archetype (adl_version=1.4)
	openEHR-EHR-CLUSTER.cranial_nerves.v1draft

concept
	[at0000]	-- Cranial Nerves
language
	original_language = <[ISO_639-1::en]>
description
	original_author = <
		["name"] = <"Heather Leslie">
		["organisation"] = <"Ocean Informatics">
		["date"] = <"12/03/2007">
		["email"] = <"heather.leslie@oceaninformatics.biz">
	>
	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 = <"">
		>
	>
	lifecycle_state = <"Initial">
	other_contributors = <>

definition
	CLUSTER[at0000] matches {	-- Cranial Nerves
		items cardinality matches {0..*; unordered} matches {
			CLUSTER[at0062] occurrences matches {0..1} matches {	-- Normal Statements
				items cardinality matches {0..*; unordered} matches {
					ELEMENT[at0061] occurrences matches {0..1} 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 {0..*; 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 {0..*; unordered} matches {
							ELEMENT[at0012] occurrences matches {0..1} matches {	-- Odours identified correctly
								value matches {
									DV_TEXT matches {*}
								}
							}
							ELEMENT[at0013] occurrences matches {0..1} matches {	-- Odours identified incorrectly
								value matches {
									DV_TEXT matches {*}
								}
							}
							use_node ELEMENT /items[at0063]/items[at0008]
						}
					}
					CLUSTER[at0002] occurrences matches {0..1} matches {	-- Second Cranial Nerve
						items cardinality matches {0..*; unordered} matches {
							CLUSTER[at0015] occurrences matches {0..1} matches {	-- Fundoscopic examination
								items cardinality matches {0..*; 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]
						}
					}
					CLUSTER[at0003] occurrences matches {0..1} matches {	-- Third, Fourth and Sixth Cranial Nerves
						items cardinality matches {0..*; unordered} matches {
							CLUSTER[at0076] occurrences matches {0..1} matches {	-- Pupillary reflex
								items cardinality matches {0..*; unordered} matches {
									ELEMENT[at0079] occurrences matches {0..1} matches {	-- Right pupillary reflex abnormal
										value matches {
											DV_BOOLEAN matches {
												value matches {True, False}
											}
										}
									}
									ELEMENT[at0078] occurrences matches {0..1} matches {	-- Left pupillary reflex abnormal
										value matches {
											DV_BOOLEAN matches {
												value matches {True, False}
											}
										}
									}
									use_node ELEMENT /items[at0063]/items[at0008]
								}
							}
							CLUSTER[at0069] occurrences matches {0..1} matches {	-- Abduction of eye
								items cardinality matches {0..*; unordered} matches {
									ELEMENT[at0070] occurrences matches {0..1} matches {	-- Right Abnormal
										value matches {
											DV_BOOLEAN matches {
												value matches {True, False}
											}
										}
									}
									ELEMENT[at0068] occurrences matches {0..1} matches {	-- Left Abnormal
										value matches {
											DV_BOOLEAN matches {
												value matches {True, False}
											}
										}
									}
								}
							}
							CLUSTER[at0071] occurrences matches {0..1} matches {	-- Adduction of eye
								items cardinality matches {0..*; unordered} matches {
									use_node ELEMENT /items[at0063]/items[at0003]/items[at0069]/items[at0070]
									use_node ELEMENT /items[at0063]/items[at0003]/items[at0069]/items[at0068]
								}
							}
							CLUSTER[at0072] occurrences matches {0..1} matches {	-- Upward movement
								items cardinality matches {0..*; unordered} matches {
									use_node ELEMENT /items[at0063]/items[at0003]/items[at0069]/items[at0070]
									use_node ELEMENT /items[at0063]/items[at0003]/items[at0069]/items[at0068]
								}
							}
							CLUSTER[at0073] occurrences matches {0..1} matches {	-- Downward movement
								items cardinality matches {0..*; unordered} matches {
									use_node ELEMENT /items[at0063]/items[at0003]/items[at0069]/items[at0070]
									use_node ELEMENT /items[at0063]/items[at0003]/items[at0069]/items[at0068]
								}
							}
							use_node ELEMENT /items[at0063]/items[at0008]
						}
					}
					CLUSTER[at0004] occurrences matches {0..1} matches {	-- Fifth Cranial Nerve
						items cardinality matches {0..*; 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]
						}
					}
					CLUSTER[at0005] occurrences matches {0..1} matches {	-- Seventh Cranial Nerve
						items cardinality matches {0..*; 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 {0..*; 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]
						}
					}
					CLUSTER[at0042] occurrences matches {0..1} matches {	-- Eighth Cranial Nerve
