archetype (adl_version=1.4)
	openEHR-EHR-CLUSTER.move-joint.v1
specialise
	openEHR-EHR-CLUSTER.move.v1

concept
	[at0000.1]	-- Movement of a joint
language
	original_language = <[ISO_639-1::en]>
description
	original_author = <
		["name"] = <"unknown">
	>
	details = <
		["en"] = <
			language = <[ISO_639-1::en]>
			purpose = <"For describing the findings on movement of a joint.">
			use = <"">
			keywords = <"movement", "joint">
			misuse = <"">
			copyright = <"copyright (c) 2010 openEHR Foundation">
		>
	>
	lifecycle_state = <"AuthorDraft">
	other_contributors = <>
	other_details = <
		["MD5-CAM-1.0.1"] = <"95163F18290F91409530D7901DF344FA">
		["references"] = <"">
	>

definition
	CLUSTER[at0000.1] matches {	-- Movement of a joint
		items cardinality matches {1..*; unordered} matches {
			CLUSTER[at0001] occurrences matches {0..1} matches {	-- Normal statements
				items cardinality matches {1..*; unordered} matches {
					ELEMENT[at0002] occurrences matches {1..*} matches {	-- Normal statement
						value matches {
							DV_TEXT matches {*}
						}
					}
				}
			}
			ELEMENT[at0003] occurrences matches {0..1} matches {	-- Clinical description
				value matches {
					DV_TEXT matches {*}
				}
			}
			CLUSTER[at0036] occurrences matches {0..1} matches {	-- Findings
				items cardinality matches {1..*; unordered} matches {
					CLUSTER[at0037] occurrences matches {0..1} matches {	-- General movement
						items cardinality matches {1..*; unordered} matches {
							use_node ELEMENT /items[at0036]/items[at0004]/items[at0007]	-- /items[Findings]/items[Specific movement]/items[Description]
							use_node ELEMENT /items[at0036]/items[at0004]/items[at0006]	-- /items[Findings]/items[Specific movement]/items[Relative range of movement]
							use_node ELEMENT /items[at0036]/items[at0004]/items[at0019]	-- /items[Findings]/items[Specific movement]/items[Associated pain]
						}
					}
					CLUSTER[at0004] occurrences matches {0..*} matches {	-- Specific movement
						items cardinality matches {1..*; unordered} matches {
							ELEMENT[at0011] occurrences matches {0..1} matches {	-- Type of movement
								value matches {
									DV_CODED_TEXT matches {
										defining_code matches {
											[local::
											at0012, 	-- Active movement
											at0013]	-- Passive movement
										}
									}
								}
							}
							ELEMENT[at0005] matches {	-- Movement
								value matches {
									DV_CODED_TEXT matches {
										defining_code matches {
											[local::
											at0.1, 	-- Flexion
											at0.2, 	-- Extension
											at0.3, 	-- Abduction
											at0.4, 	-- Adduction
											at0.5, 	-- Internal rotation
											at0.6, 	-- External rotation
											at0.7, 	-- Supination
											at0.8, 	-- Pronation
											at0.9, 	-- Eversion
											at0.10, 	-- Inversion
											at0.11, 	-- Rotation
											at0.12, 	-- Opening
											at0.13]	-- Closing
										}
									}
								}
							}
							ELEMENT[at0007] occurrences matches {0..1} matches {	-- Description
								value matches {
									DV_TEXT matches {*}
								}
							}
							ELEMENT[at0035] occurrences matches {0..1} matches {	-- Arc of movement
								value matches {
									C_DV_QUANTITY <
										property = <[openehr::497]>
										list = <
											["1"] = <
												units = <"°">
												magnitude = <|0.0..360.0|>
												precision = <|0|>
											>
										>
									>
								}
							}
							ELEMENT[at0006] occurrences matches {0..1} matches {	-- Relative range of movement
								value matches {
									0|[local::at0008], 	-- No movement
									2|[local::at0017], 	-- Severe restriction
									5|[local::at0010], 	-- Moderate restriction
									8|[local::at0016], 	-- Minor restriction
									10|[local::at0009]; 	-- Full range of movement
									0  	-- assumed value
								}
							}
							ELEMENT[at0019] occurrences matches {0..1} matches {	-- Associated pain
								value matches {
									0|[local::at0020], 	-- None
									1|[local::at0021], 	-- Mild
									5|[local::at0022], 	-- Moderate
									8|[local::at0024], 	-- Severe
									10|[local::at0023]; 	-- Extreme
									0  	-- assumed value
								}
							}
						}
					}
					CLUSTER[at0.14] occurrences matches {0..1} matches {	-- Abnormal movement
						items cardinality matches {1..*; unordered} matches {
							CLUSTER[at0.16] occurrences matches {0..*} matches {	-- Ligament testing
								items cardinality matches {1..*; unordered} matches {
									ELEMENT[at0.15] occurrences matches {0..1} matches {	-- Name
										value matches {
											DV_TEXT matches {*}
										}
									}
									ELEMENT[at0.21] occurrences matches {0..1} matches {	-- Movement or stress
										value matches {
											DV_CODED_TEXT matches {
												defining_code matches {[local::]}
											}
										}
									}
									ELEMENT[at0.17] occurrences matches {0..1} matches {	-- Finding
										value matches {
											DV_CODED_TEXT matches {
												defining_code matches {
													[local::
													at0.18, 	-- Normal
													at0.19, 	-- Lax
													at0.20]	-- Subluxing
												}
											}
										}
									}
								}
							}
						}
					}
				}
			}
		}
	}

