmetrical"> > ["at0022"] = < text = <"Description"> description = <"Description of the location of the findings"> > ["at0024"] = < text = <"Surrounds"> description = <"Description of immediate surrounds to object"> > ["at0027"] = < text = <"Overlying skin or surface"> description = <"A description of the surface"> > ["at0028"] = < text = <"Edge"> description = <"Findings about the edge of the object under inspection"> > ["at0029"] = < text = <"Definition"> description = <"The nature of the edge of the object of examination"> > ["at0030"] = < text = <"Well defined"> description = <"The edge is clearly defined"> > ["at0031"] = < text = <"Moderately defined"> description = <"The edge is defined but less clear in places"> > ["at0032"] = < text = <"Poorly defined"> description = <"The edge is not defined clearly in many places"> > ["at0033"] = < text = <"Description"> description = <"Description of the edge or border of the object of inspection"> > ["at0034"] = < text = <"Translucent"> description = <"Is the object of inspection translucent?"> > ["at0036"] = < text = <"Colour description"> description = <"The colour of the object under inspection"> > ["at0048"] = < text = <"Clinical Description"> description = <"Clinical description of the findings on inspection"> > ["at0049"] = < text = <"Detail"> description = <"Detailed examination of a finding on inspection"> > ["at0050"] = < text = <"Drawing"> description = <"A drawing of the findings on inspection"> > ["at0051"] = < text = <"Contour"> description = <"The contour of the object of inspection"> > ["at0052"] = < text = <"Cluster: Exam"> description = <"Exam details"> > > > >