						items cardinality matches {0..*; 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]
						}
					}
					CLUSTER[at0045] occurrences matches {0..1} matches {	-- Ninth and Tenth Cranial Nerves
						items cardinality matches {0..*; unordered} matches {
							ELEMENT[at0047] occurrences matches {0..1} matches {	-- Vocal cord function
								value matches {
									DV_TEXT matches {*}
								}
							}
							ELEMENT[at0048] occurrences matches {0..1} matches {	-- Uvula function
								value matches {
									DV_TEXT matches {*}
								}
							}
							use_node ELEMENT /items[at0063]/items[at0008]
						}
					}
					CLUSTER[at0006] occurrences matches {0..1} matches {	-- Eleventh Cranial Nerve
						items cardinality matches {0..*; unordered} matches {
							use_node ELEMENT /items[at0063]/items[at0008]
						}
					}
					CLUSTER[at0007] occurrences matches {0..1} matches {	-- Twelfth Cranial Nerve
						items cardinality matches {0..*; unordered} matches {
							CLUSTER[at0051] occurrences matches {0..1} matches {	-- Tongue examination
								items cardinality matches {0..*; unordered} matches {
									ELEMENT[at0057] occurrences matches {0..*} matches {	-- Abnormal appearance
										value matches {
											DV_CODED_TEXT matches {
												defining_code matches {
													[local::
													at0058, 	-- Fasciculations present
													at0059, 	-- Tremor present
													at0060]	-- Atrophy present
												}
											}
										}
									}
									ELEMENT[at0053] occurrences matches {0..1} matches {	-- Tongue protrusion
										value matches {
											DV_CODED_TEXT matches {
												defining_code matches {
													[local::
													at0054, 	-- Midline
													at0055, 	-- Deviates to left
													at0056]	-- Deviates to right
												}
											}
										}
									}
								}
							}
							use_node ELEMENT /items[at0063]/items[at0008]
						}
					}
				}
			}
		}
	}

ontology
	term_definitions = <
		["en"] = <
			items = <
				["at0000"] = <
					description = <"Findings on examination of Cranial nerves">
					text = <"Cranial Nerves">
				>
				["at0001"] = <
					description = <"Findings on examination of First Cranial Nerve">
					text = <"First Cranial Nerve">
				>
				["at0002"] = <
					description = <"Findings on examination of Second Cranial Nerve">
					text = <"Second Cranial Nerve">
				>
				["at0003"] = <
					description = <"Findings on examination of Third, Fourth and Sixth Cranial Nerves">
					text = <"Third, Fourth and Sixth Cranial Nerves">
				>
				["at0004"] = <
					description = <"Findings on examination of Fifth Cranial Nerve">
					text = <"Fifth Cranial Nerve">
				>
				["at0005"] = <
					description = <"Findings on examination of Seventh Cranial Nerve">
					text = <"Seventh Cranial Nerve">
				>
				["at0006"] = <
					description = <"Findings on examination of Eleventh Cranial Nerve">
					text = <"Eleventh Cranial Nerve">
				>
				["at0007"] = <
					description = <"Findings on examination of Twelfth Cranial Nerve">
					text = <"Twelfth Cranial Nerve">
				>
				["at0008"] = <
					description = <"Detailed findings on examination of  cranial nerve/s">
					text = <"Clinical Description">
				>
				["at0010"] = <
					description = <"*">
					text = <"Normal sense of smell">
				>
				["at0011"] = <
					description = <"*">
					text = <"First cranial nerve normal">
				>
				["at0012"] = <
					description = <"Substances correctly identified eg coffee, cloves and peppermint">
					text = <"Odours identified correctly">
				>
				["at0013"] = <
					description = <"Substances incorrectly identified">
					text = <"Odours identified incorrectly">
				>
				["at0014"] = <
					description = <"Findings on examination of left fundus">
					text = <"Left">
				>
				["at0015"] = <
					description = <"Findings on fundoscopic examination">
					text = <"Fundoscopic examination">
				>
				["at0016"] = <
					description = <"Findings on examination of right fundus">
					text = <"Right">
				>
				["at0017"] = <
					description = <"*">
					text = <"Visual field testing">
				>
				["at0020"] = <
					description = <"*">
					text = <"Normal oculomotor movements">
				>
				["at0021"] = <
					description = <"*">
					text = <"Full range of ocular movements">
				>
				["at0025"] = <
					description = <"Detailed description of sensory examination findings">
					text = <"Sensory examination findings">
				>
				["at0026"] = <
					description = <"Detailed description of motor examination findings">
