archetype (adl_version=1.4)
	openEHR-EHR-CLUSTER.menstrual_cycle.v1

concept
	[at0000]	-- Menstrual cycle
language
	original_language = <[ISO_639-1::en]>
description
	original_author = <
		["name"] = <"Heather Leslie">
		["organisation"] = <"Ocean Informatics">
		["date"] = <"19/03/2007">
		["email"] = <"heather.leslie@oceaninformatics.biz">
	>
	details = <
		["en"] = <
			language = <[ISO_639-1::en]>
			purpose = <"Detailed clinical information about a menstrual cycle">
			use = <"For inclusion within Menstrual cycle OBSERVATION">
			keywords = <"menstruation", "menses", "menstrual cycle", "bleeding">
			misuse = <"">
		>
	>
	lifecycle_state = <"Initial">
	other_contributors = <>

definition
	CLUSTER[at0000] matches {	-- Menstrual cycle
		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..*} matches {	-- Normal Statement
						value matches {
							DV_TEXT matches {*}
						}
					}
				}
			}
			ELEMENT[at0061] occurrences matches {0..1} matches {	-- Clinical description
				value matches {
					DV_TEXT matches {*}
				}
			}
			CLUSTER[at0003] occurrences matches {0..1} matches {	-- Findings
				items cardinality matches {0..*; unordered} matches {
					CLUSTER[at0022] occurrences matches {0..1} matches {	-- Cycle
						items cardinality matches {0..*; unordered} matches {
							ELEMENT[at0020] occurrences matches {0..1} matches {	-- Length of cycle
								value matches {
									C_DV_QUANTITY <
										property = <[openehr::128]>
										list = <
											["1"] = <
												units = <"d">
											>
											["2"] = <
												units = <"wk">
											>
											["3"] = <
												units = <"mo">
											>
										>
									>
								}
							}
							ELEMENT[at0023] occurrences matches {0..1} matches {	-- Relative duration of cycle
								value matches {
									DV_CODED_TEXT matches {
										defining_code matches {
											[local::
											at0024, 	-- Longer than usual
											at0026, 	-- As usual
											at0027, 	-- Shorter than usual
											at0028, 	-- Much shorter than usual
											at0029]	-- Much longer than usual
										}
									}
								}
							}
							ELEMENT[at0060] occurrences matches {0..1} matches {	-- Day of cycle
								value matches {
									DV_COUNT matches {
										magnitude matches {|>=1|}
									}
								}
							}
						}
					}
					CLUSTER[at0033] occurrences matches {0..1} matches {	-- Menstruation
						items cardinality matches {0..*; unordered} matches {
							ELEMENT[at0043] occurrences matches {0..1} matches {	-- Clinical Descripton
								value matches {
									DV_TEXT matches {*}
								}
							}
							CLUSTER[at0056] occurrences matches {0..1} matches {	-- Menstrual flow
								items cardinality matches {0..*; unordered} matches {
									ELEMENT[at0057] occurrences matches {0..1} matches {	-- Clinical Description
										value matches {
											DV_TEXT matches {*}
										}
									}
									ELEMENT[at0035] occurrences matches {0..1} matches {	-- Relative Description
										value matches {
											DV_CODED_TEXT matches {
												defining_code matches {
													[local::
													at0037, 	-- Very heavy flow
													at0038, 	-- Heavy flow
													at0039, 	-- Normal flow
													at0040, 	-- Light flow
													at0041, 	-- Spotting
													at0042]	-- Absent
												}
											}
										}
									}
									ELEMENT[at0059] occurrences matches {0..1} matches {	-- Colour
										value matches {
											DV_TEXT matches {*}
										}
									}
									ELEMENT[at0021] occurrences matches {0..1} matches {	-- Presence of blood clots
										value matches {
											DV_BOOLEAN matches {
												value matches {True}
											}
										}
									}
									ELEMENT[at0034] occurrences matches {0..1} matches {	-- Flooding
										value matches {
											DV_BOOLEAN matches {
												value matches {True, False}
											}
										}
									}
								}
							}
							CLUSTER[at0031] occurrences matches {0..1} matches {	-- Duration of Menstruation
								items cardinality matches {0..*; unordered} matches {
									ELEMENT[at0017] occurrences matches {0..1} matches {	-- Duration of menstruation
										value matches {
											C_DV_QUANTITY <
												property = <[openehr::128]>
												list = <
													["1"] = <
														units = <"d">
														magnitude = <|>=0.0|>
														precision = <|0|>
													>
													["2"] = <
														units = <"wk">
														magnitude = <|>=0.0|>
														precision = <|0|>
													>
												>
											>
										}
									}
									ELEMENT[at0032] occurrences matches {0..1} matches {	-- Relative duration of menstruation
										value matches {
											DV_CODED_TEXT matches {
												defining_code matches {
													[local::
													at0024, 	-- Longer than usual
													at0025, 	-- Normal
													at0026, 	-- As usual
													at0027, 	-- Shorter than usual
													at0028, 	-- Much shorter than usual
													at0029]	-- Much longer than usual
												}
											}
										}
									}
								}
							}
							CLUSTER[at0046] occurrences matches {0..1} matches {	-- Use of Sanitary products
								items cardinality matches {0..*; unordered} matches {
									ELEMENT[at0047] occurrences matches {0..*} matches {	-- Type of Sanitary product
										value matches {
											DV_CODED_TEXT matches {
												defining_code matches {
													[local::
													at0048, 	-- Sanitary napkins - 'super'
													at0049, 	-- Sanitary napkins - 'normal'
													at0050, 	-- Sanitary napkins - 'light flow'
													at0051, 	-- Tampon - 'super'
													at0052, 	-- Tampon - 'normal'
													at0053, 	-- Sea sponge
													at0054, 	-- Menstrual cup
													at0055]	-- Cloth pad or towel
												}
											}
										}
									}
									ELEMENT[at0036] occurrences matches {0..1} matches {	-- Number used
										value matches {
											DV_COUNT matches {
												magnitude matches {|>=0|}
											}
										}
									}
								}
							}
						}
					}
				}
			}
		}
	}

