archetype (adl_version=1.4)
openEHR-EHR-CLUSTER.inspection-skin-wound.v1draft
specialize
openEHR-EHR-CLUSTER.inspection-skin.v1draft
concept
[at0000.1.1]
language
original_language = <[ISO_639-1::en]>
description
original_author = <
["name"] = <"Heather Leslie">
["organisation"] = <"Ocean Informatics">
["date"] = <"10/04/2007">
["email"] = <"heather.leslie@oceaninformatics.biz">
>
details = <
["en"] = <
language = <[ISO_639-1::en]>
purpose = <"For recording the findings on inspection of a wound">
use = <"For use with the exam clusters for recording findings on inspection">
keywords = <"inspect", "visual", "skin", "wound">
misuse = <"Should only be used in the exam observation">
>
>
lifecycle_state = <"Initial">
other_contributors = <>
definition
CLUSTER[at0000.1.1] ∈ {
items cardinality ∈ {0..*; unordered} ∈ {
CLUSTER[at0001] occurrences ∈ {0..1} ∈ {
items cardinality ∈ {0..*; unordered} ∈ {
ELEMENT[at0002] occurrences ∈ {0..*} ∈ {
value ∈ {
DV_TEXT ∈ {*}
}
}
}
}
ELEMENT[at0048] occurrences ∈ {0..1} ∈ {
value ∈ {
DV_TEXT ∈ {*}
}
}
CLUSTER[at0006] occurrences ∈ {0..*} ∈ {
items cardinality ∈ {0..*; unordered} ∈ {
ELEMENT[at0.52] occurrences ∈ {0..1} ∈ {
value ∈ {
DV_CODED_TEXT ∈ {
defining_code ∈ {
[local::
at0.53,
at0.54,
at0.55]
}
}
}
}
ELEMENT[at0036] occurrences ∈ {0..1} ∈ {
value ∈ {
DV_TEXT ∈ {*}
}
}
CLUSTER[at0005] occurrences ∈ {0..1} ∈ {
items cardinality ∈ {0..*; unordered} ∈ {
ELEMENT[at0022] occurrences ∈ {0..*} ∈ {
value ∈ {
DV_CODED_TEXT ∈ {
defining_code ∈ {[local::]}
}
}
}
}
}
CLUSTER[at0018] occurrences ∈ {0..1} ∈ {
items cardinality ∈ {0..*; unordered} ∈ {
ELEMENT[at0019] occurrences ∈ {0..1} ∈ {
value ∈ {
DV_TEXT ∈ {*}
}
}
ELEMENT[at0020] occurrences ∈ {0..1} ∈ {
value ∈ {
DV_BOOLEAN ∈ {
value ∈ {True, False}
}
}
}
}
}
ELEMENT[at0.0.62] occurrences ∈ {0..1} ∈ {
value ∈ {
DV_CODED_TEXT ∈ {
defining_code ∈ {
[local::
at0.0.63,
at0.0.64]
}
}
}
}
CLUSTER[at0.0.65] occurrences ∈ {0..1} ∈ {
items cardinality ∈ {0..*; unordered} ∈ {
allow_archetype CLUSTER occurrences ∈ {0..1} ∈ {
include
archetype_id/value matches {/signs_of_infection\.v1draft/}
exclude
archetype_id/value matches {/.*/}
}
}
}
CLUSTER[at0.0.61] occurrences ∈ {0..1} ∈ {
items cardinality ∈ {0..*; unordered} ∈ {
allow_archetype CLUSTER occurrences ∈ {0..1} ∈ {
include
archetype_id/value matches {/size\.v1/}
archetype_id/value matches {/dimensions\.v1/}
archetype_id/value matches {/dimensions-circumference\.v1/}
}
}
}
ELEMENT[at0051] occurrences ∈ {0..1} ∈ {
value ∈ {
DV_TEXT ∈ {*}
}
}
ELEMENT[at0027] occurrences ∈ {0..1} ∈ {
value ∈ {
DV_TEXT ∈ {*}
}
}
ELEMENT[at0.56] occurrences ∈ {0..1} ∈ {
value ∈ {
DV_CODED_TEXT ∈ {
defining_code ∈ {
[local::
at0.57,
at0.58,
at0.59]
}
}
}
}
ELEMENT[at0024] occurrences ∈ {0..1} ∈ {
value ∈ {
DV_TEXT ∈ {*}
}
}
ELEMENT[at0.60] occurrences ∈ {0..1} ∈ {
value ∈ {
DV_TEXT ∈ {*}
}
}
CLUSTER[at0028] occurrences ∈ {0..1} ∈ {
items cardinality ∈ {0..*; unordered} ∈ {
ELEMENT[at0033] occurrences ∈ {0..1} ∈ {
value ∈ {
DV_TEXT ∈ {*}
}
}
ELEMENT[at0029] occurrences ∈ {0..1} ∈ {
value ∈ {
DV_CODED_TEXT ∈ {
defining_code ∈ {
[local::
at0030,
at0031,
at0032]
}
}
}
}
}
}
ELEMENT[at0034] occurrences ∈ {0..1} ∈ {
value ∈ {
DV_BOOLEAN ∈ {
value ∈ {True, False}
}
}
}
CLUSTER[at0049] occurrences ∈ {0..1} ∈ {
items cardinality ∈ {0..*; unordered} ∈ {
allow_archetype CLUSTER occurrences ∈ {0..1} ∈ {
include
archetype_id/value matches {/exam\.v1/}
}
}
}
}
}
ELEMENT[at0050] occurrences ∈ {0..1} ∈ {
value ∈ {
DV_MULTIMEDIA ∈ {
media_type ∈ {
[openEHR::
425,
426,
427,
428,
429]
}
}
}
}
}
}
ontology
term_definitions = <