					text = <"Motor examination findings">
				>
				["at0027"] = <
					description = <"Examination of corneal reflex is normal">
					text = <"Abnormal Corneal reflex">
				>
				["at0028"] = <
					description = <"*">
					text = <"Abnormal findings">
				>
				["at0029"] = <
					description = <"*">
					text = <"Level of lesion">
				>
				["at0030"] = <
					description = <"*">
					text = <"Upper motor neurone">
				>
				["at0031"] = <
					description = <"*">
					text = <"Lower motor neurone">
				>
				["at0032"] = <
					description = <"*">
					text = <"Abnormal Statements">
				>
				["at0033"] = <
					description = <"Normal statements on examination of Seventh cranial nerve">
					text = <"Normal statements">
				>
				["at0034"] = <
					description = <"*">
					text = <"Eyebrow elevation">
				>
				["at0035"] = <
					description = <"*">
					text = <"Forehead wrinkling">
				>
				["at0036"] = <
					description = <"*">
					text = <"Frowning">
				>
				["at0037"] = <
					description = <"*">
					text = <"Tightly closed eyes">
				>
				["at0038"] = <
					description = <"*">
					text = <"Showing teeth">
				>
				["at0039"] = <
					description = <"*">
					text = <"Whistling">
				>
				["at0040"] = <
					description = <"*">
					text = <"Puff out cheeks">
				>
				["at0041"] = <
					description = <"*">
					text = <"Smile">
				>
				["at0042"] = <
					description = <"*">
					text = <"Eighth Cranial Nerve">
				>
				["at0043"] = <
					description = <"Detailed description of hearing test results">
					text = <"Hearing Test results">
				>
				["at0044"] = <
					description = <"Detailed description of vestibular test results">
					text = <"Vestibular testing results">
				>
				["at0045"] = <
					description = <"*">
					text = <"Ninth and Tenth Cranial Nerves">
				>
				["at0047"] = <
					description = <"Description of vocal cord function">
					text = <"Vocal cord function">
				>
				["at0048"] = <
					description = <"Description of uvula function">
					text = <"Uvula function">
				>
				["at0051"] = <
					description = <"*">
					text = <"Tongue examination">
				>
				["at0053"] = <
					description = <"*">
					text = <"Tongue protrusion">
				>
				["at0054"] = <
					description = <"*">
					text = <"Midline">
				>
				["at0055"] = <
					description = <"*">
					text = <"Deviates to left">
				>
				["at0056"] = <
					description = <"*">
					text = <"Deviates to right">
				>
				["at0057"] = <
					description = <"Description of abnormal appearance of tongue">
					text = <"Abnormal appearance">
				>
				["at0058"] = <
					description = <"*">
					text = <"Fasciculations present">
				>
				["at0059"] = <
					description = <"*">
					text = <"Tremor present">
				>
				["at0060"] = <
					description = <"*">
					text = <"Atrophy present">
				>
				["at0061"] = <
					description = <"*">
					text = <"Normal statement">
				>
				["at0062"] = <
					description = <"*">
					text = <"Normal Statements">
				>
				["at0063"] = <
					description = <"*">
					text = <"Findings">
				>
				["at0065"] = <
					description = <"*">
					text = <"Normal cranial nerve examination">
				>
				["at0066"] = <
					description = <"*">
					text = <"Cranial nerves - no abnormality detected">
				>
				["at0067"] = <
					description = <"*">
					text = <"Second cranial nerve normal">
				>
				["at0068"] = <
					description = <"Eye movement is abnormal on the left side">
					text = <"Left Abnormal">
				>
				["at0069"] = <
					description = <"Turning of eye outwards ">
					text = <"Abduction of eye">
				>
				["at0070"] = <
					description = <"Eye movement is abnormal on the right side">
					text = <"Right Abnormal">
				>
				["at0071"] = <
					description = <"Turning of eye inwards">
					text = <"Adduction of eye">
				>
				["at0072"] = <
					description = <"Movement of eye upwards or superiorly">
					text = <"Upward movement">
				>
				["at0073"] = <
					description = <"Movement of eye downwards or inferiorly">
					text = <"Downward movement">
				>
				["at0074"] = <
					description = <"*">
					text = <"Normal Corneal reflex">
				>
				["at0075"] = <
					description = <"*">
					text = <"Pupils equal and reactive to light and accomodation (PERLA)">
				>
				["at0076"] = <
					description = <"*">
					text = <"Pupillary reflex">
				>
				["at0078"] = <
					description = <"Left pupil reflex is abnormal">
					text = <"Left pupillary reflex abnormal">
				>
				["at0079"] = <
					description = <"Right pupil reflex is abnormal">
					text = <"Right pupillary reflex abnormal">
				>
			>
		>
	>