ontology
	term_definitions = <
		["en"] = <
			items = <
				["at0.1"] = <
					text = <"Flexion">
					description = <"Movement through contraction of the flexor muscles.">
				>
				["at0.10"] = <
					text = <"Inversion">
					description = <"Rotation towards the midline.">
				>
				["at0.11"] = <
					text = <"Rotation">
					description = <"Movement throughout a circle.">
				>
				["at0.12"] = <
					text = <"Opening">
					description = <"Opening of the joint.">
				>
				["at0.13"] = <
					text = <"Closing">
					description = <"Closing of the joint.">
				>
				["at0.14"] = <
					text = <"Abnormal movement">
					description = <"*">
				>
				["at0.15"] = <
					text = <"Name">
					description = <"Clinical description of any abnormal movement findings.">
				>
				["at0.16"] = <
					text = <"Ligament testing">
					description = <"*">
				>
				["at0.17"] = <
					text = <"Finding">
					description = <"*">
				>
				["at0.18"] = <
					text = <"Normal">
					description = <"*">
				>
				["at0.19"] = <
					text = <"Lax">
					description = <"*">
				>
				["at0.2"] = <
					text = <"Extension">
					description = <"Movement through the extensor muscles.">
				>
				["at0.20"] = <
					text = <"Subluxing">
					description = <"*">
				>
				["at0.21"] = <
					text = <"Movement or stress">
					description = <"*">
				>
				["at0.3"] = <
					text = <"Abduction">
					description = <"Movement of the distal part away from the midline.">
				>
				["at0.4"] = <
					text = <"Adduction">
					description = <"Movement of the distal part towards the midline.">
				>
				["at0.5"] = <
					text = <"Internal rotation">
					description = <"Rotating the anterior aspect distal to the joint towards the midline.">
				>
				["at0.6"] = <
					text = <"External rotation">
					description = <"Rotation of the anterior aspect distal to the joint away from the midline.">
				>
				["at0.7"] = <
					text = <"Supination">
					description = <"Rotation of the distal part into the anatomical position.">
				>
				["at0.8"] = <
					text = <"Pronation">
					description = <"Rotation of the distal part away from the anatomical position.">
				>
				["at0.9"] = <
					text = <"Eversion">
					description = <"Rotation away from the midline.">
				>
				["at0000"] = <
					text = <"Movement">
					description = <"Movement as part of physical examination.">
				>
				["at0000.1"] = <
					text = <"Movement of a joint">
					description = <"Movement of a joint as part of physical examination.">
				>
				["at0001"] = <
					text = <"Normal statements">
					description = <"A group of statements that express normality of movement.">
				>
				["at0002"] = <
					text = <"Normal statement">
					description = <"A statement about normality of movement.">
				>
				["at0003"] = <
					text = <"Clinical description">
					description = <"Clinical description about the findings on movement.">
				>
				["at0004"] = <
					text = <"Specific movement">
					description = <"A specific movement being tested.">
				>
				["at0005"] = <
					text = <"Movement">
					description = <"A specific movement.">
				>
				["at0006"] = <
					text = <"Relative range of movement">
					description = <"The relative range of movement.">
				>
				["at0007"] = <
					text = <"Description">
					description = <"A textural description of the movement.">
				>
				["at0008"] = <
					text = <"No movement">
					description = <"There is no movement.">
				>
				["at0009"] = <
					text = <"Full range of movement">
					description = <"Movement is not restricted.">
				>
				["at0010"] = <
					text = <"Moderate restriction">
					description = <"Movement is moderately restricted.">
				>
				["at0011"] = <
					text = <"Type of movement">
					description = <"The type of movement.">
				>
				["at0012"] = <
					text = <"Active movement">
					description = <"The movement is undertaken by the person.">
				>
				["at0013"] = <
					text = <"Passive movement">
					description = <"The clinician is moving the body part.">
				>
				["at0016"] = <
					text = <"Minor restriction">
					description = <"Movement is slightly restricted.">
				>
				["at0017"] = <
					text = <"Severe restriction">
					description = <"Movement is severely restricted.">
				>
				["at0019"] = <
					text = <"Associated pain">
					description = <"Associated pain or discomfort.">
				>
				["at0020"] = <
					text = <"None">
					description = <"No pain or discomfort on movement.">
				>
				["at0021"] = <
					text = <"Mild">
					description = <"Mild pain on movement.">
				>
				["at0022"] = <
					text = <"Moderate">
					description = <"Moderate pain on movement.">
				>
				["at0023"] = <
					text = <"Extreme">
					description = <"Severe pain which restricts all movement.">
				>
				["at0024"] = <
					text = <"Severe">
					description = <"Severe pain which limits movement.">
				>
				["at0035"] = <
					text = <"Arc of movement">
					description = <"The number of degrees that movement is available.">
				>
				["at0036"] = <
					text = <"Findings">
					description = <"Clinical findings.">
				>
				["at0037"] = <
					text = <"General movement">
					description = <"Statements about movement in general.">
				>
			>
		>
	>