["en"] = <
items = <
["at0.0.61"] = <
description = <"*">
text = <"Size">
>
["at0.0.62"] = <
description = <"*">
text = <"Age">
>
["at0.0.63"] = <
description = <"*">
text = <"Acute">
>
["at0.0.64"] = <
description = <"*">
text = <"Chronic">
>
["at0.0.65"] = <
description = <"Presence of signs of infection">
text = <"Signs of infection">
>
["at0.52"] = <
description = <"Record of findings on inspection using a specific method">
text = <"Method">
>
["at0.53"] = <
description = <"Macroscopic; By eye">
text = <"Direct visualisation">
>
["at0.54"] = <
description = <"*">
text = <"Wood's lamp">
>
["at0.55"] = <
description = <"*">
text = <"Dermatoscope">
>
["at0.56"] = <
description = <"Thickness of skin">
text = <"Thickness">
>
["at0.57"] = <
description = <"*">
text = <"Thickened">
>
["at0.58"] = <
description = <"*">
text = <"Normal">
>
["at0.59"] = <
description = <"*">
text = <"Thinned/Atrophic">
>
["at0.60"] = <
description = <"Pigmentation of skin">
text = <"Pigmentation">
>
["at0000"] = <
description = <"The findings on physical examination by inspection">
text = <"Inspection">
>
["at0000.1"] = <
description = <"The findings on inspection of the skin">
text = <"Inspection of skin">
>
["at0000.1.1"] = <
description = <"The findings on inspection of a wound">
text = <"Inspection of wound">
>
["at0001"] = <
description = <"An optional group of statements about the normality of the inspection">
text = <"Normal statements">
>
["at0002"] = <
description = <"A specific statement about the normality of inspection">
text = <"Normal statement">
>
["at0005"] = <
description = <"The location of any findings">
text = <"Location">
>
["at0006"] = <
description = <"Specific findings on inspection">
text = <"Findings">
>
["at0018"] = <
description = <"The shape or distribution of the object inspected">
text = <"Shape or distribution">
>
["at0019"] = <
description = <"Description of the ">
text = <"Description">
>
["at0020"] = <
description = <"Whether the distribution is symmetrical">
text = <"Symmetrical">
>
["at0022"] = <
description = <"Description of the location of the findings">
text = <"Description">
>
["at0024"] = <
description = <"Description of immediate surrounds to object">
text = <"Surrounds">
>
["at0027"] = <
description = <"A description of the surface">
text = <"Surface">
>
["at0028"] = <
description = <"Findings about the edge of the object under inspection">
text = <"Edge">
>
["at0029"] = <
description = <"The nature of the edge of the object of examination">
text = <"Definition">
>
["at0030"] = <
description = <"The edge is clearly defined">
text = <"Well defined">
>
["at0031"] = <
description = <"The edge is defined but less clear in places">
text = <"Moderately defined">
>
["at0032"] = <
description = <"The edge is not defined clearly in many places">
text = <"Poorly defined">
>
["at0033"] = <
description = <"Description of the edge or border of the object of inspection">
text = <"Description">
>
["at0034"] = <
description = <"Is the object of inspection translucent?">
text = <"Translucent">
>
["at0036"] = <
description = <"The colour of the object under inspection">
text = <"Colour description">
>
["at0048"] = <
description = <"Clinical description of the findings on inspection">
text = <"Clinical Description">
>
["at0049"] = <
description = <"Detailed examination of a finding on inspection">
text = <"Detail">
>
["at0050"] = <
description = <"A drawing of the findings on inspection">
text = <"Drawing">
>
["at0051"] = <
description = <"The contour of the object of inspection">
text = <"Contour">
>
>
>
>