ontology
	term_definitions = <
		["en"] = <
			items = <
				["at0000"] = <
					description = <"Details about menstrual cycle">
					text = <"Menstrual cycle">
				>
				["at0001"] = <
					description = <"Collection of normal statements about menstrual cycle">
					text = <"Normal Statements">
				>
				["at0002"] = <
					description = <"Normal statement about the menstrual cycle">
					text = <"Normal Statement">
				>
				["at0003"] = <
					description = <"Finding about menstrual cycle">
					text = <"Findings">
				>
				["at0017"] = <
					description = <"Duration of menstruation">
					text = <"Duration of menstruation">
				>
				["at0020"] = <
					description = <"Length of menstrual cycle">
					text = <"Length of cycle">
				>
				["at0021"] = <
					description = <"Blood clots were present during cycle">
					text = <"Presence of blood clots">
				>
				["at0022"] = <
					description = <"Duration of Menstrual Cycle">
					text = <"Cycle">
				>
				["at0023"] = <
					description = <"Description of the relative duration of menstrual cycle">
					text = <"Relative duration of cycle">
				>
				["at0024"] = <
					description = <"*">
					text = <"Longer than usual">
				>
				["at0025"] = <
					description = <"*">
					text = <"Normal">
				>
				["at0026"] = <
					description = <"*">
					text = <"As usual">
				>
				["at0027"] = <
					description = <"*">
					text = <"Shorter than usual">
				>
				["at0028"] = <
					description = <"*">
					text = <"Much shorter than usual">
				>
				["at0029"] = <
					description = <"*">
					text = <"Much longer than usual">
				>
				["at0031"] = <
					description = <"Details about duration of menstruation">
					text = <"Duration of Menstruation">
				>
				["at0032"] = <
					description = <"Relative duration of menstruation">
					text = <"Relative duration of menstruation">
				>
				["at0033"] = <
					description = <"Description of the menstruation, or period of bleeding">
					text = <"Menstruation">
				>
				["at0034"] = <
					description = <"Heavy menstrual flow that exceeds capacity sanitary napkins and other menstrual products to absorb the menstrual flow">
					text = <"Flooding">
				>
				["at0035"] = <
					description = <"Relative description of menstrual blood flow">
					text = <"Relative Description">
				>
				["at0036"] = <
					description = <"Number of sanitary products used per day to absorb menstrual flow">
					text = <"Number used">
				>
				["at0037"] = <
					description = <"*">
					text = <"Very heavy flow">
				>
				["at0038"] = <
					description = <"*">
					text = <"Heavy flow">
				>
				["at0039"] = <
					description = <"*">
					text = <"Normal flow">
				>
				["at0040"] = <
					description = <"*">
					text = <"Light flow">
				>
				["at0041"] = <
					description = <"*">
					text = <"Spotting">
				>
				["at0042"] = <
					description = <"*">
					text = <"Absent">
				>
				["at0043"] = <
					description = <"Description of the characteristics of menstruation">
					text = <"Clinical Descripton">
				>
				["at0046"] = <
					description = <"Details about use of Sanitary products during menstruation">
					text = <"Use of Sanitary products">
				>
				["at0047"] = <
					description = <"Type of sanitary product used">
					text = <"Type of Sanitary product">
				>
				["at0048"] = <
					description = <"*">
					text = <"Sanitary napkins - 'super'">
				>
				["at0049"] = <
					description = <"*">
					text = <"Sanitary napkins - 'normal'">
				>
				["at0050"] = <
					description = <"*">
					text = <"Sanitary napkins - 'light flow'">
				>
				["at0051"] = <
					description = <"*">
					text = <"Tampon - 'super'">
				>
				["at0052"] = <
					description = <"*">
					text = <"Tampon - 'normal'">
				>
				["at0053"] = <
					description = <"*">
					text = <"Sea sponge">
				>
				["at0054"] = <
					description = <"*">
					text = <"Menstrual cup">
				>
				["at0055"] = <
					description = <"*">
					text = <"Cloth pad or towel">
				>
				["at0056"] = <
					description = <"Details about menstrual blood flow">
					text = <"Menstrual flow">
				>
				["at0057"] = <
					description = <"Description of Menstrual blood flow">
					text = <"Clinical Description">
				>
				["at0059"] = <
					description = <"Colour of menstrual blood">
					text = <"Colour">
				>
				["at0060"] = <
					description = <"Number of days since onset of last period">
					text = <"Day of cycle">
				>
				["at0061"] = <
					description = <"Information about the cycle">
					text = <"Clinical description">
				>
			>
		>
	>